GOVERNMENT OF NATIONAL CAPITAL TERRITORY OF DELHI (HEALTH & FAMILY WELFARE DEPARTMENT) ROOM No.

905,9th FLOOR, A WING, DELHI SECRETARIAT, NEW DELHI

Registration of Ambulances
The Committee of Health and Family Welfare department of NCT of Delhi for certification of vehicles for registration as Ambulances has approved the amendments in the guidelines/policy on the subject matter after duly considering the suggestions/comments from general public/NGOs/institutions etc. on the proposed amendments. The following will be the norms for vehicles to be certified / registered as different type of Ambulances:DEFINITIONS. A. Advanced Life Support Ambulance:

Ambulance is capable of providing treatment of life-threatening medical emergencies through the use of techniques such as endo- tracheal intubations, administration of drugs or intravenous fluids, cardiac monitoring, and electrical therapy by a qualified person. B. Basic Life Support Ambulance: is capable of providing basic life support to the patients.

Ambulance C.

Patient Transport Ambulance:

A vehicle that is used for making non emergency calls such as scheduled visits to a physician's office for treatment, routine physical examinations, x-rays or laboratory tests, or is used for transporting patients upon discharge from a hospital or nursing home to a hospital or nursing home or residence, or attending to other non emergency calls. Services and transportation is provided to a patient whose condition is considered stable. A stable patient is one whose condition can be expected to remain the same throughout the transport and for whom none of the criteria for emergency transport has been met. These patient transport ambulances are not usually (although there are exceptions) equipped with life-support equipment, and are usually crewed by staff with fewer qualifications than the crew of emergency ambulances. Their purpose is simply to transport patients to, from or between places of treatment. These can be vans, buses or other vehicles.

Ambulance Design and Equipment
Essentially Design and Equipment of Advanced life support ambulance and Basic life support ambulance will be similar. The differences are in the medical equipments and staff available in the Ambulance.

The word "AMBULANCE". not less than 15 cm in height. shall be in mirror image (reverse reading) for mirror identification by drivers ahead. Color: There shall be no restrictions concerning the painted color of the ambulance. B. d. Front: The word "AMBULANCE". all emblems and markings must be removed. 2. C. Interior Patient Compartment Dimensions: 1. There shall be a continuous blue stripe. Prior to private sale of ambulance vehicles to the public. The name of the licensee as stated on their provider's license shall be of lettering not less than 8 cm in height. 3. 1. with a blue "Star of Life". Rear: The word "AMBULANCE". Emblems and markings shall be of the type. Emblems and Markings: All items in this section shall be of reflective quality and in contrasting color to the exterior painted surface of the ambulance. size and location as follows: a. of not less than 8cm on cab and 15 cm on patient compartment. 2. minimum of 10 cm in height. Minimum Patient Compartment Width: 1500 mm. Minimum Patient Compartment Length: 2700 mm. to encircle the entire ambulance with the exclusion of the hood panel." If vehicle design permits. Minimum Patient Compartment Height: 1500 mm from floor to ceiling. shall be under or beside each star. 3. and two blue "Star of Life" emblems of not less than 30 cm in height. there shall be a blue "Star of Life" of no less than 30 cm in height on the front section of the patient compartment. Top (roof): There shall be a blue "Star of Life" of not less than 60 cm in height as well as the individual provider's ambulance number (example: unit "23") of not less than 30 cm in height. b. c. . Side: Each side of the patient compartment shall have the blue "Star of Life" not less than 30 cm in height. not less than 15 cm in height.Advanced Life Support Ambulance A. minimum of 8cm height. to the left and right of the word "AMBULANCE.

