Ambulance Norms and Standards April 2021 19.05.2021 0

Emergency Medical Services Department
National Norms and Standards For

Ambulance Services In
Uganda
April, 2021
1
@ Uganda Ministry of Health 2021
This material may be freely used for non-commercial purposes as long as the Ministry of Health
is acknowledged.
The Ministry of Health welcomes feedback and comments from both users and experts in
Emergency Medical Services. Please address this to:
The Director General Health Services
Attn:
Commissioner Health Services, Emergency Medical Services
Ministry of Health P.O Box 7272 Kampala, Uganda
2
Table of contents
Forward.......................................................................................................................................... iii
Acknowledgement.......................................................................................................................... iv
Minimum Norms and Standards of Ambulance Services................................................................1
1.0 Definitions................................................................................................................................. 2
2.0 Minimum Norms and Standards................................................................................................2
General Requirements for all Road ambulance vehicles................................................................. 3
3.0 Type B (Basic Life Support) Ambulance.................................................................................. 3
3.1 Specific Requirements............................................................................................................... 3
3.1.1 Ambulance Motor Vehicle Mechanical requirements............................................................ 3
3.1.1.1 Technical Specification required including applicable standards........................................3
3.1.1.2 Openings (Patient compartment, doors, windows, emergency exits)..................................6
3.1.1.3 Recognition..........................................................................................................................7
3.1.2 Medical equipment requirements........................................................................................... 9
3.2 Personnel..................................................................................................................................12
4.0 Type C (Advanced Life Support) Ambulance.........................................................................12
4.1 Specific Requirements............................................................................................................. 12
4.1.1 Ambulance Motor Vehicle requirements..............................................................................12
4.1.1 Ambulance Motor Vehicle Mechanical requirements.......................................................... 12
4.1.1.1 Technical Specification required including applicable standards......................................12
4.1.1.2 Openings (Patient compartment, doors, windows, emergency exits)................................15
4.1.1.3 Recognition........................................................................................................................17
4.1.2 Medical equipment requirements......................................................................................... 18
4.2 Personnel..................................................................................................................................22
5.0 Boat Ambulance, Type B........................................................................................................ 22
5.1 Specifications for the Vessel.............................................................................................. 22
5.1.1 Basic Dimensions................................................................................................................. 22
5.1.2 Standard Vessel Features......................................................................................................23
5.1.3 Vessel Recognition Specifications....................................................................................... 24
5.1.4 Other Specifications..............................................................................................................25
5.2 Medical Equipment Specifications..................................................................................... 26
5.3 Personnel.............................................................................................................................29
6.0 Boat Ambulance, Type C........................................................................................................ 29
6.1 Specifications for the Vessel................................................................................................... 29
i
6.1.1 Basic Dimensions................................................................................................................. 29
6.1.2 Standard Vessel Features......................................................................................................30
6.1.3 Vessel Recognition Specifications....................................................................................... 31
6.1.4 Other Specifications..............................................................................................................32
6.2 Medical Equipment Specifications.......................................................................................... 33
6.2 Personnel.............................................................................................................................36
7.0 Aeromedical Ambulance......................................................................................................... 37
8.0 Medical Response Vehicle...................................................................................................... 37
9.0 Medical Rescue Vehicle.......................................................................................................... 37
10.0 Annex.....................................................................................................................................37
ii
Forward
Emergency Medical services includes 3 areas of response that is Scene, transportation and
health facility level. The Ambulance vehicles lie in the second area of response ie transportation.
As a country Uganda, has had unregulated, uncoordinated and substandard ambulance vehicles
due to inadequate policy guidance. The Traffic and Road safety Act, 1998 amended 2020, has
specified ambulance vehicles as special vehicles that have a right of way and can be driven
against traffic regulations. In order to ensure proper use of this privileged ambulance status and
minimize on abuse, the Ministry of Health has come up with the Uganda National Ambulance
norms and Standards, 2021.
Norms and Standards in health care help to shape behaviour and to ensure quality service
delivery.
The Ambulance Norms and Standards shall be given a status of National Standard by a Statutory
instrument gazette.This book of ambulance norms and standards shall be used to guide the key
stakeholders in procurement and use of ambulance vehicles.
The document has been prepared under the mandate of the Ministry of Health Department of
Emergency Medical Services and in fulfillment of the EMS Policy, Strategic plan and
regulations of the Traffic and Road safety Act 2020 (as amended).
This norms and Standards cover the Road Ambulance vehicles and the Boat ambulance Vehicles.
I call upon all government entities and the private sector to embrace this National Ambulance
Norms and Standards in order to ensure harmony and quality in the National Ambulance Service.
Thank you
Hon Dr Jane Ruth Aceng Ocero

