This massive freightliner quad cab ambulance is a state of the art critical care ground transport unit specifically designed for our unique needs. This video is an in-depth walk through of this ambulance and the supplies on board.
Пікірлер: 121
@blakslee7202 ай бұрын
“If a facility isn’t comfortable doing a chest tube, we can do one in route” let’s let that sink in. Boss move.
@PrepMedic2 ай бұрын
We call them “4 wall scene calls”. The reality of rural medicine is that a lot of the docs and mid level providers just moonlight in the ER and are not even board certified in emergency medicine. They handle minor run of the mill stuff great but just don’t have the volume or experience to handle severely injured or ill patients (which is literally all we do in critical care transport)
@stephenbritton92972 ай бұрын
Working in a rural area, we have some great ER doc’s, and then, like you said, other types of docs working in the ER, often as the only provider in a small ER. They maybe excellent doc’s at their day job,but they’re not ER doc’s.
@Tommymad12 ай бұрын
I'm also an EMT in a rural area, most of our docs are full time ER doctors and are very good at their jobs, but we have a few who are absolutely NOT confident in their jobs. Unfortunately one is just actually incompetent and has killed patients, one of which he over inserted a chest tube, perforating the lung.
@billydunwoody3 ай бұрын
Critical Care in Los Angeles. We have to use our lights/sirens a lot because of traffic. It’s a tool just like anything in our bags. Ya’ll have a lot of equipment, looks awesome
@reedb42953 ай бұрын
You still work for PRN?
@billydunwoody3 ай бұрын
@@reedb4295 medic school in Sept
@bensisko6172 ай бұрын
Yo, we used to work together at PRN. Not sure if we ever worked the same shift, but used to see you around all the time. I’m not about to dox myself on KZfaq though 😂. I worked CCT on 137 and 142/3. Hope you’re doing well bro. Good luck in medic school!
@billydunwoody2 ай бұрын
@@bensisko617 ahhhh yes. Thank you! Hopefully you are doing well
@preppingundkrisenvorsorge92883 ай бұрын
Thank you for this video! Funny fact: I’m a nurse on a surgical ICU in Germany, in critical Intubations I used to flip the laryngoscope like in those movies, that works pretty well with our laryngoscope 😂 Greetings from good old Germany 😂👋
@markarca63603 ай бұрын
And in Europe, Dräger Oxylog 3000 is the standard transport ventilator for most ambulances.
@commanderb-tron9313 ай бұрын
@@markarca6360 we use the Hamilton T1 Series in the hospital and Monal T60 (French company) for EMS in our region. Switched the product because Oxylog 3000 is to big and heavy for our daily operations.
@janmllersrensen63862 ай бұрын
@@markarca6360 In Denmark a lot of services use Hamilton t1
@johne16532 ай бұрын
Going to rural hospitals is quite enlightening. I lived in a very small town of 1500 before I went to medic school and later on as RN working in a large teaching hospital er. As mentioned many small hospital ER's are covered by family practice docs or PA-C/NP. I have seen failures to even more basic of Imaging procedures. NO IV access. Afraid to deal with things. A classmate was flight medic for many years before getting into EMS management. They flew to larger rural hospital....evidently they never heard the idea of a GCS score of 8...time to intubate.
@AggiePhil3 ай бұрын
Man, this guy knows his stuff. Impressive!
@Shaquille_Oatmeal_with_mayo3 ай бұрын
He's a paramedic, I sure hope he does.
@letsgeterdone_2 ай бұрын
@@Shaquille_Oatmeal_with_mayoyou’d be surprised how many do not lol
@Shaquille_Oatmeal_with_mayo2 ай бұрын
@@letsgeterdone_ I'm not American, so I don't pay too much for healthcare. But if Americans pay so much, the EMTs should be expected to know how to do stuff.
@airsoftnerfreview78562 ай бұрын
Hi Sam can you do a shift of you on this truck?
@krisdeaglephotography45392 ай бұрын
@@Shaquille_Oatmeal_with_mayoEMTs and paramedics are not the same
@nocofirephotography23033 ай бұрын
I’ve been waiting for this video! Such a super cool truck. Thanks for the video, and great job! Stay safe Sam.
@EBMisKing3 ай бұрын
So jealous you have the McGrath! I’m a CA medic and we just got the King Vision. No complaints but I like the form factor of the McGrath and the ability to DL with it so much better!