IV Lines 1. padded ankle hitch. rigid pharyngeal curved suction tip. Airways 9. operable in cold weather) Magill’s forceps. traction strap (adult and child sizes) To immobilize one Joint-above and joint below fracture (adult and child sizes). Tonsillar and flexible suction catheters. rigid-support appropriate material (cardboard. Cervical collars B Monitoring And Defibrillation Infusions Immobilization Devices C D 2. vacuum. Syringe Pump 2. and other available sizes) Firm padding or commercial device Lower extremity. or plastic) 4. self-re. valve (clear. Lower extremity traction devices Rigid for children ages 2 years or older. transparent. Automatic external defibrillator 2. AMBU Resuscitation Bags: Adult & Paed. medium. Portable& Fixed Oxygen equipment with key wrench & trolley 4. 7. Oxygen administration equipment Wide-bore tubing. non-rebreathing. child. Oxygen saturation monitor with different probes for adult and child 1. child. pneumatic. and infant sizes) 5. and infant sizes). infant. disposable.. Head immobilization device (not sandbags) 3. and infant sizes) Hand operated. End Tidal CO2 Monitor 1. child. Laryngoscope blades & other accessories. infant. Intubation equipments. Multi parameter monitor 3. metal. Portable suction apparatus 3.nasal cannulas (adult. Transport Ventilator 2. wood. clear mask (adult. and neonate sizes). endotracheal tubes& connecting tubes etc. 5 F-14F Variable flow regulator Adequate length tubing’ mask (adult. with oxygen reservoir/accumulator. child. Upper and lower extremity immobilization devices . large. limb-support slings. Nasopharyngeal. Pocket mask with one-way valve 6. Venturi. child. and adult sizes (small.Essential Medical Equipment and other items to be placed on Ambulance Head of Equipment A Group of equipment Name of Items / Equipments Details Ventilation and Airway Equipment 1. 8. and valveless.expanding bag (adult and infant sizes). padded pelvic support. Oropharyngeal (adult.

Pneumatic Splints Two-way radio communication (UHS. sterile scissors or other cutting utensil. Obstetrical Kit * 1. pediatric. sterile gloves. or appropriate heat-reflective material (enough to cover newborn) 3.5. long (transport. clamps for cord. and adult regular. air bags) for patient. bulb suction. Digital Thermometer 4. dispatcher. Child safety restraints. crew and family members 2. Traffic signaling devices (reflective material triangles or other reflective. Appropriate heat source for ambulance compartment. 4”x4” dressing. Thermal absorbent blanket and head cover. and boots 5. Injury Prevention Equipment 2. Flashlights (2) with extra batteries and bulbs. short) and extrication device E. Stretchers & Splints Communication F. head-topelvis length). head to feet). hand holds for moving patients. Heavy duty scissors for cutting clothing. Fire extinguisher 4. non-igniting devices) * = OPTIONAL . VHF) between EMT. blanket H. large and extra large) 2. 1. Miscellaneous I. Radio lucent backboards (long. short (extrication. 1. belts. aluminum foil roll. Sphygmomanometer (infant. (separate sterile kit) Joint-above and joint-below fracture site (chin strap alone should not be used for head immobilization). with at least 3 appropriate restraint straps Baby receiving tray with warmer Towels. Collapsible chair cum trolley stretcher 2. adult and child sizes. with padding for children. and medical direction (physician) OR Cellular phone 1. umbilical tape. Appropriate restraints (seat belts. 3. G. Spine Board 3. Stethoscope (pediatric and adult) 3.

Teeth guard Sample collection kits 36. 11. Needles Syringes ABG ( 2 & 5 ml) Three way stop cork Extension I/V lines Disposable suction pumps ECG electrodes Lighted Stylets of different sizes Guedel’s airway 00-5. 19. 28.V.00.LIST OF CONSUMABLE ITEMS S. 24. 27. 18. 16. Combitube. 5. facemask with nebulizer Pressure Infusion Bags Rightangled Shivel Connector G. 20. 35. 9. 13. 37. 21.No. 40. 25. 26. Name of the item Cotton Bandage (a) 15cm (b) 10cm (c) 6cm Savlon Betadine Leucoplast Pain Spray Mistdress Spray Vinodine Spray Coolex Spray Face Mask (Disposable) Surgical Gloves LMA disposable Wide bore needles Disposable L. 44. etc. 8. 32. 7. 31. 22.3. 30.P. 43. 42.V. Paint I.2.0. 14. 4. 15. 10. 29. 34. 38.4. 6. Fluids Micro drip-set & Drip-set Nasogastric Tubes Burn Pack : Standard package.1. 3. clean burn sheets (or towels for children) Triangular bandages ( Minimum 2 safety pins each) Dressings : Sterile multi-trauma dressings (various large and small sizes) ABDs. etc. 10”x12” or larger 4”x4” gauze sponges Cotton Rolls Gauze rolls Sterile (various sizes) Elastic bandages Non-sterile (various sizes) Occlusive dressing Sterile. 41. COPA Tracheostomy tube cuff & Plain (all sizes) Mini Tracheostomy kit Ventimask. 12. 2. 39. Disposable bags for vomiting. 17. 1. 33.5 Nasal airways(all sizes) & catheters Binasal Cannula. 23. . 3”x8” or larger Adhesive tape : Various sizes (including 2” or 3”) Adhesive tape ( hypoallergenic) : Various sizes (including 2” or 3”) Cold packs Waste bin for sharp needles.

