What's INSIDE a $200,000 AMBULANCE

welcome back to heroes next door we are doing a vehicle tour today we are at keystone valley in parksberg area we're going to be taking a look at their 2019 f-450 four-wheel drive type one ambulance let's go take a look [Applause] so as we get started today i'm going to introduce you to tommy he's one of the emts here today he's one of the paid providers that work on this truck so i'm going to let him kind of take over and talk about what you know how he does his job what's in there all right so in the cab of this ambulance um it comes basically just standard as a normal pickup truck and then we modify it to fit our needs from there so aside from the normal stuff that you'll find that you'll just get from the dealership we have our control panel here which controls our lights and our sirens we also have our county radios here to speak to chester county we also have a radio for lancaster county here we have our mdc or mdt as some people call it it's the way for the county to integrate their cad system into our trucks so everything that we go to all the calls that we'll respond to will come up on this computer we'll be able to see the address uh what kind of call it is and the notes that go along with it is that where your mapping system is also yes so we can have uh we have we have a mapping system that's integrated into this we also can use gps but so the county can see where we are at all times and we can do our status changes from there as well so you have two ways to communicate through the radio and through the mvc yeah can you talk to fire yes we also have a backup camera here so that we can see easier when we're backing up and we have back here we have a bunch of different clipboards map books and other information for us to use whenever we're responding to an incident what kind of safety features does this have that it has normal airbags like most uh vehicle would but we have especially in the rear compartments which i can show you we have harnesses and stuff like that for us we also have vests like this so that if we're out in the roadway we can wear these to be better protected and more visible okay and you have all your ppe equipment up front or where is that located that's all going to be in the back we keep our personal ppe up here with us and then if we need more we'll just go into the back and get it like masks and gowns and so forth what kind of training do you have to have to drive this in pennsylvania you need evoc which is emergency vehicle operations and emsvo which is just kind of an extension of evoc but and then to drive an ambulance here at keystone valley you'll need to do their in-house driver training program before you get signed off okay and this is a four-wheel drive truck right it is all right let's take a look at the back all right all right tommy this is a 200 000 plus ambulance and it was you know helped purchased by the keystone valley regional fire district and you know this is a piece of equipment that you use every day yep so let's take a tour around it and tell me what's in each compartment sure all right so this one behind the driver's side is what so this is the main oxygen cylinder that we'll use to supply oxygen to the outlets that are in the patient compartment of the truck in here we also have some splinting devices and as well as this oxygen lift that is able to help us lift the oxygen new oxygen containers into the truck without us having to yeah i mean those oxygen containers are huge they're heavy so having a lift is really going to save your back you know i'm on the end of my career you're at the beginning of your career you know back in the day we had to lift these and put them in so you know the fact that somebody's coming up with a lift in order to put those in you're going to have a really long career yeah it's very very helpful so what's on beyond that so in here we have just some coolers and some extra trash bags with some cups in them but in this cooler we'll use on a fire scene to supply water for the firefighters in this rear compartment here we have our stair chair this device allows us to put a patient on this and secure them and we'll use these tracks to bring them down a set of stairs in a way that's safest for them and for us we also have a water cannon here which is like a normal fire extinguisher except instead of any kind of fire extinguishing agent other than water this just has water in it so if we show up to anything and there's a small fire that we can handle to try to prevent further spread of the fire we'll be able to use that we also have some basic fire ground tools a set of irons in here and some bolt cutters and a glass master so in case we need to cut a windshield so a stair chair that's designed to help you know bring down people but what are the tracks for do you just put them on it and it goes down by themselves or do you still have the tracks actually extend out they'll come out a little bit and they'll come out at an angle so the chair is actually upright but the tracks are at an angle so you'll just be able to slide them down the stairs how many people does it take to do that uh two at a minimum and then if possible we like to have someone backing up the person on the bottom that way justin god forbid in case there anything so you're not carrying them down the stairs they're literally just rolling down they're rolling down the stairs with our help wow wow that's pretty cool you know and that's made by striker right mm-hmm so we're gonna make our way around the side of the truck here you know we'll cut the back in just a little bit but you got a couple more outside cabinets we do so starting with this rear compartment on the passenger side this is where we'll keep a lot of our movement devices um we have two backboards in here so if we have