In my region we have a similar system where ambulances are just less than EMT-B (can't perform IV nor give drugs) and if needed a car is dispatched with a driver, a doctor and a nurse
In the Slovenian emergency medical system, ambulances are staffed by a two-person crew consisting of a graduate nurse and a nurse technician. Together, they are authorized to perform a comprehensive range of clinical and operational tasks. They can independently obtain anamnestic data and conduct a patient examination using the ABCDE system or ITLS principles. This includes the independent interpretation of measured vital parameters and findings from the ABCDE assessment.
In airway management, the team can recognize partial or complete airway obstruction and independently remove a foreign body using a laryngoscope or other appropriate tools. They employ maneuvers and tools to prevent re-obstruction and can independently insert supraglottic airway devices, such as an i-gel. They recognize clinical signs of hypoxia using monitoring and auscultation, possess basic auscultation techniques, and independently administer oxygen via various devices while understanding its indications and limitations.
For respiratory conditions, they recognize clinical signs of asthma, COPD, and other urgent pulmonary issues, acting independently within their competence and administering physician-instructed medications appropriately. In cardiac care, they recognize basic arrhythmias on a monitor and act accordingly, interpret a 12-lead ECG using basic steps, recognize signs of acute myocardial infarction, and respond appropriately. They safely operate a manual defibrillator and perform both basic and advanced life support procedures. This includes the independent use and administration of resuscitation drugs like adrenaline and amiodarone intravenously or intraosseously during cardiac arrest per current ERC algorithms, and independently defibrillating adults and children for ventricular fibrillation or pulseless ventricular tachycardia as per ERC guidelines.
They establish peripheral intravenous lines independently, set up infusion solutions, administer drugs intravenously, and manage post-resuscitation care after the return of spontaneous circulation. Vital sign monitoring is performed using both manual techniques and medical equipment. Procedures like synchronized cardioversion and external cardiac pacing are conducted under the instructions or in the presence of a physician.
The team manages shock by recognizing its clinical signs and providing appropriate care. They recognize anaphylaxis in children and adults and independently administer intramuscular adrenaline per the ERC algorithm. For metabolic emergencies, they recognize hypoglycemia and independently administer glucose intravenously or intraosseously. They also recognize hypovolemia, independently administer infusion solutions, understand infusion therapy indications and limitations, and appropriately replace fluids based on the clinical condition.
In neurological emergencies, they recognize clinical signs of acute ischemic stroke and act appropriately. They perform advanced procedures like intraosseous puncture independently and set up infusions to administer drugs as instructed by a supervising physician. For obstetrics, they independently manage and perform childbirth in the field, provide medical care to a newborn, and know the newborn resuscitation algorithm.
For trauma care, they independently examine and treat injured persons according to the valid ITLS protocol and know basic technical rescue procedures. They correctly complete all documentation regarding performed procedures and administered medications. Other medications are administered either in agreement with a physician present or, in the physician's absence, via a recorded telephone call, with such therapy properly documented and signed on a physical or digital protocol.
During major incidents, they perform rescue organization and, in agreement with a physician, may take command of the NMP intervention, manage resources, and complete incident command documentation. They independently activate the Helicopter Emergency Medical Service and other intervention or support services. Medications are administered according to national nursing and midwifery protocols if available, and they autonomously decide on the final destination for patient care within the emergency services system. Finally, they perform all other procedures and interventions under the authorization of the supervising physician and within their acquired competencies or special knowledge.
Kind find it hard to belive. I belive Slovenia runs same or identical system as Germany. Your equvielant version is Notarzrt with NEF auto. The reasons for dispatching the NEF are almost the same as in Germany.
I even saw one NEF in Muenchen with ECMO. We only do ecmo in hospital and your helicopters carry blood and plasma, which again we only have in hospital, not in NEF or helicopters
Naa, those ecmo mobiles are all special cars or studies of carcs.
I know, systems are more or less the same, but in most regions of germany its far less in quality and efficiency. Most of nef are less equipped and/or having a poor design for their purpose.
I can't belive Germany has worse EMS than Slovenia. The problem with Slovenia is every unit has diffrent ambulance equipment (some Ambulances have Corplus, some Lifpaks, some Zolls), the helicopter activations times are awful. Here it takes 15 minutes for the helicopter to take off, and they are shared betwen mountain service, EMS, baby transport...