Frusemide Inj. 9. Noradrenaline Inj. 30.B (iii) LIST OF EMERGENCY DRUGS 1. Deriphyllin Inj. 7. 2. 28. 26. 6. Paracetamol (Thirty Two items only) . 25. 3. Phenytoin sodium Inj. Atroine Inj. 23. 10. Pethidine Inj. 15. 8. 32. Ampule Activated charcoal Inj. 21. Naloxone HC1 Inj. 17. Noradrenaline bititrate 4mg. Fentanyl Bacteriostatic water for Injection Inj. Dobutamine Inj. Magnesium sulphate 25% 2ml. Lignocaine 2% Inj. Adrenaline Inj. Hydrocortisone Inhaler Beclomethasone (250 micro/dose) Inhaler Salbutamol (200 micrograms) Inj. Mannitol 20 % Inj. 12. 11. 4. 5. Inj. 14. 24. 27. Morphine/Inj. 22. 31. Calcium Carbonate Inj. KC1 Inj. Diazepam/Midazolam Inj. 19. 13. Sodium Valporate Inj. Ondansetrone Inj. Metochlorpropamide Inj. 29. Amiadarone (50 mg/ml) Inj. Sodium Bicarbonate Inj. 16. 20. Inj. Nitroglycerine Inj. 18. 2 ml. Avil Inj. Voveran Inj. Dopamine Inj.

shall be under or beside each star. Front: The word "AMBULANCE". . 3. there shall be a green "Star of Life" of no less than 30 cm in height on the front section of the patient compartment. c. Rear: The word "AMBULANCE". d. Top (roof): There shall be a green "Star of Life" of not less than 60 cm in height as well as the individual provider's ambulance number (example: unit "23") of not less than 30 cm in height. with a green "Star of Life"." If vehicle design permits. minimum of 8 cm height. Color: There shall be no restrictions concerning the painted color of the ambulance.Basic Life Support Ambulances A. Emblems and markings shall be of the type. Side: Each side of the patient compartment shall have the green "Star of Life" not less than 30 cm in height. 2. and two green "Star of Life" emblems of not less than 30 cm in height. b. B. The word "AMBULANCE". of not less than 8 cm on cab and 15 cm on patient compartment. The name of the licensee as stated on their provider's license shall be of lettering not less than 8 cm in height. shall be in mirror image (reverse reading) for mirror identification by drivers ahead. to the left and right of the word "AMBULANCE. 3. Minimum Patient Compartment Length: 2700 mm. There shall be a continuous green stripe. Inner Dimensions of the ambulance: 1. 2. Minimum Patient Compartment Height: 1500 mm from floor to ceiling. not less than 15 cm in height. to encircle the entire ambulance with the exclusion of the hood panel. Prior to private sale of ambulance vehicles to the public. size and location as follows: a. not less than 15 cm in height. minimum of 10 cm in height. all emblems and markings must be removed. Emblems and Markings: All items in this section shall be of reflective quality and in contrasting color to the exterior painted surface of the ambulance. Minimum Patient Compartment Width: 1500 mm. 1.