any patient that we think has any sort of spinal injury we can secure them onto this backboard along with some other things we can also just use the backboards for moving of a patient too and then we can take them off once we get into the angles we also have a reeves litter which is just basically this type of fabric with some boards in there to make it a little bit easier and we can it's a very maneuverable device that we can kind of slide under people to move them up out of cramped spaces we also have a short board here which is able to um pull patients out of areas that are like swimming pools and and stuff like that if if need be and you also have a ken and a scoop yes we do so the scoop stretcher is actually kind of like a backboard except it's not totally flat it's actually curved and it splits in half so if we have somebody that's in a space where we don't have room to get a stretcher or a backboard in we can come in from both sides and kind of literally scoop them up and then put them on the stretcher like a pelvic injury or hip dislocation you don't have to roll them from side to side you're able to use a scoop exactly wow wow very cool what's in the next compartment here um in this compartment we have our straps for the backboard that i just talked about as well as some c collars which are collars that go around your neck so we can prohibit the patients from moving their neck in case we think they have a neck injury okay and your straps you look like you have washable ones and disposable ones yeah we do so these ones will reuse and wash um if if they're used and then these ones will be disposed if we use them okay and you also have spider straps somewhere here yes we do back here all right so as we move forward we're going to decide how you entered the side right yeah so this is the door that we'll use to get in the ambulance and then up front we have this compartment which also once we get inside we'll show you also is accessible from inside the patient compartment so this compartment holds quite a few different things we have firefighters at this station as well obviously so our staff who are fire certified will be able to put their fire gear under here this bag is called the mci bag it contains an mci stands for mass casualty incident it contains supplies to triage patients so what we'll do on an on an incident where we have multiple patients that overwhelms our ability is we'll do what's called triaging which is to determine who is the most critical and then be able to call for additional resources and determine that's got tags tarps triggers tags all that kind of stuff yeah very very good to have you know many times you end up on an auto accident you have you know one person or two people but you can end up with a van yeah and have five six seven people and that's when it's really important to determine who's most critical okay above that you have a lucas right yeah a lucas and an aed so the aed is an automated external defibrillator you'll find these in most common public places like malls and so forth but we also carry them here police officers carry them the fire trucks carry them they're defibrillators so that if someone's heart is in a rhythm that is able to be corrected by electricity the ad will analyze that and determine that that's what needs to be done and it would be that's licensure state of pennsylvania states that every bls item should have an aed on it yep yep and what's a lucas so lucas is a godsend really it's a a device that is basically a cpr machine so we're able to slide a board underneath somebody and then the lucas kind of comes at like a it's shaped in kind of like a ring and then we'll put that over them there's a plunger that comes down over top of their chest and is able to do cpr for us that way we have an extra set of hands that isn't tied up doing cpr right and it actually does a phenomenal job doing cpr it does very good it does 100 beats per minute all the time right depth right right speed the whole nine yards and if the battery it's powered by a battery and if the battery were to die we can also plug it into the wall so i noticed that right above it you actually have extra battery yeah we do we have an extra lucas battery and an extra battery for our stretcher so these trucks are designed to basically be self-contained right so you have power you have air you have electric everything that you need is right in these trucks yeah what's the next thing right next to it this is a portable suction unit and we also have one of these that's integrated into the patient compartment as well but this is something that we can bring into our house so if somebody has anything in their airway that needs to be removed that is able to be suctioned out such as secretions blood or anything like that we'll be able to remove it now we just did the outside of this truck you have a lot of equipment here that is electric and that kind of stuff how often do you check this kind of equipment we will check it when we each crew comes in for their shift every day okay so it's up and ready to go it's checked at a minimum of twice a day all right let's take a look on the inside all right so now we're making our way into the ambulance and uh you got a lot of equipment in here also right yes we do so this is set up as a bls type ambulance meaning basic life support so you don't have a whole lot of medications and stuff like that you have some medications but not a whole als cabinet kind of full right right we'll have basic medications like aspirin we also have oral glucose now recently have acquired a but albuterol okay um to treat respiratory patients and narcan yep and narcan but anything further than that we we'll have a paramedic with us to help us out okay but this ambulance is set up to handle pretty much any life-threatening emergency