|
Helicopter |
Ground Ambulance |
| Personnel attending patient | |
| Two patient care providers | One patient care provider |
| Specialized equipment | |
| EKG | EKG |
| Pulse OX | Pulse OX |
| Capnography | Capnography |
| Transvenous pacer | |
| Infusion devices | |
| Carry packed RBC | |
| Portable ventilator | |
| Monitoring of ICP, CVP, Art lines, and Swan-Ganz | |
| Chest tubes | |
| Fluid warmer | Paramedic training |
| Flight Nurse training minimums | No previous EMS experience required |
| At least 3 years in-hospital critical care (ICU, CCU, ED) | Michigan paramedic license |
| ACLS and BCLS certified | ACLS and BCLS certified |
| Nursing license in Michigan | PEPP or PALS |
| Michigan EMT or paramedic license | Trauma course (such as PHTLS) |
| Pediatric Advanced Life Support (PALS) | |
| ATLS and CFRN certified | |
| Flight Paramedic training minimums with at least 3 years experience | |
| Michigan paramedic license | |
| Pediatric Advanced Life Support (PALS) | |
| ATLS and CFP certified | |
| Cardiac | |
| Defibrillation | Defibrillation |
| External Pacing (TCP) | External Pacing (TCP) |
| Synchronized cardioversion | Synchronized cardioversion |
| Pericardiocentesis | |
| 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 |
| Cricothyrotomy | |
| Venous Access | |
| Intraosseous pediatric and adult | Intraosseous pediatric and adult |
| Intravenous | Intravenous |
| Miscellaneous | |
| Glucometer | Glucometer |
| NG / Stomach Iavage | Splinting |
| Spinal Immobilization | Spinal Immobilization |
| Ability to initiate blood products | |
| Conscious sedation | |
| Splinting | |
| Medications | |
| 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 | |
| Narcan | |
| NTG Spray | |
| Normal Saline Bag | |
| Normal Saline Flush | |
| Sodium Bicarb 8.4% | |
| Solu-medrol | |
| Versed | |
| Xopenex | |
| Zofran | |
| Comfort and ride | |
| Very smooth and comfortable | Depends on road conditions and construction |
| Long duration tends to increase discomfort level of certain patients. | |
| Availability | |
| 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.