@jessicabrewer15302 ай бұрын
My husband loves McGraths lol those are his favorite to use
@jessicabrewer15302 ай бұрын
I’ve seen this rig driving around many times! It’s so pretty!
@armyranger44033 ай бұрын
Clean cut Nice job
@huntersam40283 ай бұрын
Loving the stache mate!
@jonahperry61033 ай бұрын
Been waiting to see this!!!
@scottcampbell21352 ай бұрын
I just want to sign on and say thank you for this channel. I have zero training in first aid and having these tips could be very valuable. Although I’m not ready to start an IV on anyone anytime soon, the tips how to pack a wound and apply pressure until proper care arrives are appreciated.
@caleb_sq51453 ай бұрын
We just got the Sapphire IV Pump at my service within the last year, It's amazing! Easy to use and on critical calls or bolused medications it's super easy to use. One of our fond uses for it is just for simple fluid boluses while transporting especially with a 30 minute transport time.
@peterodriscoll26453 ай бұрын
Really interesting video. I always love to see the layout of different ALS rigs. It's interesting to compare this layout to the ones my service uses.
@stephenbritton92972 ай бұрын
I do the same thing, but in regular ambulances… excellent set up.
@Finis083 ай бұрын
Would love to have a setup like that. Running rural critical care calls out of our critical access hospitals is rough with half the space and half the gear among other issues in a poorly funded/managed system.
@saltyshaker81142 ай бұрын
Wow what a nice rig! We have a similar CCT program/set up. But our ground CCT is in Sprinters (😮) Thank you for sharing. So much room for activities!
@hvymtal85662 ай бұрын
I weep for your lack of space lol
@PrepMedic2 ай бұрын
I cannot imagine for a second doing an ecmo, balloon pump or impella in a sprinter. That sounds downright miserable.
@lolokbr3 ай бұрын
We got the sapphire pumps on our ALS rigs recently and I love them
@minutemanmedic41432 ай бұрын
Same, super super nice
@gua7423 ай бұрын
Bro you’re such a badass. ❤
@spencerguerrero72242 ай бұрын
The peds bvm idea has me intrigued. Never thought of that.
@craigcottingham353 ай бұрын
No Coffee maker. Forget it.😅😅😅
@ReeseMacalma3 ай бұрын
Slick new intro man!
@k9officerft4342 ай бұрын
love that uchealth livery man. sick ass ambulance
@kolinskiparadox3 ай бұрын
New Intro so fire
@ConsensusX3 ай бұрын
One ride in the back of this truck will leave you bankrupt 😂Just throw me in the back of a 1995 pickup.
@TheEmergencySirski3 ай бұрын
Insane👌👌👌
@mokhan62443 ай бұрын
Can you do an update on any apps or programs you utilize either for emergencies or critical care transports. Thanks.
@Suncoastrealestatemedia17 сағат бұрын
My county has gone to the quad cab International Ambulances for all new ambulances.
@evans13_092 ай бұрын
Thats the UCHealth Ambulance!
@cadenericson37303 ай бұрын
Our 911 service just got the McGrath laryngoscopes and Hamilton vents!
@michaelblake8b9343 ай бұрын
Can you please review the MediTac Hawk type first aid kit?
@tombrule2853 ай бұрын
No LUCAS / automated compression machine on these ambulances?
@janmllersrensen63862 ай бұрын
Thanks for the video I would love to work in such a set up and work with critical patients more interhospital transport. work as an emt in Denmark's second largest city, but small compared to your cities.
@ericthesoldier3 ай бұрын
Love these giant ambulances
@lolokbr3 ай бұрын
Our MICUs (critical care) are actually prohibited from responding to calls with lights and sirens, and only transport with lights and siren in extremely rare cases. ALS units are allowed to respond to facilities emergently though. Funnily enough the hospitals know this and will frequently "downgrade" a call to regular ALS in order to get a faster response.
@minutemanmedic41432 ай бұрын
Central Ohio? Sounds like exactly what I deal with daily lmao
@darkness12933 ай бұрын
You mentioned the 18D, how much time have you spent with them or other military medical personnel like Pararescue? What do you think about their medical expertise?
@adampreston49222 ай бұрын
Is there any way to get a list (hard copy or virtual copy) of the gear and medications that you carry?? I’m working on setting up a CCT program in Canada and we are trying to get an idea of what supplies to carry! Thanks!
@daanschot32923 ай бұрын
Out if interest do you carry birdion/Sugammadex to reverse rocuronium?
