Advance Life Support Service

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 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.