You guys have better ambulances and NEFs from GSF, Ambulance Mobile, Fahrtec, System Strobel.
Don't want to be here like a smart ass, Slovenian ems isn't the best either, you have got newer equipment. Some of the ambulances still run here on Weinmann Medumat 1. Not all but some RTW are still being ordered with manual stretchers.
ah well, think its always seeing just the bright side for both of us.
the car you showed eg got a far better concept for interior then we have, specially for a suv/4w. ours are just stuffed and every local sevices does it their own way. also 8-10 years for ambulances is not uncommon (with manual stretchers).
on the other side, you are right with more up2date equipment, in some areas there are good concepts and the higher quality stuff. some are even first hand involved in development, depends a lot, in which region you are in germany.
it seems to be all same and like DIN, but it is more like every state, every region, every service does it own „best“ concept
Jokes aside: the answer is money. EMS in my country spontaneously developed based on volunteers and it's still based on that. It works great for BLS calls and we have an intercept for ALS calls.
The positive side is that we have a pretty capillar network of ambulances - my county is the first in the country for response time and it's less than 10 mins. However, there are some obvious downsides
Unfortunately, for some Italians this is exactly the case 😭
But when it's really necessary I would never give up being helped by an ambulance/medical vehicle/air ambulance completely free of charge.
Personally, I've never loved the European obsession with the "VanBulance", but to give credit where credit is due, Doctors whipping around in decked out Toyotas is pretty frigging lit
Normally, I would think of the doctors having supplemental equipment to normal EMS, but it looks like there’s a lot of stuff that has the same as EMS. What’s the reason for that? In case they’re first on scene for a while? For instance, I would never carry a Lucas device because other people have it on scene.
The emergency doctor’s car can arrive at the scene first (smaller, faster, more agile). For this reason, it must be sufficiently equipped to perform full resuscitation and stabilization procedures. The vehicle is dispatched alongside an ambulance, for example in in suspected heart attack cases. Once on scene, if the situation turns out not to be a heart attack, the car can return to its base and remain available. If another call comes in shortly afterward, the emergency doctor can be on another location within minutes and begin immediate treatment with full medical equipment, without having to wait for equipment from an ambulance that could be 15 minutes away.
eg in germany the good and expensive things like corpuls cpr (=lucas) are mounted on the physican cars, because there a less of them and those things.. are expensive
also standard eq is there too, if we are first on scene or just dont have an fully equipped ambulance ready, but maybe a light one (its just for trensfer, with stretcher and movable chair)
The VUZ (Emergency Doctor Car) carries the following comprehensive medical equipment, supplies, and medications as mandated by Annex 6:
The vehicle is equipped with one atraumatic needle for thoracocentesis and one digital tympanic thermometer. It carries the obligatory documentation in line with current emergency medical service regulations. For thermal management and patient protection, it stocks two double-sided metallized foil blankets, two single-use heating blankets, and four cooling pads. Its advanced airway and respiratory arsenal includes one electric aspirator with suction catheters and a complete set of airway management equipment for all patient ages. This set comprises laryngoscopes with blades, Magill forceps, endotracheal tubes, tube guides, a stylet, tube fixation devices, bag-valve-masks in various sizes, face masks, bacterial filters, oropharyngeal airways, supraglottic airways, a cricothyrotomy set, lidocaine spray, and a scalpel. It also carries one portable ventilator with non-invasive ventilation capability and a corresponding mask.
For diagnostics and monitoring, the vehicle is outfitted with one portable ultrasound, one portable videolaryngoscope, and one advanced monitor-defibrillator. This monitor-defibrillator is equipped with modules for non-invasive blood pressure measurement using four different cuff sizes, pulse oximetry with sensors for neonates, infants, children, and adults, waveform capnography, 12-lead ECG recording, synchronized cardioversion, external cardiac pacing, and continuous temperature monitoring via an esophageal or rectal probe. The device must also have interoperability and feature an external carbon monoxide detector.
