What's INSIDE a $125,000 CHASE CAR

welcome back to heroes next door thank you all for watching today we are in southern chester county this is southern chester county ems we're doing the station rigs and they have a bunch of chase cars [Music] now we're going to take this 2018 ford explorer out back and show you what's inside thank you all for joining us today this is that 2018 ford explorer this is chase carr we're going to introduce you to john ryan he's the sergeant here at southern chester county ems he's going to walk us through the video a little bit hey mike thanks for coming out so inside here this is one of our paramedic units this is the d delta truck it's a ford explorer police interceptor model with a few different unique features to the vehicle phone mount here we cover a very large service area so we oftentimes have to use gps to find the location so we can mount our personal devices here to make sure we have hands-free operation when going to an emergency call up here we have our drive cam this is both interior cab facing in addition to the front sensors g-forces so if the vehicle suddenly accelerates or stops outside of a reference range it will trip and record about 30 seconds before and 30 seconds after in addition it has an integrated backup camera which is pretty cool over here we have our mdt or mdc so this connects us to the chester county department of emergency services we receive all our calls via it and we can also status and root or arrive or things like that on scene we can self-attach the calls in case we're going as a secondary als provider to a call with technology like that do you have to have internet capability is this a hot spot how does that work we do so the department of emergency services from chester county actually provides us with internet for these devices these are county owned devices and it also functions as a wi-fi hotspot okay um so you can actually if you have a data restriction on your phone or something like that or um each of our trucks actually carries an ipad in case we want a chart or things like that we can connect into each truck's wi-fi system to provide that level of internet connectivity okay okay and below that you have all your radios and those are county radios or those your company radios that's correct so this is a county radio once again provided by the chester county department of emergency services what's interesting about this is we operate off of the west fire channel however if we get sent to cover certain areas we'll switch channels but the county also provides each agency with their own interoperability channel okay we have a 94 ems channel that we can actually use to communicate units unit without um doing it over the main broadcast and chester county has how many different you said you're on the west but they have what uh i believe they have three main fire operating channels that would be the west the east and the central okay um and then the police have different channels and there's different interops channels and things like that okay and the reason you need those kind of radios is you guys cover a wide area right you you cover multiple fire companies assisting with them what's your range of of travel around here so uh we cover to about 220 square miles um 17 different municipalities wow which is a huge area we do that with two paramedic units each with a single paramedic in it okay and we work cooperatively with our different bls partners there's four that we primarily run with that would be a union fire from the oxford 21 uh west grove fire company station 22 uh the avondale fire company station 23 and then um lancaster ambulance 46 so christiana community ambulance out of lancaster okay yeah you guys are covering a tonneau area so it's no wonder you guys got these kind of vehicles and you know they travel real nice they are they smooth the ride they do this this is great this is actually my favorite truck okay we have both explorers and expeditions we rotate them bi-weekly we also put the expeditions in service during inclement weather whether that be flooding or snow these are all-wheel drive the explorers but the expeditions they're four-wheel drive okay now one of the questions that everybody's gonna have what kind of lighting systems do you have so this actually has a code three lighting package that's who our upfitter chose and the vehicles are very very well lit safety is one of our number one priorities especially when it comes to the drive camera or the highly reflective pattern we have on the vehicles safety is a big concern so we also have a fair amount of lighting on the vehicle as well okay okay all right we'll keep looking around the vehicle if you don't mind sure so as we're coming out you know one thing that people are going to notice is basically this looks like it should be in london not america so what is this all about so this is um the highly highly reflective battenberg pattern that was selected by chief hodgkin's i think we went back in cooperation with the board back in around 2010 or so just prior to me coming here but one of the unique features of is obviously this is all very highly reflective it also says in very very clear bright red letters what we are and who we are we don't want there to be any miscommunication that we're law enforcement or something like that okay since we are driving around and vehicles that you know yeah this is a police center for this interceptor package right exactly so we don't want anyone to be confused it also makes us very vis visibly unique okay everyone can in the area um they'll actually stop us you see a patient they see us pull up they'll say ah you work for medic 94 i recognize the pattern so it's really helpful when it comes to the safety aspect but also for making us a unique branded organization right you're actually setting a trend because we went to coatesville recently they had a new truck and they're starting to put the same kind of patterns on that so it's working its way across you guys are sitting there