Minister of Health Uganda
iii
Acknowledgement
The Ambulance Norms and Standards booklet is as a result of enormous effort by a large team of
people and we are grateful to each of them. We could not have produced it without the help of a
fantastic team in the Department of Emergency Medical Services that included Dr JB Waniaye
Nambohe, Dr Joseph Oumo, Dr Kalanzi Joseph, Ms Maria Nkalubo, Mr Takan Charles, Dr A.
Alenyo and Mr William Byaruhanga. Thanks to Dr Joseph Oumo for the first draft that was
reviewed by Dr JBW Nambohe and Dr Annette Alenyo.
Special appreciation goes to Dr Olaro Charles, the Director Curative Services and Dr Henry
Mwebesa for always guiding the writing team. We thank Dr Diana Atwine (the PS) for the
document review, financial and material support to the team.
We thank Dr Jane Ruth A. Ocero, the Hon Minister of Health for taking off time on her busy
schedule to proof read and guide the team with written comments.
We further thank the EMS task force for their review and commentary to the document. MOH
department of Engineering specifically Engineer JP Ssempebwa, Security agencies and Ministry
of Works Maritime department are appreciated.`We thank Mr Brian Luswata for his legal advice
and the MOH technical working team, Senior Management Committee and Top management
Committee for the approval of the Ambulance norms and Standards.
Finally, I thank the development Partners, CSOs, Ministries, departments and Agencies that
contributed to this document.
We thank Malteser International and KOFIH for sponsoring the technical team lead by Dr JB
Waniaye that did the benchmarking in Germany and Republic of South Korea that has informed
the development of this norms and standards.
We recognize the references from the Standards of Ambulance vehicles for the European Union,
the Republic of South Africa (Prof L. Wallis and Dr Shaheem DeVries) and the Republic of
South Korea (KOFIH). I appreciate all contributors as listed.
Dr Henry G Mwebesa
Director General of Health Services MOH
iv
Contributors:
Ministry of Health: Dr H Mwebesa, Dr Olaro charles, Dr JBW Nambohe, Dr J Oumo, Ms
Maria Nkalubo, Dr Annette Alenyo, Engineer JP Ssempebwa, Takan Charles, W. Byaruhanga,
Brian Luswata WHO: Dr Bodo, Malteser international: Mr Hosana Adisu, Laurent, KOFIH:
Mr Kim Bouggiou, Mr Pritchard , Simon E Waiswa, Seed Global Health: Dr Bonaventure A,
Dr A Alenyo ECSU: Dr J Kalanzi, Dr Prisca Kizito, NACME Dr R Byanyima, Dr Tendo, Mr P
Ogwang, Eng Levi K,
1
Minimum Norms and Standards of Ambulance Services
The implementation of the Health Sector Development Plan (HSDP) as well as strategy for
improving Health Service Delivery 2016 – 2021 emphasize the need to establish functional
Emergency Medical Services in Uganda. Thus, the ambulance norms and standards in the
country as set out to contribute to the delivery of quality emergency medical services (EMS).
1.0 Definitions
In this Schedule, unless the context indicates otherwise, a word or expression defined in the
National Emergency Medical Services Policy 2019 and Strategic Plan 2018/19 – 2024/15 has the
meaning as so defined.
2.0 Minimum Norms and Standards

The following minimum norms and standards of ambulance services incorporate the vehicle, the
minimum equipment at the various category levels and the personnel qualifications at the various
category and functional levels:
(a) Type A ambulance – Patient transport ambulance
(b) Type B ambulance - Emergency care/ Basic-life-support ambulance
(c) Type C Ambulance - Mobile Intensive Unit/ Advanced-life-support ambulance
(d) Medical response vehicle – Non-patient transport vehicle that transports highly skilled
emergency responders to support emergency medical services field staff.
(e) Medical rescue vehicle – Emergency vehicle equipped for rescue missions and is managed by
Uganda Police Fire and Rescue Department.
(f) Specialized ambulances
I. Boat ambulance – Water ambulance equipped for Emergency Medical Services (EMS)
II. Aeromedical ambulance – Helicopter or aeroplane equipped for EMS
III. Neonatal Ambulance – Specially equipped for Neonates
(g) Other patient carrying means/ units
I. Motor cycle patient transport unit – For transportation of urgent but stable patients to
hospital
2
II. Bicycle patient transport unit – For transportation of urgent but stable patients to hospital
III. Stretchers – these are used in mountainous/highland areas not accessible by vehicle of
motor cycle/ bicycle patient transport unit to transfer patient to accessible road or nearby
health unit.
General Requirements for all Road ambulance vehicles