The vehicle carries critical intervention tools, including one infusion pump, one mechanical chest compression device, and one pressure infuser bag for IV fluids. It is stocked with procedure sets for nasogastric tube insertion, nasal packing, urinary catheterization, and childbirth. Supplies for establishing intravenous and intraosseous access are available in larger quantities. It also holds two devices for intranasal medication administration and two tourniquets for bleeding control. A larger quantity of standard and hemostatic bandaging materials, including burn blankets and dressings of various sizes, is carried onboard.
For pediatric care, the vehicle carries one pediatric transport device, one dedicated bag of pediatric equipment and supplies, and one pediatric color-coded tape. For mass casualty incident management, it contains one kit for command functions, which includes reflective vests for roles such as Intervention Commander and Triage Officer. Crew safety is ensured by two complete sets of personal protective equipment, comprising nitrile gloves with extended cuffs, IIR and FFP2/3 masks, a visor or goggles, and a protective gown or coverall. Additional tools include one tool with a blade for rapid clothing cutting or tactical scissors, one otoscope, one glucometer, and one backpack containing a primary set of resuscitation equipment.
Oxygen therapy is supported by a portable oxygen system, which includes at least a two-liter oxygen cylinder with a reducing valve and flow regulator, accompanied by a full set of delivery devices. These devices encompass reservoir masks and Venturi masks with attachments for both adults and children, as well as double-lumen nasal cannulas and masks for patients with a tracheostomy.
For patient immobilization, the vehicle carries three padded aluminum splints, one pelvic immobilization belt with a spring mechanism, one universal head immobilizer, one universal cervical collar for adults, one universal cervical collar for pediatric patients, and a larger quantity of triangular bandages and other single-use immobilization materials.
The onboard pharmacy includes a stock of infusion solutions: two units of 0.9% NaCl 10 ml, one unit of 0.9% NaCl 100 ml, one unit of 0.9% NaCl 500 ml, one unit of 10% glucose, one unit of 5% glucose 100 ml, one unit of 5% glucose 250 ml, and one unit of a balanced crystalloid 500 ml.
The medication list is extensive and includes, but is not limited to, the following drugs and quantities: Acetylsalicylic acid (500 mg and 1000 mg tablet), Adenosine (36 mg), Adrenaline (10 mg), Amiodarone (450 mg), Atropine (3 mg), Bisoprolol or equivalent (10 mg), Bromazepam or equivalent (15 mg), Butylscopolamine (20 mg), Dexamethasone (8 mg), Diazepam (10 mg injection, 15 mg rectal, 20 mg tablet), Diclofenac (25 mg suppository), Esketamine (200 mg), Etomidate (40 mg), Phenylephrine (10 mg inhalation), Fenoterol & Ipratropium bromide (20 ml inhalation, 10 ml nebulizer), Fentanyl (0.3 mg), Flumazenil (1 mg), Furosemide (40 mg), Glyceryl trinitrate spray, Glucagon (1 mg), Glucose 40% or higher (60 ml), Haloperidol (10 mg), Heparin (10,000 IU), Hydrocortisone (200 mg), Human insulin short-acting (1000 IU), Calcium gluconate or Calcium chloride (30 ml or 10 ml), Captopril (25 mg tablet), Ketoprofen (100 mg), Clemastine (4 mg), Levetiracetam (3000 mg), Lidocaine 2% (10 ml), Loratadine or equivalent (20 mg tablet), Lorazepam (8 mg), Magnesium sulfate 25% (20 ml), Metamizole (2500 mg), Methylprednisolone (80 mg injection, 64 mg tablet), Methoxyflurane 99.9% (3 ml inhalator), Metoprolol or equivalent (5 mg), Midazolam (10 mg), Morphine (20 mg), Naloxone (2 mg), Noradrenaline (20 mg), Oxytocin (10 IU), Ondansetron (4 mg), Pantoprazole or equivalent (40 mg), Paracetamol (1000 mg injection, tablet, and suppository), Piritramide (15 mg), Rocuronium bromide (200 mg), Salbutamol (20 ml inhalation, 10 ml nebulizer), Succinylcholine (200 mg), Thiethylperazine (6.5 mg), Thiopental (1000 mg), Tramadol (100 mg), Tranexamic acid (1000 mg), and Urapidil (25 mg).
All medical equipment is required to be crash-tested according to the SIST EN 1789 standard, have dedicated storage mounts, and be regularly serviced, calibrated, and certified by the provider.