setting the pace for it makes us very happy what do you got in the back seat so the back seat uh everything's typically secured i pulled some of it out right here this is typically where we have some of our ppe so each medic 94 staff member is assigned a gear bag right here highly fluorescent and we're issued turnout jackets just like this one here along with helmets bulletproof vests okay we're all issued uh mine's right back here um we have certain call criteria where we have to wear those vests okay any type of assault shooting stabbing it's actually an organizational requirement that our our employees have to take on that so in the old days you know we always worry about car accidents and shortcuts so you had that but you know times have changed things are going on so you have to have that protection it's really cool that your organization is you know taking that step forward and making sure you guys are protected not only just with that the helmet you have a bulletproof helmet it looks like you have your vest but you also have the stuff for the regular stuff you know the car accidents and and those kind of things yep and we have we try to be really proactive when it comes to the safety aspect of things so as you can see we have a regular fire scene type helmet here and then we also have um as you pointed out this bullet resistant helmet in addition to the technical rescue helmet okay if for some reason we need to be involved in something where we need a little bit more flexibility sure um we can switch to that yeah we've all seen you know we get on we take that helmet off and we set it down having another option so you can have that flexibility i can tell you right now i have climbed inside of some cars to provide patient care and that helmet's never the one that i'm wearing it's the other one because that one just provides us a little bit it's lighter it'll out but it still provides safety and protection right if we're in the vehicle i notice you got a charger for a portable radio and you also have fire extinguishers do you guys fight fires or no we carry that it's a requirement from the department of health okay and that we carry the fire extinguisher um but sometimes uh based off of this rural demographic we're only dispatched on advanced life support emergencies okay so sometimes if our bls partners are already out on calls we could be the first driving unit right so whether there's some type of emergency in our vehicle or we're the first arriving on a car fire with an entrap patient or something like that we carry an assortment of safety equipment flares many of us carry window punches i have one on the trauma shears that i carry okay and that just allows us to be prepared for anything we might face as the single person to show up in the middle of nowhere type of emergency exactly all right let's keep making our way around the back real quick you have a plug-in is this an electric vehicle too or it's not but because of all the different equipment that we carry we carry iv fluid warmers uh the cardiac monitor uh we carry iv pumps in addition to all the electrical equipment that we carry um if we were just to leave this vehicle parked it would it would drain down so in order to power our cardiac monitor make sure everything's ready to go when when we receive a call for service uh we have a shoreline system that we plug our vehicle into to make sure it stays charged at all times that makes sense that makes sense so this is the work part of your vehicle this is where everything comes out you have a ton of stuff back here can you walk us through some of it sure sure so the first thing is so this is actually a separate caged area of the vehicle going back to medic 94's commitment to safety we want to make sure that none of our equipment if you know we were to be involved in some type of motor vehicle accident would go flying forward and hit a provider and cause them you know uh injury or illness so this is completely a separate area of the vehicle and it's bolted in but this is 100 correct that this is the working part of the truck this is where all the advanced life support equipment is and we have quite a diverse range of equipment here to handle the different variety of calls we have now you know a lot of our viewers don't really understand chase car versus micu versus ambulance that kind of stuff we've explained it in a couple different videos but i want to go over it again a chase car is pretty much everything that an ambulance has just maybe one or two of things other than transportability is that correct that's correct so we carry all the advanced life support equipment all the life-saving medications the cardiac monitor oxygen a long long backboard iv pump equipment iv fluids we carry all of that in this small area and based off of the needs of the call we can opt to bring even more additional equipment as you'll see in some of the drawers we have spare equipment but we have everything that would you would find in a typical mcu or an als mobile care depending on uh what it's phrased at but advanced life support ambulance we all carry all that advanced equipment right here in the car wow wow you guys pack it in real good here kind of like jenga so i'm gonna let you kind of pull some of this stuff out and show us what you're sure sure so actually we have um this tray here which actually makes a little bit easier this was something that we came up with because we're in a chase system if we come back after a call or something like that where do we put our bag to restock do we put it on the ground there's not a lot of room here right so one of the things that we were able to do is we were able to move things right here so that we can more easily you know restock and view things okay um so this is our cardiac monitor this is the philips mrx okay now these are pretty old i mean they're these are now obsolete and you're looking at new ones that we're going to talk about in another video but this is what 10 15 years old by now right that's correct they are