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This specification covers minimum requirements for primary medical oxygen delivery systems for EMS ground vehicles used in the following applications: (1) the transportation of the sick and injured to or from an appropriate medical facility while basic, advanced, or specialized life support services are being provided, (2) the delivery of interhospital critical transport care, (3) the delivery of nonemergency, medically required, transport services, and (4) the transportation and delivery of personnel and supplies essential for proper care of an emergent patient. This standard establishes criteria to be considered in the performance, specification, purchase, and acceptance testing of EMS ground vehicles. The oxygen delivery system may be either a gaseous oxygen (GOX) system, or a liquid oxygen (LOX) system. Design and installation of the oxygen delivery system shall meet the requirements specified for: (1) capacity, (2) components such as oxygen piping system, flow control device, oxygen outlet, shutoff device, and secondary oxygen outlet, and (3) oxygen compartment. The oxygen system shall conform to the specified performance requirements including: (1) delivery flowrate, (2) delivery pressure, (3) delivery temperature, (4) temperature conditions such as storage temperature, cold soak, and heat soak, (5) electromagnetic interference, and (6) structural integrity against vibration, acceleration load, and shock load (basic design and crash worthiness). Installation requirements for oxygen piping routing and mounting, as well as flaring and bending, are specified. Design, installation, and pressure test requirements for GOX and LOX systems are detailed.1.1 This standard covers minimum requirements for primary medical oxygen delivery systems for EMS ground vehicles used in the following applications:1.1.1 The transportation of the sick and injured to or from an appropriate medical facility while basic, advanced, or specialized life support services are being provided,1.1.2 The delivery of interhospital critical transport care,1.1.3 The delivery of nonemergency, medically required transport services, and1.1.4 The transportation and delivery of personnel and supplies essential for proper care of an emergent patient.1.2 This standard establishes criteria to be considered in the performance, specification, purchase, and acceptance testing of ground vehicles for EMS use.1.3 This entire standard should be read before ordering an ambulance in order to be knowledgeable of the types of equipment that are available and their performance requirements. Due to the variety of ambulance equipment or features, some options may be incompatible with all chassis manufacturers' models. Detailed technical information is available from the chassis manufacturers.1.4 The sections in this standard appear in the following sequence:  Section 1Referenced Documents 2Terminology 3Significance and Use 4Design Requirements 5Performance Requirements 6Installation Requirements 7GOX System Design Requirements 8GOX System Installation Requirements 9GOX System Test Requirements 10 LOX System Design Requirements 11 LOX System Installation Requirements 12 LOX System Test Requirements 13 Keywords 14 1.5 This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.

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4.1 This practice establishes the national standard for training the EMT in communicating pertinent patient information to the receiving medical facility.4.2 Appropriate physiological data and patient assessment information should be collected from the scene or while en route to the receiving medical facility or medical command site.4.3 This practice is based on the information needs of a receiving medical facility to assist them in medical triage, ED resource management, and the provision of medical direction.4.4 This practice should be used by those who develop curricula, provide continuing medical education, or desire a needs-based reporting approach.4.5 This practice should be used to develop documentation aids such as EMS notepads and medical command documentation sheets.4.6 The communication format in each PISA subsection in this practice are not necessarily in sequential order. The report may vary dependent upon patient presentation.1.1 This practice establishes the EMS standard for communications entailing a patient radio (phone) report to a receiving medical facility.1.1.1 This report is based on receiving facility needs and is generic for medical, traumatic (ALS), and (BLS) patients.1.1.2 This report standard is based on the hierarchical information needs of an average medical receiving facility.1.2 This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.

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4.1 This guide provides minimum guidance for the development of air medical training programs.4.2 This guide identifies additional subject areas of training necessary to become an air medical patient care provider.1.1 This guide applies to patient care providers onboard medical flights involved in the provision of patient care during air medical transport. It does not necessarily address the qualifications and training of additional specialty care providers or other allied health professionals during air medical transport.1.2 This guide establishes air medical nomenclature.1.3 This guide establishes minimum qualifications and training requirements for the air medical patient care provider(s) and the air medical director.1.4 This guide identifies the general content of the curricula for air medical training.1.5 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

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1.1 This specification covers minimum performance and safety requirements for EMS ground vehicles used: 1.1.1 In the transportation of the sick and injured to or from an appropriate medical facility while basic or advanced, or both, life support services are being provided, 1.1.2 In the delivery of interhospital critical transport care, 1.1.3 In the delivery of nonemergency, medically required, transport services, and 1.1.4 In the transportation and delivery of personnel and supplies essential for proper care of an emergent patient. 1.2 It includes the performance standards for necessary materials, equipment, and systems to the levels outlined in recognized standards, whether clinical or vehicular. 1.3 The document is divided into two sections. Section A describes those vehicles used primarily for responding to and for transporting and treating the patient while en route to an appropriate medical facility. Section B will be developed at a later date and will describe those vehicles primarily used for transporting the nonemergency patient, for transporting essential personnel or equipment, or both, to and from a location where emergency medical care is required, or for transporting patients in areas not accessible by ambulances described in Section A. 1.4 This document establishes criteria that shall be considered in the performance, specification, purchase and acceptance testing of ground vehicles for EMS use. 1.5 This document does not define the staffing of ground vehicles or the clinical practice of emergency medicine. 1.6 The entire document should be read before ordering an ambulance, in order to be knowledgeable of which equipment is standard, and which options are desired. Due to the variety of ambulance equipment or features, some options may be incompatible with all chassis manufacturers' models. Detailed technical information is available from the chassis manufacturers. 1.7 The sections in this specification appear in the following sequence: Section 1 Referenced Documents 2 Terminology 3 Materials 4 Requirements 5 General Vehicle Types and Floor Plan 5.1 Vehicle, Components, Equipment, and Accessories 5.2 Vehicle Operation, Performance, and Physical Charac- teristics 5.3 Vehicle Weight Ratings and Payload 5.4 Chassis, Engine, and Components 5.5 Electrical System and Components 5.6 Lighting, Ambulance Exterior and Interior 5.7 Cab-body Driver Compartment and Equipment 5.8 Vehicle Body and Patient Area 5.9 Storage 5.10 Oxygen and Suction Systems and Equipment 5.11 Environmental: Climatic and Noise Parameters 5.12 Communications 5.13 Preparation for Painting, Color, and Markings 5.14 Undercoating 5.15 Corrosionproofing 5.16 Markings, Data Plates, Warranty Notice, etc. 5.17 Documentation 5.18 Predelivery Inspection and Servicing 5.19 Additional Systems, Medical Equipment, Accessories, and Supplies 5.20 Quality Assurance Provisions, Inspection, and Testing 6 Responsibility for Inspection and Tests 6.1 Inspection and Testing 6.2 Certifications 6.3 "Star of Life" Certification Requirements 6.4 Tests 6.5 Appendixes Partial Listing Specialty-Type Ground Vehicles X1 Typical Storage Volumes for Interior Compartments X1.2.1 Typical Extrication Equipment Might Include X1.2.2 Prepurchase Checklist X2 Rationale X3

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