It is not normal practice here in the states, but in several mass casualty incidents, people have been transported in non ambulance structures to ERs because of the sheer chaos.
I'm from the USA. So don't know how it works in Italy.
Was just wondering how things work over there.
We are not allowed to transport in the front seat of a vehicle unless it was some very bizarre mass casualty incident , and even so that would not be normal.
Fly cars as we call them normally just have a paramedic in them and when used are usually left on scene and the medic will go with the ambulance.
Us having doctors available to respond to calls is nearly unheard of.
Plates are Slovenian and you can see a Slovenian flag near the side mirrors.
Can't answer for him but in Norway we have similar rigs.
Two types of "doctor cars," first type is manned by a paramedic/EMT and a general practitioner kind of doctor. They work in their offices most days but man the local municipal out-of-hours doctor clinic in their local area some days. Some of them man the clinic's car. They mainly do "house calls" for patients unable to make it to the clinic due to health reasons but will respond to emergencies and assist ambulances as necessary. Their equipment allows them to do EKG's, administer certain medications, stitch minor wounds and do have equipment to perform ACLS if they have to (minus actual intubation) and some other diagnostic equipment like measuring CRP.
Second type is manned by a paramedic and an anesthesiologist. They only respond to emergencies and will support ambulances with critical patients. They are equipped similarly to this rig, with equipment to perform ACLS, endotracheal intubation, blood transfusions and many other emergency care supplies.
Depends on the location in Slovenia, but in capital citiies the doctor car is manned by anesthisologist or emergency medicine doctor. In smaller cities the car is manned by a general practicioner that had to do ACLS training and they can intubate.
Our doctor cars and helicopters don't carry blood and blood plasma.
I would image Norway has better prehospital care than Slovenia.
Who rides in this?
In my region we have a similar system where ambulances are just less than EMT-B (can't perform IV nor give drugs) and if needed a car is dispatched with a driver, a doctor and a nurse
In the Slovenian emergency medical system, ambulances are staffed by a two-person crew consisting of a graduate nurse and a nurse technician. Together, they are authorized to perform a comprehensive range of clinical and operational tasks. They can independently obtain anamnestic data and conduct a patient examination using the ABCDE system or ITLS principles. This includes the independent interpretation of measured vital parameters and findings from the ABCDE assessment.
In airway management, the team can recognize partial or complete airway obstruction and independently remove a foreign body using a laryngoscope or other appropriate tools. They employ maneuvers and tools to prevent re-obstruction and can independently insert supraglottic airway devices, such as an i-gel. They recognize clinical signs of hypoxia using monitoring and auscultation, possess basic auscultation techniques, and independently administer oxygen via various devices while understanding its indications and limitations.
For respiratory conditions, they recognize clinical signs of asthma, COPD, and other urgent pulmonary issues, acting independently within their competence and administering physician-instructed medications appropriately. In cardiac care, they recognize basic arrhythmias on a monitor and act accordingly, interpret a 12-lead ECG using basic steps, recognize signs of acute myocardial infarction, and respond appropriately. They safely operate a manual defibrillator and perform both basic and advanced life support procedures. This includes the independent use and administration of resuscitation drugs like adrenaline and amiodarone intravenously or intraosseously during cardiac arrest per current ERC algorithms, and independently defibrillating adults and children for ventricular fibrillation or pulseless ventricular tachycardia as per ERC guidelines.
They establish peripheral intravenous lines independently, set up infusion solutions, administer drugs intravenously, and manage post-resuscitation care after the return of spontaneous circulation. Vital sign monitoring is performed using both manual techniques and medical equipment. Procedures like synchronized cardioversion and external cardiac pacing are conducted under the instructions or in the presence of a physician.
The team manages shock by recognizing its clinical signs and providing appropriate care. They recognize anaphylaxis in children and adults and independently administer intramuscular adrenaline per the ERC algorithm. For metabolic emergencies, they recognize hypoglycemia and independently administer glucose intravenously or intraosseously. They also recognize hypovolemia, independently administer infusion solutions, understand infusion therapy indications and limitations, and appropriately replace fluids based on the clinical condition.
In neurological emergencies, they recognize clinical signs of acute ischemic stroke and act appropriately. They perform advanced procedures like intraosseous puncture independently and set up infusions to administer drugs as instructed by a supervising physician. For obstetrics, they independently manage and perform childbirth in the field, provide medical care to a newborn, and know the newborn resuscitation algorithm.