they've reached the end of their their useful life okay they're still great they're workhorses i've used this monitor for for years of various agencies across the state and i i love them they're they're great they're useful they're relying on what does a cardiac monitor have on this what are the special things so the cardiac monitor pretty much shows us an electric picture of your heart so when you think of the you know those those emergency shows you watch beep beep beep so we can do that we can see that but it also provides some more advanced equipment that regular cardiac monitoring allows to see lethal dysrhythmias or harmful dysrhythmias such as rapid atrial fibrillation or supraventricular tachycardia where those rhythms may not allow blood to flow effectively to the the rest of the body especially in ventricular fibrillation or ventricular tachycardia sure so it allows us to identify and then we can appropriately treat those rhythms based off of the different medications we have but you also have like blood pressure cuffs pulse oximetries cathodographies all those kinds that's correct so actually over here we have a whole bunch of different equipment so this allows us to do 12 lead ekgs okay and that gives us uh different views of the cardiac conductivity right and based off of our interpretation of that we can actually identify if someone's experiencing a heart attack or a myocardial infarction right because just the one lead or three lead you're not going to get a big enough view right to confirm or diagnose that yes you're actually having a heart attack you need that 12 lead capability right and by doing that 12 lead because we work in such a rural setting and jennersville hospital is not a cardiac catheterization center it allows us to contact our receiving hospital partners and activate a cath lab so that those people can go in and have an intervention performed to remove a quad or whatever may be causing that time is heart time is hard that's right um we also have the uh the end title co2 that'll that allows us to interpret uh waveform uh pretty much give us a deeper picture into how someone's breathing sure sure whether it's a bronchial spasm or ce or sepsis exactly and it allows us to have that that edge when it comes to coming up with a differential diagnosis so we can say hey do we think this person has a history of um copd and congestive heart failure which one do i think it is bronchospasm is this we don't we don't know we can use the different tools we have that to help us very nice to have yeah and so like i said when we identify those those lethal dysrhythmias um sometimes you know or if you're in cardiac arrest in a ventricular rhythm like ventricular fibrillation where the heart is is quivering or ventricular tachycardia where the heart is not beating appropriately we may have to shock you you're gonna have to defibrillate you that would be the term so over here you turn the monitor on and current turns on just with that that knob and then over here we have our manual defibrillation settings okay so this is for those bls providers out there or somebody that don't know this is equivalent to an aed yes for lack of exactly exactly it's a more advanced aed so the aed interprets things on its own right whereas us as paramedics we view and interpret what would be the most appropriate treatment okay and especially if the patient is conscious and alert and they have one of those dysrhythmias what we can do is we can actually synchronize cardiovert them that changes where the electricity is fired in their their heart's electrical conductivity process okay and we can do more advanced things like that or if someone's heart is beating slowly we can actually pace them wow so send a small amount of electricity through them through the the pads that we have we actually carry these pads that we get applied to your chest right and we can we can actually cause the heart to beat faster by using the the pacing function so those pads are equivalent to what we see on all the tv shows the pads that they use the gel and you know they defibrillate you that kind of stuff but now it's just hands free exactly you know you don't have to use those paddles and that's that's actually really convenient if we have some type of ongoing event what we can do is you know you don't have to worry about if your patient goes into one of those those lethal rhythms you don't have to worry about getting the paddles out and jumping in uh you can actually just say everyone clear and you can you can cardiovert or defibrillate them as appropriate makes it safe yeah what other bags you got in here so up here put this down all right i'll move that out of the way so up here this is our our pump bag so because we cover such a large area um we actually have iv pumps so um once again most of the time we see those on critical care transport trucks but you're a 911 service that's carrying pumps right it speaks a lot into the innovation that we try to practice here it also uh comes down to the the obligation that we have to our service area the fact that jennersville although you know an excellent emergency department uh they don't have the cardiac or the stroke or the trauma services that we sometimes need right we have up to a 45 minute to an hour transport time to lancaster general hospital christiana hospital or chester county hospital depending on where we are in our service area okay so typically for for a few different events we will hang drips we carry a few different drugs we're going to be actually adding nitroglycerin onto our uh our pump assortment okay in the coming months we can use that to manage it instead of doing push-dose epi you can actually have to do it exactly so it's actually our standard operating procedure that in a post-resuscitated cardiac arrest so someone that we get uh return spontaneous circulation on or ross yes exactly so it's our it's our policy that we are to prepare and connect in epinephrine drip every single time and then the provider will use their