 Road and Water ambulances shall be operated according to this standards
 Ambulance Equipment when operated in normal use and maintained according to standard
shall cause no safety hazards.
 The maximum overall dimensions shall be based on the type and class of Ambulance (Height,
Length and width)
 Vehicle Converters shall maintain the minimum wheel arch clearance specified by the
Chassis manufacturer.
 An original equipment manufacturer’s anti-lock braking system shall be fitted.
 The vehicle should be fitted with a control system for stabilization and a passive safety
system.
 The vehicle shall be fitted with audible and visible warning system to assist emergency
passage.
 Each item in vehice shall comply with the minimum specifications
 Communication equipment shall comply with National Specifications (Ministry of ICT)
3.0 Type B (Basic Life Support) Ambulance

This level of patient transfer and treatment refers to an ill or injured patient requiring limited
non-invasive medical intervention and basic support medical care. The minimum standard of
ambulance is basic life support.
3.1 Specific Requirements

3.1.1 Ambulance Motor Vehicle Mechanical requirements
3.1.1.1 Technical Specification required including applicable standards
1. Year of manufacture: Most current
3
2. Body Type: Station wagon (back door in two leaves side hung, patient and Driver fully
separated, purpose made, factory prepared ambulance vehicle (modifications on the Pick-up
vehicles not accepted.
3. Gross vehicle weight: 3200 Kgs
4. Colour; White
5. Wind shield: laminated
6. Doors; Three (3) or Four (4)
7. Driver Cabin Seat capacity; 2 including Driver and Driver’s seat separate from Co-driver.
8. Upholstery; Vinly
9. Wheel base; 2950 to 3800mm
10. Width; 1750 to 2500mm
11. Ground Clearance; 200 to 255mm
12. Front Wrap around bull bar and side steps; included
13. Mirrors; Two Front door Driving Mirrors manually controlled plus internal Rear view mirror
14. Patient Cabin;
 External dimension:
1. Length 5000 – 5090 mm
2. Width 1770 - 1900 mm
3. Height 2070 – 2120 mm
 Windows; Two side Lockable sliding windows complete with Tinted Glass. Dimensions
450 x 1200mm
 Seating capacity: 2 complete with seat belts and head rests
 Floor; Linoleaum, Lon plate 11 – Gunmetal ≠≠424
 Air conditioning system
15. Engine Type:
 Four stroke Cycle, Diesel,
 Cylinder; 4-6 cylinder in line,
 Capacity; 3500 to 4500cc, 1 HZ 4.2 L
 Power Output; 100KW ≠@3800 RPM ≠400 (provide appropriate Power graphs),
 Electric System: 12V, complete with 70 Ah battery, maximum power 96/ 3800
 Cooling: Water cooled heavy duty tropicalized radiator
4
16. Fuel System;
 Fuel supply; Diesel Injection
 Tank Capacity; 160 Litres or bigger (90 L+ 90 L = 180 L)
17. Transmission;
 Manual Floor Shift:
 Minimum 5 speed plus 1 reverse
 Transfer case: 4WD with front manual free wheel hub.
18. Steering; Power assisted Right Hand Drive with Tilt Adjustment.
19. Tyres;
 Min tyre width: 245mm tubeless
 Min. Rim size; R16 Complete with one spare tyre, all Alloy Rims
20. Suspension; Front Rigid Axle or Independent Double wishbone, Torsion bar, Telescopic
S/absorbers
21. Brakes
 Front; Ventilated discs
 Rear; Ventilated Drums/Discs Park Brakes;
 Mechanically operated
22. Accessories;
 Head rest for Driver, Co-Driver and Patient attendant
 Air conditioning: Both front and patient cabins
 Blower: Patient Cabin only
 Safety: ABS + Airbags
Internal Radio Communication:
 Between Driver and Patient attendant complete with Tachometer, Ask Tray, Heater and
Defroster with FM range 87-108 Mhz with 4 speakers Minimum, One pair of warning
triangle standard set of tools including wheel nuts spanner and jack
23. Manual; Operator manual 1 No. per vehicle
24. Warranty; minimum 3 years or 100,000 km whichever comes first
25. Blue Rotary Beacon Lamp (Roof light Bar)
5
 Length: Full Width light bar
1220mm Min covering entire width
of vehicle.
 Light: 2X quad Centre Mirrors, 4X
Corner mirrors
 Sound: 60 Watt Siren with Wail,
Yelp and phaser tones
 Red and Blue Flashes
 Four Lights 150 x 75 mm mounted
on the side to patient Cabin Rear and
Front
26. Drug Cabinet
 Epoxy coted stell gauge 18 or better
white in colour with lock and key,
with two doors
 Dimensions Approx. 800 x 450 x
300 mm (Height X Width X Depth)
 Two steel sheet adjustable shelf
27. Manuals; Operator manuals in English