For trauma care, they independently examine and treat injured persons according to the valid ITLS protocol and know basic technical rescue procedures. They correctly complete all documentation regarding performed procedures and administered medications. Other medications are administered either in agreement with a physician present or, in the physician's absence, via a recorded telephone call, with such therapy properly documented and signed on a physical or digital protocol.
During major incidents, they perform rescue organization and, in agreement with a physician, may take command of the NMP intervention, manage resources, and complete incident command documentation. They independently activate the Helicopter Emergency Medical Service and other intervention or support services. Medications are administered according to national nursing and midwifery protocols if available, and they autonomously decide on the final destination for patient care within the emergency services system. Finally, they perform all other procedures and interventions under the authorization of the supervising physician and within their acquired competencies or special knowledge.
thats nice. seeing the car and your description, slowenia is far better then wide regions of german ems.
Kind find it hard to belive. I belive Slovenia runs same or identical system as Germany. Your equvielant version is Notarzrt with NEF auto. The reasons for dispatching the NEF are almost the same as in Germany.
I even saw one NEF in Muenchen with ECMO. We only do ecmo in hospital and your helicopters carry blood and plasma, which again we only have in hospital, not in NEF or helicopters
Naa, those ecmo mobiles are all special cars or studies of carcs.
I know, systems are more or less the same, but in most regions of germany its far less in quality and efficiency. Most of nef are less equipped and/or having a poor design for their purpose.
I can't belive Germany has worse EMS than Slovenia. The problem with Slovenia is every unit has diffrent ambulance equipment (some Ambulances have Corplus, some Lifpaks, some Zolls), the helicopter activations times are awful. Here it takes 15 minutes for the helicopter to take off, and they are shared betwen mountain service, EMS, baby transport...
You guys have better ambulances and NEFs from GSF, Ambulance Mobile, Fahrtec, System Strobel.
Don't want to be here like a smart ass, Slovenian ems isn't the best either, you have got newer equipment. Some of the ambulances still run here on Weinmann Medumat 1. Not all but some RTW are still being ordered with manual stretchers.
You guys generally replace your RTW sooner.
ah well, think its always seeing just the bright side for both of us.
the car you showed eg got a far better concept for interior then we have, specially for a suv/4w. ours are just stuffed and every local sevices does it their own way. also 8-10 years for ambulances is not uncommon (with manual stretchers).
on the other side, you are right with more up2date equipment, in some areas there are good concepts and the higher quality stuff. some are even first hand involved in development, depends a lot, in which region you are in germany.
it seems to be all same and like DIN, but it is more like every state, every region, every service does it own „best“ concept
What's the point of an ambulance that can't do ambulance things?
Big fast(er) taxi that goes wee woo
Jokes aside: the answer is money. EMS in my country spontaneously developed based on volunteers and it's still based on that. It works great for BLS calls and we have an intercept for ALS calls.
The positive side is that we have a pretty capillar network of ambulances - my county is the first in the country for response time and it's less than 10 mins. However, there are some obvious downsides
Unfortunately, for some Italians this is exactly the case 😭 But when it's really necessary I would never give up being helped by an ambulance/medical vehicle/air ambulance completely free of charge.
Same ma prima controllo chi c'è di turno 😂
That's sexy. Why do European rigs look so much better than ours?
Essential third service and not an elaborate insurance scam?
I’ve never seen anyone hit the nail so squarely on the head as you did there.
Europeans are classy
Personally, I've never loved the European obsession with the "VanBulance", but to give credit where credit is due, Doctors whipping around in decked out Toyotas is pretty frigging lit
The obsession is because they can fit down narrow roads.
Build wider roads 😂
Yes. Just tell most of Europe to rebuild 4000 years worth of civilisation. What a dumb comment.
I was.... being sarcastic
Sarcasm ain't taken too well 'round these parts, partner
Apparently not 🤷
Sarcastic or not you still came across like an ass.