discretion whether or not to start that or not okay but one of the things that we found is that when we don't do that and what the research and evidence is showing is you know the the probability of them going back into cardiac arrest or losing that pulse right the highest at that early part of the event okay these are the sapphire pumps we have each one of our trucks has one of these what's really useful about that is typically um in these more critical calls we we run two providers okay two provider responses so that means we now have two cardiac but we have two pumps available for us okay so as recently as you know three weeks ago i brought a patient to the hospital who's on both an epinephrine and an amiodarone drip okay but we also carry diltiazem or cartism trip in addition to the amiodarone and the epinephrine and soon this summer we'll be bringing the nitroglycerin drip so those are pretty much all antiarrhythmic drugs you know they want to make sure you're calming down the heart and do all this dude so it pumps most efficiently you know it's a very small device it works pretty well it looks like it connects to an iv pole or to the side of a structure right yep okay it does so one of the great things is is that we can we can kind of just have these running and we carry medication labels because in the case that we are running multiple drips we need to be able to delineate which medications running you turn it on it actually has all the medications and the typical volume concentrations that we would use built into the software nice so we do that from an administrative end so we can go in we just start entering let's say amiodaro and we start entering a m and it automatically knows and then we just confirm the volume to be confused and the dose rate right okay okay very cool very cool this is something that like i said you know we see a lot on critical care trucks but having it on a 911 service because you have those long transport times it's very forward-thinking and innovative for your community right and this this um this front module the bag also holds pediatric uh king airways okay in addition to these gastric tubes this is our main house bag so this always has to come with the provider no matter what anytime we transport someone by our policy this bag has to come in addition to the cardiac monitor that we talked about earlier this holds pretty much everything that we that we need on a daily basis up top so that's why it's such a lot you know if we're looking at it it looks huge it's a big bag but you have a lot of things in here we do so realistically you're carrying one bag and your monitor so and then you can pretty much work a critical patient pretty much anything that we need with the exception of we refer to the pump bag classically as a critical care bag okay so if we need to do any type of more advanced intervention typically these things are coming into play later in the call right so you can send someone out to go get it maybe the fire guy or police say hey go get the blue bag bring it back to the truck that's exactly right perfect so up top we have our iv pouch along with some refusal forms and a brazilian tape to help us with pediatric dose yeah but up here we have an assortment of different iv catheters and a glucometer for assessing someone's blood glucose level in addition to nitroglycerin and aspirin right typically if we're seeing a cardiac chest pain patient or something like that once we start an iv we give the mass and we can attempt to manage them the via nitrates based off of what their 12 lead ekg looks like right right right and you've got also different sizes you got little ivs or butterfly type ivs all the way up to the big ones we have tiny guys all the way up to the big boys we carry up to 14 gauge needles we carry decompression needles in 14 gauge as well in addition to um those larger needles and we're you know we the old days you for trauma used to put a lot of you know big 14 gauge needles in people that was the standard of care now we're seeing large bore ivs of 16 or an 18 or 14 we're seeing them actually more in the patients that we expect are going to need some type of resuscitation we've got septic patients patients we think are going to need blood products patients that we think have the potential to go into cardiac arrest right those are the ones that we always you know we try to get really good access right because evidence-based medicine for us has changed over the years saying you know fluid resuscitation for trauma is not good because you're just diluting them right you want to save what you can so but you guys are thinking about it and you're moving forward what else you gotta have inside so this is um this is the main compartment so over here we have um our airway equipment so this is nebulizers we carry both albuterol and duoneb in both a pipe form and in a mask form yeah simple mask over here this is our medication kit okay and we carry a large amount of medication here just because of the different types of emergencies we see here well and the longer transports you might have to go first second and third line and you'll see that in our narcotics as well we actually carry a high amount of narcotics just because we may need to manage someone's pain for an extended period of time right um so over here we have our cardiac drugs epinephrine and then up here we have narcan these are our assorted drugs we carry some interesting drugs like pitocin magnesium in addition to the standard required department of health uh medications like epinephrine benadryl salimedral things like that um and then the state of pennsylvania puts out a list of required medications but then they also add on additional medications that you can carry and that's what you guys are doing you're saying you know what i want to fill my toolbox with as many tools as i can for most appropriate that's good but across the state we don't have to do that you can go to the the low minimums correct that's true that's true and in some of these environments