28. Warranty; For all equipment 1 year
3.1.1.2 Openings (Patient compartment, doors, windows, emergency exits)

A. There shall be a minimum of two openings – one at the rear (door/tailgate) and one at the
side (door/window) of the patient’s compartment.
B. All openings shall have seals to protect against the ingress of water.
3.1.1.2.1 Minimum opening dimensions in the patient compartment
a) Side opening
Height 1.200 mm
Width 660 mm
5
b) Rear opening
Height 1.200 mm
Width 1.050 mm
3.1.1.2.2 Doors
Each external door of the patient’s compartment shall be fitted with a security system which
enables the following:
a) lock and unlock from inside without use of a key;
b) lock and unlock from outside with use of a key;
c) unlock from the outside using a key when the door is locked from the inside
Note
1) This security system may be integrated with an optional central locking system.
2) The key can be a mechanical or non-mechanical device
3) The patient’s compartment doors shall be capable of being positively restrained in the open
position.
4) An audible and/or visual signal shall warn the driver when any door is not completely closed
when the vehicle is in motion.
3.1.1.2.3 Windows
A. In the patient’s compartment, there shall be a minimum of two external windows. There shall
be one on each side or one on one side and the rear.
B. The windows shall be positioned or screened to ensure patient’s privacy when required.
C. Windows shall be made of material complying with the requirements of Ambulance
guidelines modified.
3.1.1.2.4 Loading area dimensions
A. Tailgate height (in the open H2 position) 1900 mm
B. Loading angle (stretcher) maximum 16o

C. Loading height (stretcher)
a. When the patient is manually loaded or unloaded on the stretcher, the centre of the stretcher
handles shall be no more than 825 mm above ground level.
b. The maximum height of either the floor or the loading holding assembly above ground
level shall not exceed 750 mm at net vehicle mass plus loose equipment.
6
Note:
1) Where a ramp or lift is installed between ground level and vehicle floor level it shall be
covered with a anti-slip surface and capable of
taki ng a constant load of 350 kg.

2) In the event of a power failure the loading device shall be capable of being operated
manually
3.1.1.3 Recognition
3.1.1.3.1 Recognition and visibility of ambulances
A. To enhance the recognition and visibility of the vehicle in daylight the base body colour
should be yellow or white.
B. Where the white body option is selected additional fluorescent yellow or fluorescent red
should be used on the external surface of the vehicle.
C. For night time visibility micro-prismatic reflective material should be applied.
D. A blue reflective "Star of life" emblem (minimum size 500 mm) together with reflective
letters, numerals or a symbol identifying Ministry of Health, Emergency Medical Servicees
and the vehicle, should be applied to the roof of the ambulance.
7
E. A blue reflective "Star of life" emblem should be applied to the sides and rear of the
ambulance. The word "ambulance" should be applied in reflective upper-case letters, a
minimum of 100 mm high, in a colour contrasting with the background, to the side and rear
of the ambulance and if possible on the front
Note
1. These are standards to be met by every ambulance service provider
2. Ambulance vehicles that do not meet these standards shall be given a period not exceeding 3
months to fill identified gaps.
3. An ambulance sticker shall be issued to each ambulance to specify that it meets standards for
the class of ambulance specified.
3.1.1.4 Communication
1. Mobile radio transceiver