I've been called worse, people just need to stop being uptight about obvious sarcasm 🤷♂️
Idk, I think Medics in decked out Suburbans and Tahoes is cooler, but to each their own
depends, most rigs are on sprinter with an extra container like in the background of first photo. same space mostly
Agree to disagree
Normally, I would think of the doctors having supplemental equipment to normal EMS, but it looks like there’s a lot of stuff that has the same as EMS. What’s the reason for that? In case they’re first on scene for a while? For instance, I would never carry a Lucas device because other people have it on scene.
The emergency doctor’s car can arrive at the scene first (smaller, faster, more agile). For this reason, it must be sufficiently equipped to perform full resuscitation and stabilization procedures. The vehicle is dispatched alongside an ambulance, for example in in suspected heart attack cases. Once on scene, if the situation turns out not to be a heart attack, the car can return to its base and remain available. If another call comes in shortly afterward, the emergency doctor can be on another location within minutes and begin immediate treatment with full medical equipment, without having to wait for equipment from an ambulance that could be 15 minutes away.
eg in germany the good and expensive things like corpuls cpr (=lucas) are mounted on the physican cars, because there a less of them and those things.. are expensive
also standard eq is there too, if we are first on scene or just dont have an fully equipped ambulance ready, but maybe a light one (its just for trensfer, with stretcher and movable chair)
Yeah same, ambulances ussualy dont cary lucasus (some do), and video laryngoscopes are also carried by the doctor car and not the ambulance.
Lots of bags, what’s the setup? I dig.
The VUZ (Emergency Doctor Car) carries the following comprehensive medical equipment, supplies, and medications as mandated by Annex 6:
The vehicle is equipped with one atraumatic needle for thoracocentesis and one digital tympanic thermometer. It carries the obligatory documentation in line with current emergency medical service regulations. For thermal management and patient protection, it stocks two double-sided metallized foil blankets, two single-use heating blankets, and four cooling pads. Its advanced airway and respiratory arsenal includes one electric aspirator with suction catheters and a complete set of airway management equipment for all patient ages. This set comprises laryngoscopes with blades, Magill forceps, endotracheal tubes, tube guides, a stylet, tube fixation devices, bag-valve-masks in various sizes, face masks, bacterial filters, oropharyngeal airways, supraglottic airways, a cricothyrotomy set, lidocaine spray, and a scalpel. It also carries one portable ventilator with non-invasive ventilation capability and a corresponding mask.
For diagnostics and monitoring, the vehicle is outfitted with one portable ultrasound, one portable videolaryngoscope, and one advanced monitor-defibrillator. This monitor-defibrillator is equipped with modules for non-invasive blood pressure measurement using four different cuff sizes, pulse oximetry with sensors for neonates, infants, children, and adults, waveform capnography, 12-lead ECG recording, synchronized cardioversion, external cardiac pacing, and continuous temperature monitoring via an esophageal or rectal probe. The device must also have interoperability and feature an external carbon monoxide detector.
The vehicle carries critical intervention tools, including one infusion pump, one mechanical chest compression device, and one pressure infuser bag for IV fluids. It is stocked with procedure sets for nasogastric tube insertion, nasal packing, urinary catheterization, and childbirth. Supplies for establishing intravenous and intraosseous access are available in larger quantities. It also holds two devices for intranasal medication administration and two tourniquets for bleeding control. A larger quantity of standard and hemostatic bandaging materials, including burn blankets and dressings of various sizes, is carried onboard.
For pediatric care, the vehicle carries one pediatric transport device, one dedicated bag of pediatric equipment and supplies, and one pediatric color-coded tape. For mass casualty incident management, it contains one kit for command functions, which includes reflective vests for roles such as Intervention Commander and Triage Officer. Crew safety is ensured by two complete sets of personal protective equipment, comprising nitrile gloves with extended cuffs, IIR and FFP2/3 masks, a visor or goggles, and a protective gown or coverall. Additional tools include one tool with a blade for rapid clothing cutting or tactical scissors, one otoscope, one glucometer, and one backpack containing a primary set of resuscitation equipment.
Oxygen therapy is supported by a portable oxygen system, which includes at least a two-liter oxygen cylinder with a reducing valve and flow regulator, accompanied by a full set of delivery devices. These devices encompass reservoir masks and Venturi masks with attachments for both adults and children, as well as double-lumen nasal cannulas and masks for patients with a tracheostomy.