in a more urban metropolitan area where they don't have the extended transport times that we have um they might not need some of these drugs that we have because they can be at a hospital in you know five minutes okay but we try we carry tylenol glucagon atropine carry a large variety of different medications and i'll show you the narcotics we carry as well that's an easy way to set that up it's real easy to see you just unzip the package right there and you're bringing this bag into another guy's truck so having a nice organized way to do that is pretty cool that's exactly right so this is our narcotics our narcotics box okay we carry a few different medications so we carry uh versed which is a benzodiazepine we carry out a van which is also benzodiazepine we carry fentanyl and we carry 400 micrograms of fentanyl in addition to automate automated is a medication we're a participating sedation assisted intubation provider here at southern chester county medic 94. what that does is it allows us to intubate someone with the assist assistance of a medication right right yeah back in the old days we didn't have that you would have to you know either do a nasal intubation because they were still breathing sure but it now it's much better for the patient to sedate them to get that in sure decreases that icp all the blood pressure everything else right you know again that's awesome to have now these are locks right so so these are secured via a control tag so every every day at the beginning of the shift the provider has to go out and confirm that the medication lot numbers are present and that the lot number is correct right and then that the tag number is correct as well we have storage vaults and compliance with federal mandates at both stations and then if for some reason the provider was to leave their bag they are to take this with them okay so if you go to the hospital or something like that you shouldn't leave your narcotics sitting out because we do have an accountability sure you know we don't want anyone coming in and stealing these we also carry ketamine as well that's a recent addition yeah yeah that's that's another one that's coming around real big so um over here we carry some iv fluid depending on the part provider's discretion either 500 milliliters or a thousand milliliters just regular sodium chloride carry a cpap mask okay um one of the things we're saying our bls partners carry these as well yeah however sometimes if we're the first arriving it's not helpful for us to say oh well when the ambulance gets here they'll be able to use their cpap so we carry this great flow safe to cpap system right here that we can hook up to our oxygen tank and then we also carry dextrose as well we talked about cpaps in one of our videos before we did you know the top five things that changed ems and that was one of them it's fantastic the way to see people improve the way that they do after cpap it's fantastic um this is dextrose for those people whose blood glucose may be low okay um we can start an iv in them and give them some some sugar um and then over here we have our intubation roll so this if for some reason during an event we would need to place a breathing tube into someone our paramedics are all highly trained in this this procedure we carry different blades i know they look kind of scary right um but if if done properly and correctly you you provide no damage to their their airway structures or anything but you can actually go into someone's airway and pass a breathing tube one of these endotracheal tubes through their vocal cords and breathe for them right and when we do that it's ours the standard of care and our policy here at medic 94 they're also connected to that end-tidal uh co2 that we talked about earlier sure and you have a bougie there to help you with the difficult intubations you do you carry video scopes we do we do we carry both rescue airways we carry the the king rescue airways okay so these are a supraglottic airway yeah so they're blind insertion airways some people will be going with the eye gel some people go with the kings there's lots of different things out there so and then we also carry the king vision okay video laryngoscope so if we take this out here uh in this handy little case this is actually the the king vision module and then this is the the bottom part these are disposable blades what you would do is you connect that in right and you turn it on and then as you can see there is that screen turns on you can see my hand down there and then that allows us to actually visualize the patient's airway when we place the tube right we've seen uh vastly improved success rates using the video laryngeal scope right yeah you know for many years i've been in the business for you know 20 25 years and uh well at one point they were talking about taking away information for us but the fact that now we have the same technologies that the doctors use in the hospital the glide scopes the the king visions and you know our success rate and holding those have been huge again a service that does this in a chase car type vehicle that's huge so i want to just say right now we appreciate that we appreciate you coming out we're happy to have you over here we carry our decompression um advanced airway stuff whether we need to do some type of surgical airway or for some reason we need to do some type of you know chest decompression if some if a patient has a chest wound and they develop attention pneumothorax we carry the advanced equipment over there and then we just carry some additional drugs a smaller normal saline bag in addition to calcium and sodium bicarbonate over there all right we'll put this back together you got some more stuff in here if we do we'll try to keep this moving along for him a little bit so as we're finishing up this bag i hear you have one more piece of equipment that i like it's called the il do you carry that here we do we do so the i o or the drill as we call it io stands for interosseous infusion so what that is