2. Portable radio transceiver
3. Access to the public telephone network e.g. via the normal radio transmitter or by mobile
(cellular) telephone
4. Portable alerting system, per person can be included in portable radio receiver
5. 5 Internal communication between driver and patient compartment
6. Siren
8
3.1.2 Medical equipment requirements
3.1.2.1 Patient handling equipment
a) Main stretcher/undercarriage – Automatic loading stretcher

b) Pick up stretcher
c) Vacuum mattress
d) Device for conveying a seated patient a
e) Carrying sheet or transfer mattress
3.1.2.2 Patient immobilization equipment
a) Traction device
b) Immobilization, set for fractures
c) Cervical upper spinal immobilization devices; Cervical collar-set
d) Extended upper spinal immobilization; Extrication devices or short spinal board (one of these)
3.1.2.3 ventilation/respiration equipment
a) Stationary oxygen
Minimum 2000 L, (under normal temperature and pressure), flowmeter/flowgauge with
maximum capacity of at least 15 l/min and regulating valve; Quick connection
b) Portable oxygen
maximum capacity of at least 15 l/min and regulating valve; quick connection
c) Resuscitator with oxygen inlet and masks and airways for all ages and oxygen reservoir
d) Non-manual suction device with minimum pressure of –65 kPa with a minimum capacity of 1
e) Portable suction device
3.1.2.4 Diagnostics equipment
a) Manual B P Monitor, Cuff size 10 cm – 66 cm
9
 Sphygmomanometer: (Type; Aneroid or mercury, Portable type, Cuff: Velcro type, washable,
Measuring range; 0-300 mmHg or wider Instrument Cabinet, Enameled sheet gauge 18 or
better, Upper section with two lockable glass and two adjustable glass shelves of Dimensions
approximately 900x500x300mm, (Height x Width x Depth)
b) Oximeter
c) Stethoscope (adult & Paediatric)
 Stethoscope, binaural, dual chest piece
 Cardiology stethoscope with high-quality stainless-steel piece for excellency acoustics
 Stainless steel double inner spring binaural and durable
 Elegantly moulded PVC tubing, dual head
 Approximately length; at least 381 mm
 Supplied with two spare of soft ear piece
d) Thermometer Minimum range 28 °C to 42 °C
e) Device for blood sugar determination- glucometer
f) Diagnostic light
3.1.2.5 Infusion material or equipment
a) Infusion solutions, litre

b) Equipment for injections and infusions, set
c) Infusion system which is designed to allow the administration of fluid warmed to (37 ± 2) °C.
 This system is not required to be portable
d) Infusion mounting
e) Pressure infusion device
3.1.2.6 Equipment for advanced life support
a) Defibrillator with rhythm and patient data recording

b) Cardiac monitor
c) Portable airways care system (p.a.c.s.) Manual resuscitator Mouth to mask ventilator with
oxygen inlet Airways oro- or nasopharyngeal airway Aspirator Suction catheter
10
d) Portable advanced resuscitation system (p.a.r.s.) Contents of portable airways care system
(p.a.c.s.) Infusion equipment – to include suitable venous indwelling cannulae Infusion
administration sets Infusion solutions Adhesive fixing materials
e) Intubation equipment – to include laryngoscope handle(s) with suitable blades Magill forceps
Insertion stylets Endotracheal tubes with connectors Inflation tube clamp Inflation syringe
Tube fixing material Stethoscope Drug administration equipment
f) Nebulization apparatus
3.1.2.7 Bandaging and nursing
1. Bedding equipment
2. Blankets
3. Material for treatment of wounds
4. Material for treatment of burns and corrosives
5. Kidney bowl
6. Vomiting bag
7. Non-glass urine bottle
8. Sharps container
9. Sterile surgical gloves, pairs
10. Non-sterile gloves for single use
11. Emergency delivery kit
12. Waste bag
13. Non-wovens stretcher sheet
3.1.2.8 Personal protection equipment (for each member of the crew for protection and to
identify the staff as road ambulance personnel)
1. Basic protective clothing including high visibility reflective jacket or tabard