For patient immobilization, the vehicle carries three padded aluminum splints, one pelvic immobilization belt with a spring mechanism, one universal head immobilizer, one universal cervical collar for adults, one universal cervical collar for pediatric patients, and a larger quantity of triangular bandages and other single-use immobilization materials.
The onboard pharmacy includes a stock of infusion solutions: two units of 0.9% NaCl 10 ml, one unit of 0.9% NaCl 100 ml, one unit of 0.9% NaCl 500 ml, one unit of 10% glucose, one unit of 5% glucose 100 ml, one unit of 5% glucose 250 ml, and one unit of a balanced crystalloid 500 ml.
The medication list is extensive and includes, but is not limited to, the following drugs and quantities: Acetylsalicylic acid (500 mg and 1000 mg tablet), Adenosine (36 mg), Adrenaline (10 mg), Amiodarone (450 mg), Atropine (3 mg), Bisoprolol or equivalent (10 mg), Bromazepam or equivalent (15 mg), Butylscopolamine (20 mg), Dexamethasone (8 mg), Diazepam (10 mg injection, 15 mg rectal, 20 mg tablet), Diclofenac (25 mg suppository), Esketamine (200 mg), Etomidate (40 mg), Phenylephrine (10 mg inhalation), Fenoterol & Ipratropium bromide (20 ml inhalation, 10 ml nebulizer), Fentanyl (0.3 mg), Flumazenil (1 mg), Furosemide (40 mg), Glyceryl trinitrate spray, Glucagon (1 mg), Glucose 40% or higher (60 ml), Haloperidol (10 mg), Heparin (10,000 IU), Hydrocortisone (200 mg), Human insulin short-acting (1000 IU), Calcium gluconate or Calcium chloride (30 ml or 10 ml), Captopril (25 mg tablet), Ketoprofen (100 mg), Clemastine (4 mg), Levetiracetam (3000 mg), Lidocaine 2% (10 ml), Loratadine or equivalent (20 mg tablet), Lorazepam (8 mg), Magnesium sulfate 25% (20 ml), Metamizole (2500 mg), Methylprednisolone (80 mg injection, 64 mg tablet), Methoxyflurane 99.9% (3 ml inhalator), Metoprolol or equivalent (5 mg), Midazolam (10 mg), Morphine (20 mg), Naloxone (2 mg), Noradrenaline (20 mg), Oxytocin (10 IU), Ondansetron (4 mg), Pantoprazole or equivalent (40 mg), Paracetamol (1000 mg injection, tablet, and suppository), Piritramide (15 mg), Rocuronium bromide (200 mg), Salbutamol (20 ml inhalation, 10 ml nebulizer), Succinylcholine (200 mg), Thiethylperazine (6.5 mg), Thiopental (1000 mg), Tramadol (100 mg), Tranexamic acid (1000 mg), and Urapidil (25 mg).
All medical equipment is required to be crash-tested according to the SIST EN 1789 standard, have dedicated storage mounts, and be regularly serviced, calibrated, and certified by the provider.
Naw I ain't reading all that. I'm happy for y'all though
Tl, dr: same stuff as an ALS ambulance, additionally a Lucas, portable ultrasound, portable ventilator, additional drugs.
Tl;dr: got it all
Yeah basically
Našega baje že medicop dela 😄 (MS) 300hp? Se pozna?
Ne razumem
Mi iz MS smo tudi dobili odobrenega preko razpisa, pa te vprašam če je 300HP model, pa če gre kot bi pri taki številki naj
Ne ni 300hp. A vaš bo v novi poslikavi?
Nevem! Sem samo razpis bral
Sem še pogledat e javna naročila pa nisem našel nobenga razpisa.
Kdaj je bil objavlje? Kaj si misliš o novi poslikavi?
https://www.enarocanje.si/#/pregled-objav/919601?d=1
Sem šel pogledat, ta vaš bo bil še v stari poslikavi
Fly cars be fly.
Man, I wish our cars were as well outfitted as this. We just put the bags in the backseat and hope for the best lol.
Is this allowed to transport a patient in the front seat if no other vehicle is available?
No of course not. Where are you from, where this is normal practice?
It is not normal practice here in the states, but in several mass casualty incidents, people have been transported in non ambulance structures to ERs because of the sheer chaos.
I'm from the USA. So don't know how it works in Italy.
Was just wondering how things work over there.