is for some reason we're unable to gain iv access to give some of these life-saving medications we can actually gain access through their bone so the bone is obviously very hard so we carry this special drill okay which is you see me holding right here and what this does is it allows us to drill a needle into um you know the patient's bone and then give medication that way through the vasculature inside of their bone right that's a very quick way to gain access it is it's it's uh you know a last resort for those more critical patients right you know but when they're very very sick and you need access quickly it can turn into a front line or any cardiac arrest where you don't have blood flow it's very hard to find an iv line because you don't have blood flow doing an i o is a good way to go it's exactly right we carry in different sizes depending on the site that we're going to do whether that be in their leg or up at the top of uh you know their shoulder area or if we're going to use that on a pediatric patient very cool very cool once again this is one of those top five products that changed ems i think io is huge and it's great and that pretty much finishes here we have some covid stuff okay that got added onto our bags when covid started in addition to this brown bag this actually contains um tupperware containers of different uh medications and iv catheters we may use commonly okay for kovid rather than us bringing this whole bag into the patient compartment we would put this in the front of the ambulance bring this bag so we didn't have to decontaminate all of our equipment unnecessarily so we had to change with coverage you have to kind of change what's going on you don't want to keep decontaminating everything all the time yep it's a good way to do it that's exactly right we move this out of the way and you got some more stuff in here this is actually our oxygen bag okay so typically if we arrive after the ambulance we don't have to bring this because the basic life support crews are our bls partners they bring oxygen and basic airway equipment with them okay but like i said there are times that we get either get there first or we're waiting for an ambulance to come from another another area another county or possibly even another state sometimes we have ambulances from delaware or maryland come up okay seeing as we geographically border them both okay so in those cases we need to have all the same oxygen and airway equipment that a basic life support ambulance would have right so we have a suction equipment we have oxygen um in addition to bag valve masks in case we need to artificially ventilate those patients okay now this one looks new compared to the one you use all the time that's because a lot of times the analyst does arrive first or you're arriving pretty much at this age that's correct so you use their stuff for most for their work and you do your work yes sir it's like i said unpacking jenga here it's this is one of our stuff um pediatric oriented bags okay um if we have some type of complicated delivery or something like that okay we have different obstetrics kits if we need to deliver a child or something like that up here and then we just carry a few different assorted pediatric equipment here so things like a blanket pediatric stethoscope pediatric vein light different pediatric equipment blood pressure cuffs bag valve masks things like that right um in addition to some iv equipment oriented for those pediatrics i mean just this bag alone is pretty big trying to add all that into another bag exactly you can't do it exactly we you know we'd have a half a mule to bring everything into it so we're breaking it up a little bit is a good idea yep and those pediatric patients although they do not happen often usually when we see them um they have the potential to be very very ill right they're either very very okay it may just be a fever or febrile seizure or something like that or they're critically ill right so it's super important that we carry that specialized equipment when we do meet that unique patient demographic as we were driving down here i noticed that there's amish around here too there are it's big pennsylvania amish around here and they don't use a lot of hostiles like you and i are used to so they wait till the very last minute and then they call yes yes they do typically we know that if we're going to one of those specialty demographics and we do receive a call to service from one of those communities it's usually very very critical okay now you got a couple more drawers what do we do we do so this slides back in down here we actually carry a collapsible long backboard okay if we needed to move a patient where the first one on scene um we can pull that out and use that it's also a requirement um up here we carry some extra equipment extra iv supplies cpaps uh this is a rad57 this allows us to to measure if someone's been exposed to carbon monoxide or not right um in addition to this this is actually a traction splint okay so this is a slishman traction splint we're able to carry if you i'm i'm sure you've seen in some of your other videos those big traction splints yeah the system that we've implemented here once again sometimes being first arriving is this and this actually we can do full traction using this small system that fits in our drawer yeah yeah that's that's excellent way to go you know the old hair tracks and stuff like that they work well yeah but they take up a lot of room and putting extra car vehicle like this just doesn't work up here we just have a few more a few more sets of equipment some more intubation tubes some some more trauma stuff some extra batteries for our laryngoscopes and whatnot in addition to a test load charge here to test our cardiac monitor functionality okay oftentimes here because our transport times can be so so delayed and long just based off of where we're transporting to it's not uncommon for us to run calls back to back okay so it's really really important that we carry enough equipment