2. One secondary patient transport stretcher. age and weight appropriate. 2. Minimum 2 each. 16 fr. with wide bore tubing and at least a six ounce reservoir. Minimum of two stretchers. B. 1. Suction Devices. 18 fr. One multilevel. complete suction aspiration system.Patient cabin should have following features: Properly ventilated patient cabin Whether vehicle has reinforced suspension system for providing to patient a comfortable ride. Siren and beacon as per approved norms of Government with at least 3 flashers on both sides of ambulance. wheeled stretcher with elevating back. Tail lights and the power requirements of Medical equipments etc. 8 fr. 10 fr. 1. Equipment to be placed on BLS Ambulance: All ambulances will be required to be equipped with. An engine vacuum operated or electrically powered. 3. with a minimum of two patient restraining straps. Yankaur) will also be carried. A manual suction device. aluminum frame. Sizes 6 fr. Two patient restraining straps (chest and thigh) minimum. shall be installed permanently on board to provide for the primary patient. at-least one attendant and two paramedics Complete flooring free of joints suitable for easy cleaning / scientific fumigation and treatment with disinfectants. . Two(at-least) superior quality Fans and sufficient Lighting arrangement Storage space for keeping Medical equipments and consumables required. It shall have wide bore tubing. folding stretcher. elevating. Adequate Patient Cabin space for patient (in comfortable position). Minimum acceptable stretcher is vinyl covered. A rigid suction catheter (e.g. free from external noise Adequate power supply arrangements including power backup for support power requirements of the Head lights. at least two inches wide shall be provided. There must be an assortment of suction catheters (minimum of 2 each) on board. but not limited to the following: A.

Valves must operate in all weather and unit must be equipped to be capable of delivering 90-100% oxygen to the patient. 1. Child 5. Portable oxygen equipment: Minimum one 360 Liter capacity oxygen cylinder. when the vehicle is in motion. individually wrapped. F. Valves must operate in all weather and unit must be equipped to be capable of delivering 90-100% oxygen to the patient. 2. All airways shall be clean and individually wrapped. Large adult 2. 3.3. One infant.adult. The following sized masks will be carried aboard all permitted ambulances to be used in conjunction with the ventilation units above. hand-operated. Must include safety pop-off mechanism with override capability.1. adult 3.5. D. non-rebreather masks and cannulas in adult and pediatric sizes shall be provided (3 each). Nonmetallic Oropharyngeal (Berman type)/ Nasopharyngeal Airways . all oxygen cylinders shall be readily accessible and securely stored. Infant E. Additionally.4. Single use. Valves must operate in all weather. 2. capable of storing and supplying a minimum of 2400 liters of humidified medical oxygen. . "S" tube type airways may not be substituted for Berman type airways. Must include safety pop off mechanism with override capability. child and infant sizes. Med. 1. hand-operated. 0. 4. Oxygen Equipment.2. Either the disposable or non-disposable types are acceptable. Permanent On-Board Oxygen Equipment: The ambulance shall have a hospital type piped oxygen system. Bag Mask Ventilation Units. One adult. One pediatric. Masks must be clear. Liter flow gauges shall be non-gravity. hand-operated. Large child 4. and unit must be equipped to be capable of delivering 90-100% oxygen to the patient.C. 1. dependent (Bourdon Gauge) type. 3.

at least 16 inches by 72 inches constructed of three-quarter inch plyboard or equivalent material and having at least three quarter inch runners on each side for lifting with appropriate straps. G. sterile. The kit shall contain gloves. two inches by nine foot patient restraint straps. dressings. . Obstetrical kit. Wooden splints O. Five each triangular bandages. Twelve sterile dressings (minimum size 5 inches x 9 inches ). sterile. commercially available or towel/blanket rolls. board must be designed so handholds are accessible even with gloves on. Twelve each bandages. M. Thirty-six each sterile gauze pads 4 inches x 4 inches . two and three inches wide. A "no smoking" sign will be prominently displayed in the patient compartment. Bandages must be individually wrapped or in clean containers. P. hypoallergenic.(Clean and individually wrapped). K. 3. minimum three inches by five yards. S. self-adhering type. Three. two. A minimum of four commercial sterile occlusive dressings. 2. umbilical cord clamps or tapes. child. medium adult and large adult sizes. H. bulb syringe and a receiving blanket for delivery of infant. four inches by four inches. If not equipped with runners. Pneumatic splints set of six with carrying case 2. Cervical collars to accommodate the infant. Spinal immobilization devices: 1.4. Bandage shears. Bite sticks commercially made. R. Q. Collars must be manufactured of semi-rigid or rigid material. N. towels. L. perinatal pad. J. I. Adhesive Tape. Two blankets. large size. 4. Spine board. Burn sheets. scissors or surgical blades. Head immobilization device. Splints: 1. one.