right yeah so you have all the equipment that's needed to handle anything from delivering babies to resuscitating a cardiac arrest yep okay any time we'll have a an als call or a critical patient the paramedic will just come in their own vehicle and they'll get in our ambulance and we'll take them from there okay so they bring their own little jump box yep and monitor that yeah all right so in this ambulance what how is it set up here what's to my right here so to your right there is our airway supplies and suction supplies so we have nasal cannulas which are those nasal prongs that you'll see okay we have oxygen masks and we have what's called the cpap which stands for continuous positive airway pressure okay as a bls service you're allowed you don't run cpap yes we are so we'll use that in the event that somebody is in respiratory distress that's so severe that they can't that a normal oxygen mask won't be sufficient okay we also have suction supplies so the suction unit that i told you about in here yep we also have right here and so we'll be able to hook up tubing to that and it's kind of like a vacuum that we'll be able to use from there okay so you've got pediatric and adult sizes yeah i mean look how small those little things are yeah we have uh all the way up from infants and newborns to full-grown adults okay okay you also have a but the bvms back here yep in case in the event that somebody's respirations aren't adequate or they've stopped breathing altogether we'll be able to use that to supplement their breathing a nice way to design this right here at the head where the airway is right you got it right here to your to your right so what's this compartment what's this all designed for so that's the control panel we have the temperature settings as well as the lights in the back we can also see how much oxygen we have left as well as the inverter so if we want power to the electrical outlets we'll be able to turn that on from there okay okay as we make our way around you mentioned the suction unit that was here uh what's in the lower cabinet in the corner there uh down here we have our ppe so we'll have infection control stuff like gowns tyvek suits and stuff like that in case we need to isolate ourselves from any okay and this seat is called a cpr seat right yes so that is where the person would traditionally be there doing cpr um nowadays like i said we have the lucas so normally that wouldn't be used for that but it's just a better access point for patient care we also have these harnesses on all of the seats okay which allow us to be fully strapped in and they extend so that we don't have to take our seat belt off whenever we want to reach for the piece safety is definitely important here okay in the back corner cabinets we have so in the back corner cabinets we have a bunch of different types of bandages as well as ice packs sterile water we have large bandages cling wrap we have different types of splints as well as bandages for if somebody had like a chest wound or something like that we also have an extra cervical collar in there as well okay so you don't have to necessarily get to the outside cabinet if all sudden during your assessment change starts complaining of neck pain you have access right here on the top that way we don't have to pull over and get it done way to be forward thinking i also noticed that that one box says ob kit yeah so that is in the event that we have to deliver a baby um that has all the supplies that we'll need in there to do so so you know a lot of our people that are viewing this may not be emts or paramedics or even in the ems field right bls providers can deliver babies yes we can and actually it's a bls skill in the state of pennsylvania bls providers are able to deliver babies a lot of times you'll have it as an als call however bls providers can do it all right very cool and above your head above my head we have um more ppe for us the same that's in that compartment down there we have gloves face shields um other isolation equipment to keep us safe and you have a radio so you can communicate yeah so this is the same radio that's up in the front of the cab we're able to use this to talk to the county and get all the information that we need to make status changes and whatnot we can also radio to all the hospitals that we're going to and let them know that we're on the way okay so you don't necessarily if you don't have cell phone service you can use an 800 look at her radio exactly now you know one of the things that we had is you know using all the space available i noticed you have latches underneath both seats are there stuff stored underneath there yes there is so under these seats we have different types of splints that wouldn't necessarily fit in the outside compartments okay here we have a traction splint which is a device that we'll be able to use if someone has a femur fracture will be able to pull traction on it to relieve their pain and straighten out the bone in their leg okay i also underneath that was a girdle of some sort or a sling under here we have the pelvic sling and this is in the event that someone might have a pelvic fracture or some sort of pelvic injury we'll be able to kind of look quite literally sling their their pelvis and keep it stable enough until we get to the hospital we also have this emergency blanket with our foam blanket we call it emergency blanket uh we'll use it to drape over the stretcher if we're out in inclement weather okay okay now you got long boards short boards all kinds of yeah and then behind that we have long boards they're basically just kind of another form of splinting they're long like two by fours and so forth that we'll be able to use to put on somebody's extremity that has a injury and those are those are padded board splints for patient use and do