Mobile ICU Ambulance
Mobile ICU Ambulances fall within the patient care ambulance category. This type of vehicle is designed to care for patients who are high risk or who are experiencing risk to life or serious pathologies. This class of ambulance is often called an Advanced Life Support (ALS) Ambulance, Class C Ambulance or Medicalised Ambulance.
Within the category of patient care ambulances there are two classes:
- Class C Patient Care Ambulances:This type of ambulance, known as a Mobile ICU Ambulance, is designed to offer an Advanced Life Service (ALS) to the patient. This kind of ambulance must have, at minimum, a driver in possession of a professional ambulance transport certificate, as outlined in Royal Decree 823/2012, of 20 May, as well as a nurse and a doctor.
- Class B Patient Care Ambulances:These ambulances are designed to offer Basic Life Support (BLS). It is a form of ambulance transport that aims to offer the patient initial healthcare. It must be staffed with, at minimum, a driver in possession of a professional ambulance transport certificate, as outlined in Royal Decree 823/2012, of 20 May, and either an assistant, nurse or doctor.
Class C patient care ambulances are emergency vehicles used to urgently transfer patients with medical assistance during transportation. Mobile ICUs are equipped with suitable sanitary and intervention material in order to address the needs of emergency care en route.
The health team that works in a Mobile ICU is comprised, as detailed in the Royal Decree, of three professionals:
- A graduate in Medicine and Surgery,specialised in Intensive Care Medicine or Anaesthesia and Resuscitation with a minimum of 18 months experience in medical emergencies or patient care Alternatively, they can have a minimum of 500 hours theoretical and practical training in medical emergencies of which at least 25% must have involved an internship.
- A nurse specialised in Medical and Surgical Care with a minimum of 12 months experience in hospital emergencies, ICU or patient care Alternatively, they can have a minimum of 300 hours theoretical and practical training in emergency nursing of which at least 25% must have involved an internship.
- A driver who is an Emergency Medical Technician (EMT)in possession of the professional ambulance transport certificate detailed in Royal Decree 836/2012, of 20 May.
Advanced Life Support Ambulance Equipment
As detailed in Royal Decree 836/2012, Advanced Life Support Ambulances (Class C) must have, at minimum, the following material inside:
Main stretcher Traction device Fixed oxygen supply Manual blood pressure monitor Infusion solutions Defibrillator Analgesics
EQUIPMENT FOR PATIENT TRANSFER
Anti-trauma scoop stretcher
Device to move a seated patient
Full length spine board with head immobiliser and restraining straps
Immobilisation set for fractures
Immobilisation devices for the cervical spine
Immobilisation for the upper spine
Portable oxygen supply
Resuscitator with oxygen supply, masks and cannulas for all ages and an oxygen cylinder
Non-manual aspiration equipment
Portable aspiration equipment
Automatic blood pressure monitor
Injection and infusion equipment
Infusion system designed to allow administration of heated fluid
Pressurised infusion device
EQUIPMENT FOR MANAGING LIFE-THREATENING ISSUES
Fixed oxygen supply
Manual blood pressure monitor