Inside an Ambulance: The difference between an ALS and BLS ambulance

[@MySpinalInjury]

I had no idea so much went into keeping an ambulance stocked with supplies. I guess none of this goes through your mind when you are sick or injured. Thank you for sharing this video!

[@christinescullion7519]

I've been in many ambulances, but not one that looks like an E4 on wheels, it is the ambulances we see for any call, they gave one hell of a stressful job. God bless these men and women, let is a hard job sometomes.

[@Ambuchannel112]

Watch what's inside a Mercedes E class ambulance from The Netherlands (With English and many other subtitles). kzbin.info/www/bejne/i6PWq3R5pLp1d6c

[@granitepeakaviation908]

Endorsed EMT's in Montana per Med Control can start and Maintain IV's, IO, obtain and tx 12 leads and ETCo2, administer a few RX, place King airways. Advanced EMT's can do a few more RX including Dextrose, Epi 1:10,000, meds for Nausea/ vomiting, CPAP, Nitrous Oxide etc.

[@justininterest2431]

Very informative. Thank you for pointing out the differences.

[@somethingnotseen]

Very nice tour. I love riding in ambulances, Road in 2 so far in my life. (For real emergencies) but it was still fun :) Great video, Favorited.

[@znovosad555]

There's really not much of a difference in an ambulance configuration regardless of BLS or ALS. To keep consistency within mutual aid calls, all ambulances are relatively laid out the same. Especially when you have a medic intercept on your BLS rig. ALS ambulances typically just have the medic bag really being the only difference. That contains the medics equipment including drugs, fluids, and anything else like that. EMTs may not be able to administer drugs besides epinephrine via intramuscular route, up to 4 baby aspirin for cardiac related chest pain, oral glucose, and oxygen. However an EMT can still assist patients in taking their own nitro, albuterol treatments and assist in other things. You can make airway interventions using OPAs and NPAs, ventilating a patient, you can use CPAP. EMR is what I would consider to be a higher level of care first aid provider. This is all via National Registry standards. Now things change with your scope of practice based off of local protocols from medical control, and the state EMS office. But BLS is certainly more than just first aid. BLS saves lives instead of waiting for a medic.

[@rescuedude21]

in NY there is EMT-P-CC which is Critical Care Paramedic, usually for the worst trauma emergencies

[@highcountrytimber]

@101southsideboy The 110 VAC keeps the vehicle battery's charged and any portable ALS devices as well.

[@danmack3173]

Quite a neat explanation, Thank yoy

[@Linda_Lavine]

A moment after he mentioned cardiac arrest, I almost had one because a big spider chose to make its appearance in my bed.

[@mkm051607]

@jgah123 an EMT and paramedic are the same. EMT-B is a basic EMT, EMT-P is a paramedic (aka: EMT, paramedic, or medic)

[@KkF00]

Thats a nice looking ambulance!

[@mrengine9]

I guess Critical care paramedics or EMT-P with ACLS (Advanced Cardiac Life Support) training

[@101southsideboy]

I noticed every time I see a ALS ambulance at the fire station it is always has a 110 cord pluged into it . what is the reason for ? do some of the drugs have to be refrigerated? and/or is it to make sure the ekg and the other battery operated equipment is always fully charged?

[@rescuedude21]

I'm in new york and in ny, paramedics (emt-p and above) can intubate

[@MacBoznyII]

This is a Topkick chassis isn't it?

[@Rummeltobi]

Nice video :) Who built the ambulance?

[@affleflouymokks6932]

Demers made the ambulance btw i like ur vids bro👍👍👍

[@Nickpcb]

Im a basic and i can intubate, Start an iv, Push 7 different medications, and we do 12 leads where im at too. Crazy how limited you are where you are at.

[@JohnSmith09123]

nick cline I live in Ohio and we're just about as limited as this guy here. In the state of Ohio EMR and EMT are on the same exact ship, there's no difference between the two with their scope of practice.

[@ThatDamnPandaKai]

Crazy, here basics can't do a whole lot as far as non-medication interventions (No advanced airways, no IVs) but they can pretty much give any OTC drug (as per MD protocol) and their medication they can admin is on par with an EMT-I/85 (minus D50)

[@mikec2197]

+Shining Yanma I was afraid of needles too until I put my first one into a patient, now I find it fun. I'm an EMT-B, but in my state we can start I.V.'s.

[@Brian3731]

nick cline I'm a basic but in Iowa I can't start IV, for meds I can do O2, ASA, oral glucose, charcoal, a patients prescribed nitro or MDI, and with med control I can give a pt their nitro. we can do CPAP up to 5 and I can attach and transmit 12 lead but not "interpret". Although I try to understand rhythms to know if ALS is needed. What state are you in?

[@MrFreshxKicks]

what's above emt-p?

[@terrence.b]

P Lewis a nurse

[@TrueMathSquare]

@@terrence.b No, actually nothing is in hospital care

[@Subreon]

WHAT KIND OF TERD STARTS AN ARGUMENT 3 MONTHS AFTER A CERTAIN POST?!? god now i hate youtube cuz you can't ever say anything without offending atleast one person! WHO CARES WHAT EMT STANDS FOR?!? whatever they're called the important thing is they still save lives and they get drive a freakin beast of a vehicle around at high speeds showing off and stuff daily!!!

[@DaRksHaDoW7686]

fancy ambulance

[@Subreon]

when he was saying automatic/ semi automatic i though he was gonna say assault rifle, like what the heck do they need that for?!? XD although, my uncle is an ambulance driver and he got caught in the middle of a big gang shoot out.

[@GUAVcis06]

Chowda

[@JohnDoe-gg8lr]

this guy is so full of himself. EMT's can do much more than basic fist aid. we can do cpap, start IV, set up and transmit EKG as well as blind intubation kind tube airways. we have 7 different live saving drugs we can give..... i can go on. he is way too proud if himself that he is als he is forgetting the importance of bls

[@62ericg]

its different from state to state. In NJ EMTs are basically first responders. They recently changed the laws allowing emts to do more advanced stuff like CPAP, narcan and give epi-pens but thats about it

[@JohnDoe-gg8lr]

grahamcracker62 im an emt and i can draw up epi from a vile and administer it intramuscular

[@Carred20]

His state probably follows NREMT guidelines and standards much like mine. EMTs can’t do much.

[@wkat950]

@@JohnDoe-gg8lr they don't restrict you to Epi-Pens? And with the patient-prescribed pen and their "assistance"? I can't believe what I read about NJ, Grahamcracker. That is way too strict. I'm for getting states to let you use Combitubes or LMA's, epi without patient assistance, narcan, aspirin, glucagol, and maybe two IV drip fluids (NACL, D5, or Ringer's). Studies today frown on too much stay-and-play and indiscriminate use of IV blood expanders so let's be cool about doing drips.

[@M1ke10191]

EMT =/= Ambulance Driver...ugh...

[@Subreon]

EMT = emergency medical transport which is the name of the vehicle, not just the driver. it stands for the WHOLE CREW and the vehicle. don't try to be a smart arse when you don't know what you're talking about.