you leave those at the hospital or do you wash them do you reuse them how does that work if the hospital needs them to stay on for some reason we'll leave them there but normally we'll just wash them and put them back into service okay and underneath the seat is under here we have an extra pillow and a urinal in the event that that needs to happen this is for licensure yes not too often are we going to use the bedpan really but but uh state of pennsylvania requires you to have this on truck right uh regardless if you're a transport or you know 911 service you have to have those even the pillow the pillows even on that licensure as well which but we'll provide that anyway just because it's more comfortable okay and the biggest piece of equipment is the stretcher yep so on the stretcher right now we have our first in bag so we keep this on the stretcher because it comes with us into every call basically it's an extension of what we have in the patient compartment it just has all the supplies that we'll use basically on every call so blood pressure cuffs a stethoscope we have pulse oxes which measures the person's pulse as well as the hemoglobin that's in their blood or the oxygen that's attaching to the hemoglobin in their blood we also have a spare oxygen cylinder as well as different airway supplies basically the same that what we had in the airway okay so you have bandages you have your bvm you have everything that goes on so you know i fall down go boom right you're ready to go right here if you're having chest pains boom you're ready right here you bring it right in so but this stretcher is a unique kind of stretcher right because this is a this is a power structure nowadays not everybody gets power structure yeah we're very lucky to have them so what will do what will happen is uh we'll pull the patient out normally it'll be either one or two of us on the end of the stretcher holding it up and then the legs are actually automated so they'll come down um and be able to lift the stretcher can actually lift up to 700 pounds wow on its own um and it's very maneuverable we can lift the legs we can lift the head we can put these side rails down and back up so it's uh and this ain't cheap either is it no it's not yeah it's a very versatile piece of equipment and it's absolutely necessary for us okay i noticed that even in a vls truck you have sharp containers and trash cans and everything like that even though you're not carrying any sharks are you uh we do have ones set of sharps you could say we have um the ability to obtain people's blood sugar levels okay and in that we have little um landsats that will be able to prick somebody's finger and that will go in the sharps container but normally that's used for when we have a paramedic with us and they'll start an iv or whatever and they'll put their sharp so you know working with als and bls even though you are a bls unit and that's what high e primary function you guys were able to think outside the box and say hey we're going to have als patients in here let's also take care of them right very cool forward thinking all right let's do his favorite let's bring this stretcher out and take a look at this a little bit better sure all right so let's take this stretcher out and see what this stretch is all about don't wow that's pretty cool so our ambulance actually has liquid air suspension so that when we open the back doors the rear suspension of the truck actually lowers so it's easier for us to remove the stretcher it seems like you guys thought of pretty much everything yeah we try go ahead connie so as i explained the legs are automated they'll come down and this is a huge help for us especially not necessarily with patients that would be considered overweight just any patient cause right lifting up any person is a strenuous activity well you're thinking i hate to use the term dead weight but they're on a stretcher they're not moving they're not helping you you pretty much got to pick them up so how many guys do you normally run on track you run two per truck right yep there's a minimum of two people both emts and um usually that's plenty for us to operate the stretcher and move people but in case we ever need any more help we can always call for the fire department or someone else to help us and this goes down power too or yep it'll go all the way down we can lift the head up like that we can lift the legs up it's very maneuverable it's very versatile the rear these rear bars actually push in in case we're in a tight spot within somebody's residence and we can't get around a wall or a corner this these bars move in and out like that one of the things i've noticed in my career is that the elevators and some of these older buildings hardly ever fit stretchers anymore so that's when we'll use that the most is getting into elevators that this won't fit in right right wow awesome piece of machinery uh you know using hydraulics is gonna you know extend your guys to service definitely that pretty much concludes the vehicle tour here at keystone valley and uh you know if you guys are interested in you know checking it out please come down talk to these guys tommy's a great guy he's got a lot of knowledge to give you more information you know maybe even volunteer so thank you for watching once again do me a favor hit that subscribe button hit that notification and look 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Channel: Heroes Next Door

Views: 414,072

Keywords: whats inside, $200000, 200k, ambulance, ford f450, 4x4, type 1, bls, als, keystone valley, fire department, parkesburg pa, paramedic, medic, emt, ems, emergency medicine, vehicle tour, station rigs, tour, test drive, heroes next door, heroes next door stories, heros

Id: d1wmuYytlpE

Length: 20min 55sec (1255 seconds)

Published: Wed Oct 07 2020