@Jackson_Brewer2 ай бұрын
Do you plan on doing a review of the quantum fluid warming system if NAR ever reaches out?
@NZKAdventures2 ай бұрын
I’m trying to swap my service over to the pedi/small adult BVMs as a space savings/cost savings thing. Some people don’t seem to understand the logic and reasoning of it so it’s a slow process.
@ok9nja7413 ай бұрын
How do you dispose of excess liquids during transport, do you have a special drain or something for when you flush IV lines or something like that and end up with a bunch of contaminated saline solution?
@PrepMedic3 ай бұрын
If you flush an IV you simply use the entire flush. You don't really have a lot of fluid that needs to be disposed of. If we need to throw away a bag of saline we just put it in the trash as receiving.
@dillonlexington3 ай бұрын
Hey Mike, I know on your O2 outlets green is for Oxygen, but what are the yellow for? Is the yellow specific for MICU Ambulance?
@roberthunt14603 ай бұрын
yellow is for medical air!
@dillonlexington3 ай бұрын
@@roberthunt1460 Thanks
@thelegendgamer333 ай бұрын
Is Carboprost used for uncontrolled PPH?
@jessicabrewer15302 ай бұрын
What do you think of the mobile stroke unit?!
@chloemadison42212 ай бұрын
as a newer emt i want to run on this truck but also want to call everyone on the truck a doctor lol
@santiagoeufracio44472 ай бұрын
Hi! Any articles on pediatrics bvm use on adults? Thanks!
@Jimthemedic3 ай бұрын
No ultrasound on board?
@kasper_4292 ай бұрын
I would think so, since that one cabinet had US jelly in it, lol. He probably just didn't care to show it.
@ntc36313 ай бұрын
What is the oxygen capacity on the ambulance? I’d imagine transporting critical care patients some may have high o2 requirements
@vikingsfan21233 ай бұрын
Do you guys carry blood on the truck in the winter when the helicopters are down and you're doing the emergent trips/scenes/tiers?
@PrepMedic3 ай бұрын
That’s a good question. As of now, no unfortunately
@vikingsfan21233 ай бұрын
@PrepMedic are your CCT trucks and helicopters based at same location? Can't imagine it would be too logistically difficult to switch it from air to ground if based in same location and it's the same crews on both units.
@TheSleepSteward3 ай бұрын
That's a big boy...
@ericthesoldier3 ай бұрын
Yes he is
@PrepMedic3 ай бұрын
😂
@ericthesoldier3 ай бұрын
@@PrepMedic what kinda electronic siren you got in it?
@samuelghoener2 ай бұрын
Hi Sam! I work in a setting where if any injuries are going to happen, they’re crushing injuries. I looked through your videos to see if you had anything on the topic but didn’t see one! Would this be something you’re interested in making? Broken bones are definitely possible and the splint video told me what I needed to do there, but I’m curious if there’s anything beyond that that should be addressed/ concerned about. Of course I can look elsewhere, but I like your content! From one Sam to another, thanks a whole lot!
@colemanhelm66782 ай бұрын
Do a tour of the CAT!
@glrespicefinem37592 ай бұрын
XLNT commentary and Order and information about EMS protocols.🇺🇸💖⚡
@Idrinklight443 ай бұрын
Not sure i understand how the io drill works? Why into bone? What does IO stand for?
@PrepMedic3 ай бұрын
How to: Start an IO (Humeral and Tibial) kzfaq.info/get/bejne/rJeRg7KpvdfLn2g.html
@THINK_ABOUT_WHAT_YOU_LISTEN_TO3 ай бұрын
Inter-oscious IO
@kasper_4292 ай бұрын
IO stands for intraosseous, or into bone.
@Idrinklight442 ай бұрын
@@kasper_429 Ty! Old helo mechanic, I had no idea we did this.
@TheQwik5123 ай бұрын
Surprised you carry crofab onboard.
@AdabAbu2 ай бұрын
Wish we had stair chairs or auto load cots 🙏🙏 hopefully one day, like fifty years from now 😢
@christopherkelder9567Ай бұрын
Do you carry a lucas system ??
