Ground Ambulance

Personnel attending patient
Two patient care providers One patient care provider
Specialized equipment
Pulse OX Pulse OX
Capnography Capnography
Transvenous pacer  2 Units of Packed Red Blood Cells
Infusion devices Blood Warmer
Portable ventilator  
Monitoring of ICP, CVP, Art lines, and Swan-Ganz  
Chest tubes  
Fluid warmer  
Flight Nurse training minimums  Paramedic training
At least 3 years in-hospital critical care (ICU, CCU, ED)  No previous EMS experience required
ACLS and BCLS certified Michigan paramedic license
Nursing license in Michigan ACLS and BCLS certified
Michigan EMT or paramedic license PEPP or PALS
Pediatric Advanced Life Support (PALS)  Trauma course (such as PHTLS)
ATLS and CFRN certified  
Flight Paramedic training minimums  
At least 3 years field experience  
Michigan paramedic license  
Pediatric Advanced Life Support (PALS)  
ATLS and CFP certified  
Defibrillation Defibrillation
External Pacing (TCP) External Pacing (TCP)
Synchronized cardioversion Synchronized cardioversion
Transvenous pacer  
Airway Control and Oxygenation
Rapid sequence induction  Bag valve mask
Bag valve mask Alternative airway (King or Combitube)
Alternative airway (King tube) Endotracheal intubation
Endotracheal intubation  Oxygen administration
Oxygen administration  Pulse oximeter monitoring
Pulse oximeter monitoring  Suctioning
Suctioning  Chest Decompression
Chest Decompression  Cricothyrotomy
Ventilator management / CPAP  CPAP
Venous Access
Intraosseous pediatric and adult  Intraosseous pediatric and adult
Intravenous  Intravenous
Glucometer Glucometer 
NG / Stomach Iavage Splinting
Spinal Immobilization  Spinal Immobilization
Ability to initiate blood products  
Conscious sedation  
Ground Ambulance PLUS: Adenosine
Dobutamine  Amiodarone
Neosynephrine Infusion  Aspirin (Baby)
Nipride  Atropine
Nitroglycerin infusion  Benadryl
Norcuron  Calcium Chloride 10%
Etimodate Cordarone
Romazicon  Dextrose 50%
Succinylcholine  Dopamine Infusion
Lopressor  Epinephrine 1:10,000
Ketamine Epinephrine 1:1000 single dose
Antibiotics Epinephrine 1:1000 Multi-dose
Variety of Narcotics and Benzodiazepines Fentanyl
TXA Instant Glucose
Vitamin K Lasix
  Lidocaine Injection
  Magnesium Sulfate 50%
  Morphine Sulfate
  NTG Spray
  Normal Saline Bag
  Normal Saline Flush
  Sodium Bicarb 8.4%
Comfort and ride
Very smooth and comfortable Depends on road conditions and construction
  Long duration tends to increase discomfort level of certain patients.
Operate 24 hours, 365 days per year.  Availability is dependent on aircraft availability, weather, crew and maintenance.  Generally available, but may depend on weather conditions, crew and maintenance.


* Medications and equipment may vary between ground EMS providers.