1. At the option of the medical control the following equipment may be added: 1. two pair for each crewmember. both pediatric and adult (non mercurial type). Blood pressure manometer. adult. AA. W. Magill’s Forceps. CO2 or dry chemical or type ABC. masks. Working gloves. Pediatric. 1. Stethoscopes. a #2 curved blade will be carried. two-D-cell or six volt lanterns.). 3. Combitube. Blood pressure set. gowns and eye shields). Infant sizes shall be 0. CC. U. Minimum of 1000 cc of sterile water or normal saline solution for irrigation. sizes to be from 2. Z. Protective head gear and eye protection devices (minimum two each) must be carried on each ambulance.0 with at least one of each size available. Minimum of one fire extinguisher. Adult. Bedpan and urinal. An intubation stylette sized for the neonate patient shall also be available (6 fr. 4. Dual Lumen or LMA airways. minimum size. portable. cuff and stethoscope. DD. X. 5.) BB. Personal protective equipment (gloves. Y. Laryngoscope blades.D. 2. age and weight appropriate. 2. In addition. Six disposable endotracheal tubes.T. . Two dependable flashlights /emergency light or electric lanterns. Automatic External Defibrillator (A.5-9. Laryngoscope handle with batteries. Emesis basin or commercially available emesis container. COPA. child and infant sizes.2 (straight). V.E.

Wrecking Bar. Minimum Compartment width: 3. Siren and beacon will be as per provisions under Central Motor Vehicle Rules under Motor Vehicles Act.Minimum Ambulance Rescue Equipment The following additional items will be carried by each ALS and BLS ambulance: A. on each side of the ambulance. Interior Patient space dimensions: 1600 mm 940 mm 1000 mm 1. One axe. with pinch point. Hammer. D. one four pound with 15 inch handle. B. C. B. Medical Equipments to be places in Patient Transport Ambulance: 1. Emblems and Markings: There shall be No "Star of Life". 4. Minimum Compartment Height: D. Minimum Compartment Length: 2. Convalescent transport units may not have any emergency markings. Patient Transport Ambulance Design and Equipment of Patient Transport Ambulance may be different and fewer medical equipments available in the ambulance. but shall display the words "Patient transport Ambulances” and the name of the licensee in letters a minimum of 8 cm in height. Resuscitation kit First aid box Ambu Bag set Oropharyngeal airways Oxygen cylinder and accessories . E. Crowbar. C. Color: There shall be no restrictions concerning the painted color of the ambulance. A. 2. minimum 48 inches. Standard Safety features such as Belts for Drivers and Attendants. 3. minimum 24-inch (bar and two preceding items can either be separate or combined as a forcible entry tool).

if it is found that the certified ambulance is not adhering to standards/guidelines made applicable from time to time. the Committee can withdraw the certification at any point of time. During the validity of the certificate. (6) All the equipment should be in working condition. (3) Ambulances certified by the Committee shall have to obtain fitness certificate and get the same renewed as per time schedules prescribed under Central Motor Vehicle Act and Rules there-under from the Transport Department. it is found that that equipment placed on the ambulance is not in working condition. and therefore are requested to abide by these as prescribed from time to time. GNCT of Delhi. If. (2) The Certificate shall be valid for a period of five years from the date of issue.IMPORTANT TO NOTE The applicant shall note that:(1) The guidelines will be applicable only for registration of new ambulances. (4) The applicant shall have to get certificate revalidated on expiry of the validity of the certificate. the certificate issued by the Committee shall be withdrawn. The guidelines/conditions and standards are determined by the expert committee in the interest of the patient care. at any point of time. (5) However. Ambulances already registered need not apply to the Committee. the Committee shall have the right to inspect/check ambulance(s) for ensuring compliance of the guidelines and cancel/withdraw the certificate in case of violation of guidelines/amendments/additions thereto which may be issued from time to time. .

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