We are not allowed to transport in the front seat of a vehicle unless it was some very bizarre mass casualty incident , and even so that would not be normal.
Fly cars as we call them normally just have a paramedic in them and when used are usually left on scene and the medic will go with the ambulance.
Us having doctors available to respond to calls is nearly unheard of.
OP is from Slovenia.
Plates are Slovenian and you can see a Slovenian flag near the side mirrors.
Can't answer for him but in Norway we have similar rigs.
Two types of "doctor cars," first type is manned by a paramedic/EMT and a general practitioner kind of doctor. They work in their offices most days but man the local municipal out-of-hours doctor clinic in their local area some days. Some of them man the clinic's car. They mainly do "house calls" for patients unable to make it to the clinic due to health reasons but will respond to emergencies and assist ambulances as necessary. Their equipment allows them to do EKG's, administer certain medications, stitch minor wounds and do have equipment to perform ACLS if they have to (minus actual intubation) and some other diagnostic equipment like measuring CRP.
Second type is manned by a paramedic and an anesthesiologist. They only respond to emergencies and will support ambulances with critical patients. They are equipped similarly to this rig, with equipment to perform ACLS, endotracheal intubation, blood transfusions and many other emergency care supplies.
Depends on the location in Slovenia, but in capital citiies the doctor car is manned by anesthisologist or emergency medicine doctor. In smaller cities the car is manned by a general practicioner that had to do ACLS training and they can intubate.
Our doctor cars and helicopters don't carry blood and blood plasma.
I would image Norway has better prehospital care than Slovenia.
That’s a lot of equipment for a physician fly car. Our physician fly cars only carry RSI drugs lol.
We carry this medications: : Acetylsalicylic acid (500 mg and 1000 mg tablet), Adenosine (36 mg), Adrenaline (10 mg), Amiodarone (450 mg), Atropine (3 mg), Bisoprolol or equivalent (10 mg), Bromazepam or equivalent (15 mg), Butylscopolamine (20 mg), Dexamethasone (8 mg), Diazepam (10 mg injection, 15 mg rectal, 20 mg tablet), Diclofenac (25 mg suppository), Esketamine (200 mg), Etomidate (40 mg), Phenylephrine (10 mg inhalation), Fenoterol & Ipratropium bromide (20 ml inhalation, 10 ml nebulizer), Fentanyl (0.3 mg), Flumazenil (1 mg), Furosemide (40 mg), Glyceryl trinitrate spray, Glucagon (1 mg), Glucose 40% or higher (60 ml), Haloperidol (10 mg), Heparin (10,000 IU), Hydrocortisone (200 mg), Human insulin short-acting (1000 IU), Calcium gluconate or Calcium chloride (30 ml or 10 ml), Captopril (25 mg tablet), Ketoprofen (100 mg), Clemastine (4 mg), Levetiracetam (3000 mg), Lidocaine 2% (10 ml), Loratadine or equivalent (20 mg tablet), Lorazepam (8 mg), Magnesium sulfate 25% (20 ml), Metamizole (2500 mg), Methylprednisolone (80 mg injection, 64 mg tablet), Methoxyflurane 99.9% (3 ml inhalator), Metoprolol or equivalent (5 mg), Midazolam (10 mg), Morphine (20 mg), Naloxone (2 mg), Noradrenaline (20 mg), Oxytocin (10 IU), Ondansetron (4 mg), Pantoprazole or equivalent (40 mg), Paracetamol (1000 mg injection, tablet, and suppository), Piritramide (15 mg), Rocuronium bromide (200 mg), Salbutamol (20 ml inhalation, 10 ml nebulizer), Succinylcholine (200 mg), Thiethylperazine (6.5 mg), Thiopental (1000 mg), Tramadol (100 mg), Tranexamic acid (1000 mg), and Urapidil (25 mg).
We have our bikes and light vehicles for that...
https://preview.redd.it/sw1znznuox5g1.jpeg?width=2160&format=pjpg&auto=webp&s=52fdfd2022d6e3ca1a99b46cf50ced52e8e730bc
Singapore?
Yup
can't make out where this is... slovenia?
Yes
Is there actually a physician in the car?
Yes
It's nice to see that here. Best regards from Ljubljana:)
A nimate tudi v Ljubljani nove toyote?