2. Safety/debris gloves, pairs
3. Safety shoes, pairs
4. Safety helmet
5. Personal protection equipment against infection
3.1.2.9 Rescue and protection material
11
1. Cleaning and disinfection material
2. Seat belt cutter
3. Warning triangle/lights
4. Spotlight
5. Fire extinguisher
6. First Aid Bag
 Contents include: Gauze, Cotton, Cutting scissor, Cutting Shear, Crepe Bandages,
Triangular Bandages, Shock Blanket, Ice bag, Surgical spirit, Iodine solution, Safety
pins, Sterile dressings
3.2 Personnel
A. Three persons minimum shall staff the basic life-support ambulance, they shall have
appropriate training and be duly employed. The team shall include Emergency Medical
Technician (EMT), Emergency Care Assistant, and the Ambulance driver.
B. A supervising Regional EMS Coordinator, must be available 24 hours a day for medical
consultation, and because basic life support is a supervised category of emergency care, the
service must demonstrate how these personnel will be clinically supervised.
C. The staff must be dressed in suitable personal protective clothing and equipment.
4.0 Type C (Advanced Life Support) Ambulance

This level of patient transfer and treatment refers to a seriously ill or injured patient requiring
invasive medical intervention and continuous advanced-life-support medical care. If required,
intensive care management and transportation may also be offered for the transfer by road or air
from or to an intensive-care unit of a critically ill or injured patient requiring continuous medical
care.
4.1 Specific Requirements

4.1.1 Ambulance Motor Vehicle requirements
4.1.1 Ambulance Motor Vehicle Mechanical requirements
4.1.1.1 Technical Specification required including applicable standards
1. Year of manufacture: Most current
12
2. Body Type: Station wagon (back door in two leaves side hung, patient and Driver fully
separated, purpose made, factory prepared ambulance vehicle (modifications on the Pick-up
vehicles not accepted.
3. Gross vehicle weight: 3200 Kgs
4. Colour; White
5. Wind shield: laminated
6. Doors; Three (3) or Four (4)
7. Driver Cabin Seat capacity; 2 including Driver and Driver’s seat separate from Co-driver.
8. Upholstery; Vinly
9. Wheel base; 2950 to 3800mm
10. Width; 1750 to 2500mm
11. Ground Clearance; 200 to 255mm
12. Front Wrap around bull bar and side steps; included
13. Mirrors; Two Front door Driving Mirrors manually controlled plus internal Rear view mirror
14. Patient Cabin;
a. External dimension:
i. Length 5000 – 5090 mm
ii. Width 1770 - 1900 mm
iii. Height 2070 – 2120 mm
b. Windows; Two side Lockable sliding windows complete with Tinted Glass. Dimensions
450 x 1200mm
c. Seating capacity: 2 complete with seat belts and head rests
d. Floor; Linoleaum, Lon plate 11 – Gunmetal ≠≠424
e. Air conditioning system
15. Engine Type:
a. Four stroke Cycle, Diesel,
b. Cylinder; 4-6 cylinder in line,
c. Capacity; 3500 to 4500cc, 1 HZ 4.2 L
d. Power Output; 100KW ≠@3800 RPM ≠400 (provide appropriate Power graphs),
e. Electric System: 12V, complete with 70 Ah battery, maximum power 96/ 3800
f. Cooling: Water cooled heavy duty tropicalized radiator
13
16. Fuel System;
a. Fuel supply; Diesel Injection
b. Tank Capacity; 160 Litres or bigger (90 L+ 90 L = 180 L)
17. Transmission;
a. Manual Floor Shift:
b. Minimum 5 speed plus 1 reverse
c. Transfer case: 4WD with front manual free wheel hub.
d. Steering; Power assisted Right Hand Drive with Tilt Adjustment.
18. Tyres;
a. Min tyre width: 245mm tubeless
b. Min. Rim size; R16 Complete with one spare tyre, all Alloy Rims
19. Suspension; Front Rigid Axle or Independent Double wishbone, Torsion bar, Telescopic
S/absorbers
20. Brakes
a. Front; Ventilated discs
b. Rear; Ventilated Drums/Discs Park Brakes;
c. Mechanically operated
21. Accessories;
a. Head rest for Driver, Co-Driver and Patient attendant
b. Air conditioning: Both front and patient cabins
c. Blower: Patient Cabin only
d. Safety: ABS + Airbags
e. Internal Radio Communication:
f. Between Driver and Patient attendant complete with Tachometer, Ask Tray, Heater and
Defroster with FM range 87-108 Mhz with 4 speakers Minimum, One pair of warning
triangle standard set of tools including wheel nuts spanner and jack
22. Manual; Operator manual 1 No. per vehicle
23. Warranty; minimum 3 years or 100,000 km whichever comes first
24. Blue Rotary Beacon Lamp (Roof light Bar)
a. Length: Full Width light bar 1220mm b. Light: 2X quad Centre Mirrors, 4X
Min covering entire width of vehicle. Corner mirrors
14
c. Sound: 60 Watt Siren with Wail, Yelp
and phaser tones
d. Red and Blue Flashes
e. Four Lights 150 x 75 mm mounted on
the side to patient Cabin Rear and
Front
25. Drug Cabinet

a. Epoxy coted stell gauge 18 or better
white in colour with lock and key, with
two doors
b. Dimensions Approx. 800 x 450 x 300
mm (Height X Width X Depth)
c. Two steel sheet adjustable shelf