@Redbird453 ай бұрын
On the topic of I.V’s I went to the hospital about 6 months ago at this point with sever lower right abdominal pain I had to wait 4 hours just for the needle to be placed and another hour before they gave me pain meds the emergency department wasn’t even that busy maybe 4-5 ambulances waiting to drop patients off that’s about it I didn’t go by ambulance I had to wait 6 hours to get in a room then I had to go wait another 3 hours at another hospital just for a urine test gotta love the American healthcare system
@brandonturner34673 ай бұрын
If you go to another country that has “free” healthcare you have to wait 6months to be seen, just gotta pick your poison i guess
@jaquis45402 ай бұрын
“The meat n potatoes”, wom collab needed
@rubanraj28832 ай бұрын
Sir I'm from india I'm a paramedic in india , is there any vacancies for paramedic in your team ?
@egenstein3 ай бұрын
В такой будке и жить можно, особенно если ты сердечник. бггг.
@socotrailtruckers76683 ай бұрын
Hi there prepmedic (Sam), I recently build a trauma kit with your advise, I put a SWAT-T Tourniquet, Quick clot gauze/normal packing gauze (depends), a pair of gloves and cheap trauma shears. It all fits in my back pocket in a US military compass pouch. Would you carry it and should I add anything?
@jb764893 ай бұрын
Yes, things to treat anything other than massive bleeding
@sunnydeng92633 ай бұрын
Don’t neglect the boo-boo kit. 9.9/10 you’re going into your kit for minor things. Minor wounds, scrapes etc. stick a couple bandaids and gauze pads in there
@socotrailtruckers76683 ай бұрын
I have a little kit for that (boo-boo kit) but this is my trauma kit I have for major trauma.
@xiphoid45972 ай бұрын
uchealth lifeline?
@JCPATRIOTEANONYMOUSFRANCE3 ай бұрын
I WANT THE SAME IN FRANCE !!! JC ANONYMOUS PATRIOTE FRANCE. DE GAULLE ET FIER DE L'ÊTRE.
@willblumenkemper65233 ай бұрын
It’s a shame that federal Q2 doesn’t get used much.
@hughman32412 ай бұрын
Roc over sux is based
@JoseHernandez-ez6sd2 ай бұрын
Quick question Is it typical for paramedics to have a suck it up youre a big girl/boy attitude? I ask because my wife currently had severe pain under her rib cage leading to chest pain & vomiting. Keep it mind my wife has high pain tolerance so for us to have called paramedics was because a severe pain but one of the paramedics made my wife feel uncomfortable throughout the ride to the hospital he kept telling her to suck it up & to sit still. Is that typical for paramedics? You dont seem like that kind of guy
@Tyrvana3 ай бұрын
I'm the only one that have to triple my volume to hear at almost normal volume?
@idkkdi86203 ай бұрын
Why do everything in the usa look like its still the 80s? Dont you evolve over there?
@Leotheconstructionguy3 ай бұрын
Why fix anything that isn’t broken? No reason to waste money you rich people are hilarious
@idkkdi86203 ай бұрын
Rich? I though you were the rich. Americans always bragging how rich and developed you are.
@EBMisKing3 ай бұрын
get out of here with your superiority complex.
@ethan.amosberg8353 ай бұрын
My question to that would be, we're you not taught how to make a sentence in school? I believe, you were trying to say why does not "why do".
@idkkdi86203 ай бұрын
Superior complex? Thats typical property of an american.
@chrissmith27443 ай бұрын
Funny thing is cpr is taught in classes best performed at traveling 25mph... most our transports to nearest hospitals are 20 miles. Put that into perspective. U a tired SOB cause we only run 2 ppl to a truck.
@joshcarter-com3 ай бұрын
Sam this is a fantastic tour, thank you! Is the 75mph governor an intentional thing, or just a limitation of the truck this was built on? I’m guessing the truck was built more with mountain passes in mind than East Colorado flat and straight highways.
@roundhousekick293 ай бұрын
I work in Northeast GA, and we have 75mph govs. No one likes it, but it keeps us safe (FACT) bc all EMTs and medics think they drive better than they do, especially driving emergent.
@PrepMedic3 ай бұрын
It was intentional from our management. Kinda like Roundhousekick said, we all hate it but it actually makes sense. Especially with the truck being so big. That being said I have worked CCT for almost 5 years now and have transported two patients lights and sirens in that time.
@joshcarter-com3 ай бұрын
Thanks, guys, that makes a lot of sense. I imagine it’s temping for the driver to put their foot into it and then discover, to their horror, the exact nature of “kinetic energy equals one half times mass times velocity squared” at a very inopportune time. 😬