An Advance Life Support service has 1 or more state licensed paramedics with at least 1 other paramedic or EMT-Basic on the ambulance.
Procedures
Procedures for ALS include the above-mentioned information plus:
I.V. (intravenous) fluid establishment
I.O. (intraosseous) fluid establishment
Ability to draw blood via IV or IO
Use of Cardiac Monitor with the ability to read and interpret 4 and 12-lead EKG rhythms for diagnosis and treatment of heart attacks and heart dysrhythmias
Use of Cardiac Monitor for manual defibrillation and pacing
Use of Capnography to measure CO2 output and bronchospasm
Use of Glucometer to measure blood glucose levels Intubation: Placing a tube directly into the lungs to ventilate persons in need
Tracheostomy: Surgical procedure to open airway below mouth / nose when needed
Limb realignment: Used when person is at risk of losing a limb due to poor circulation
Use of Continuous Positive Airway Pressure (C.P.A.P.): For use on persons in Congestive Heart Failure and other illnesses
Naso-Gastric (NG.) tube placement. For stomach pumping and relieve of air build up in stomach
Induced Hypothermia
Medications Used
Adenosine
Albuterol
Atrovent
Amiodarone
Aspirin
Atropine
Dextrose 50%
Valium
Cardizem
Benadryl
Dopamine
Epinephrine
Fentanyl
Romazicon
Lasix
Glucagon
Toradol*
Labetalol
Lidocaine
Lorazepam*
Magnesium Sulfate
Demerol*
Versed
Morphine Sulfate
Narcan
Afrin*
Pitocin
Nitroglycerin
Dilantin*
Zofran
Procainamide*
Phenergan
Sodium Bicarbonate
Succinylcholine
TNK*
Thiamine
Vasopressin
Verapamil*
Norcuron
Amidate
*Indicates medication not carried by RFD (in the interest of patient care) but available to Arkansas ALS Services.