not just for one call for service but for multiple because we never know when we're going to actually make it back to our area right now setting up this did you guys make this kind of cabinet or do you have this made how did we had this made so uh chief hotchkiss coordinated with a 108 which is a local uh vehicle outfitter and coordinated with them to design uh put the lighting in in addition to putting the cabinetry okay and this is the metal one i've seen wood ones i've seen yes the fiberglass ones i see in all kinds metal is definitely it's a little bit heavier but it's gonna yeah this thing will be able to move this into the new vehicle no problems and that'll save us some costs in the long run we've got a heater up there do you guys park these outside when we started we were in a garage do you park them outside it depends it depends so sometimes if we have a critical patient um and we require additional resources the the ambulance crew might come with us in the back of the ambulance okay so in a typical scenario i respond to an advanced life support emergency there's two emts on the ambulance typically one emt will follow us to the hospital in my vehicle okay and then i'll be able to go back and service my vehicle and they'll be able to reunite their crews together if we have a critical patient um sometimes i take both of those crew members with me so we leave my car or my vehicle somewhere and then we need to make sure that the rest of the equipment in here stays at a good temperature okay so in the winter or things like that we need to make sure things don't freeze all right you got a couple more things stuffed on the side we do we do we have some gowns once again with coven some gowns some eye protection back here we have some cervical collars okay um once again in case we arrive first at an accident or something like that and then in here we actually have an iv fluid warmer okay so it's actually really important for us um be that a hypothermic patient or even just a regular patient who needs large volume fluid resuscitation it's really important for us to to make sure that they don't become hypothermic right where their temperature drops so we have this fluid here warm so we can give this to the patient rather than cold or room temperature right right and even during the summer time you have a lot of motorcycle riders out here you know they can get hypothermic during the summer so having that ready to go is very important now we're finishing up the back we're gonna make our way around to the passenger side here but before we do you guys like this video do us a favor hit that subscribe hit that notification because we're really trying to build this we're trying to get 50 000 subscribers in a couple months so on the passenger side you have a couple more cabinets here or some more storage too right that's correct that's correct like i said the back was kind of the meat and potatoes this just has some extra equipment in it and i'll go over it briefly but we carry road flares in addition to some extra bandaging equipment here we also carry a sheet that we can actually use to move people okay a people mover a life jacket in case we have any operations near water which we occasionally do and then an assortment of gloves a flashlight an extra oxygen tank okay one of the other unique things that we carry though and uh chief hotchkiss actually had seen this somewhere and taskless with creating it is this is uh you know hopefully we never have to use it but this is a trauma bandolier for like an active shooter type scenario so we can actually throw this over our shoulder right um and then it carries all the the life-saving trauma equipment that we would need for that type of event so we carry if we go back to history a little bit you're not too far from where the alma shootings were happening so we're not you know you're not at all you're definitely being prepared and having that you know it's something that we never want to think about or deal with but we want to make sure we we're handling it so having something like that you have what tourniquets quick clutch pockets quick clot you know different types of trauma dressings decompression needles additionally we have large chest seals and these in these larger um containers and then we also have triage tags because we need to make those triage decisions you know it's it's a harsh reality we have to deal with but we'd much rather be prepared you know hopefully that event never happens exactly but in case it does we'll be there with the right equipment right right and all your residents should feel very comfortable that you know not only the bls is here with this advanced life support with that kind of technology is helping out all right last but not least i'm going to talk about the front of this vehicle because this is the powerhouse this is an end this is the 3.5 liter that runs these things these things are pretty quick it does it does get up and go pop over the hood and show you so you know it's not always all about speed uh it's about getting there smooth and and reliability you have all fours in your fleet that's correct that's a testament to the reliability of fords so in here you got your 3.5 liter this is non-turboed but they make a turboed version but it's very reliable easy to work on maintenance is easy a excellent powerhouse for a for a chase car so yeah i did like i said i love this truck i love everything about it i love the vehicles that we have we're very very fortunate um that we have very good and reliable equipment here great great clinical equipment and all in all the organization just provides us a great platform to do our best as providers with good equipment a good way to get there to be visible you know kind of that that commitment to safety and clinical innovation it really sets our providers up for success well thank you for inviting us out we want to go back and look at your station just a little bit and then we'll close it up sure so we're back in the station now we're running into the chief here this is bob hopkins you're the chief executive director and the ems chief correct yes so one of the things that have been questioned on our site is you know what's the difference between a chase car and a micu we addressed that a little bit you guys chose to go with chase car how did you guys get started uh we got started in 1983 uh the county was beginning to get its advanced life support service going and the hospitals were the initiators of the advanced life support service so the southern part of the county did not have advanced life support there was westchester and coatesville what happened then there was determined to be a collaboration between the stakeholders the west grove oxford avondale and canon ambulances and the hospital to put together a paramedic unit here and through about a year of processing and meetings and they determined to do this collaboration and start of medic 94 which started october 15 of 1983 was when we did our first call okay at that point we were medic 94 was formed as part of a hospital we were a subsidiary corporation of the hospital and we're connected to the hospital right now and we're connected to the hospital our station remains since day one we've always been based here at southern chesapeake county medical center or which is now generous of ohio but you're not part of the hospital we're not part of the hospital in in 2001 we formally broke away from the hospital but we remain here and there are true partners in health care with us and we have a fantastic relationship with the the hospital here and when this whole area this whole garage and the whole emergency room was was built in 1995 they went out to the community and raised money for it and one of the things they raised money for was not just a new emergency room was the paramedic unit also so funds were were generated and part of the fund fundraising allowed us to build this station here right now we have this two bay garage which is our headquarters and also we're medic 94-1 of the space which handles the western part of our district and you have offices here we have offices here right off the emergency room yeah so there's a chief's office what other rooms do you have we have an office for our ems sergeants who are operational uh leaders we have an office for myself we have an office for our staff paramedic that's based here we also have our training supplies and our main hub of equipment here and we also have our our medical director who is also the medical director for the emergency room has an office here okay so we we have kind of the administrative end and we also have these the garage end which um take care of our vehicles and you staff two trucks here they have two trucks here and two trucks at the avondale firehouse about 60 of the calls are handled by medic 941 about 40 by medic 942 which is at the avondale firehouse two trucks at each station we have all of our vehicles are ford vehicles we have an expedition which is a little bit larger than our ford explorer and the reason we do that is um the explorer it works great for most most times but when we have storms and snow storms and things like that sometimes the expedition of having the a little bit more size gives us a little bit more ability to go to some of the more remote locations where somebody may call 911 now we mentioned earlier in the episode that you cover a large area how big was that again 220 square miles that encompasses 16 municipalities about 75 000 residents in that area and how many different fire stations do you support we we primarily serve west grove oxford and avondale we also cover part of the christian community animals which comes down into the cochraneville area okay okay and those are all the bls basic life support and you're the als for that we are the als for that so uh we cover that area we also cover mutual aid it's ironic we are we cover three states in mutual aid so we have gone into maryland we have gone into delaware and we transport patients to multiple counties we transported lancaster county i mean most of our patients come into chester county we go into lancaster county we go to union hospital in maryland we go to delaware hospitals we go to hospitals in delaware county so it's a large area and the patients go to actually really diverse and some sometimes distant hospitals so our paramedics have to be on their toes because the transport time with these critical patients sometimes is 30 45 minutes right so they're making sure that we have the proper equipment and really good talent talented paramedics makes a difference in patients well we have the opportunity to go through your trucks and you know they're very well stocked you have a lot of state-of-the-art equipment that's in there so you know it appreciated it from a medic side you know i'm a medic also and uh having those kind of capabilities makes my job that much easier and you know no different for yours the fact that you guys are using fords have that reliability and you know easy maintenance and stuff like that is is key so first station riggs episode this was perfect so we want to thank you for inviting us out and uh you know you're doing a great job okay great thank you alrighty thank you wow once again this is heroes nest door and this is station riggs with southern chester county ems check them out on their website do us a favor hit that subscribe hit that notification because we're trying to hit that 50k mark in a couple months

Channel: Heroes Next Door

Views: 114,250

Rating: 4.9102011 out of 5

Keywords: heroes next door, paramedic, firefighter, police, mike borrello, heros next door, hnd, whats inside, $125000, 125k, chase car, 2018 ford interceptor, ford interceptor, als, paramedic chase car, ems chase car, als chase car, southern chester county ems, medic 94, southern chester county, medic, emt, ems, emergency medicine, vehicle tour, station rigs, tour, test drive, heroes next door stories, heros

Id: 84OmYb4UMgM

Length: 40min 41sec (2441 seconds)

Published: Sat May 29 2021