4.1.1.2 Openings (Patient compartment, doors, windows, emergency exits)

A. There shall be a minimum of two openings – one at the rear (door/tailgate) and one at the
side (door/window) of the patient’s compartment.
B. All openings shall have seals to protect against the ingress of water.
4.1.1.2.1 Minimum opening dimensions in the patient compartment

a) Side opening
Height 1.400 mm
Width 660 mm
b) Rear opening
Height 1.500 mm
Width 1.050 mm
15
4.1.1.2.2 Doors
Each external door of the patient’s compartment shall be fitted with a security system which
enables the following:
a) lock and unlock from inside without use of a key;
b) lock and unlock from outside with use of a key;
c) unlock from the outside using a key when the door is locked from the inside
Note
1. This security system may be integrated with an optional central locking system.
2. The key can be a mechanical or non-mechanical device
3. The patient’s compartment doors shall be capable of being positively restrained in the open
position.
4. An audible and/or visual signal shall warn the driver when any door is not completely closed
when the vehicle is in motion.
4.1.1.2.3 Windows
A. In the patient’s compartment, there shall be a minimum of two external windows. There shall
be one on each side or one on one side and the rear.
B. The windows shall be positioned or screened to ensure patient’s privacy when required.
C. Windows shall be made of material complying with the requirements of Ambulance
guidelines modified.
4.1.1.2.4 Loading area dimensions

A. Tailgate height (in the open H2 position) 1900 mm
B. Loading angle a (stretcher) maximum 16o

a
The loading angle shall be kept as low as possible
C. Loading height (stretcher)
a. When the patient is manually loaded or unloaded on the stretcher, the centre of the
stretcher handles shall be no more than 825 mm above ground level.
b. The maximum height of either the floor or the loading holding assembly above ground
level shall not exceed 750 mm at net vehicle mass plus loose equipment.
Note:
16
1. Where a ramp or lift is installed between ground level and vehicle floor level it shall be
covered with a anti-slip surface and capable of taking a constant load of 350 kg.
2. In the event of a power failure the loading device shall be capable of being operated
manually
4.1.1.3 Recognition
4.1.1.3.1 Recognition and visibility of ambulances

A. To enhance the recognition and visibility of the vehicle in daylight the base body colour
should be yellow or white.
B. Where the white body option is selected additional fluorescent yellow or fluorescent red
should be used on the external surface of the vehicle.
C. For night time visibility micro-prismatic reflective material should be applied.
D. A blue reflective "Star of life" emblem (minimum size 500 mm) together with reflective
letters, numerals or a symbol identifying the organization and the vehicle, should be applied
to the roof of the ambulance.
17
E. A blue reflective "Star of life" emblem should be applied to the sides and rear of the
ambulance. The word "ambulance" should be applied in reflective upper-case letters, a
minimum of 100 mm high, in a colour contrasting with the background, to the side and rear
Note
1. These are standards to be met by every ambulance service provider
2. Ambulance vehicles that do not meet these standards shall be given a period not exceeding 3
months to fill identified gaps.
3. An ambulance sticker shall be issued to each ambulance to specify that it meets standards for
the class of ambulance specified.
4.1.1.4 Communication
1. Mobile radio transceiver

2. Portable radio transceiver
3. Access to the public telephone network e.g. via the normal radio transmitter or by mobile
(cellular) telephone
4. Portable alerting system, per person can be included in portable radio receiver
5. 5 Internal communication between driver and patient compartment
6. Siren
4.1.2 Medical equipment requirements
4.1.2.1 Type of patient handling equipment
a) Main stretcher/undercarriage
c) Vacuum mattress
4.1.2.2 Patient immobilization equipment
18
a) Traction device
4.1.2.3 ventilation/respiration equipment
b) Portable oxygen
4.1.2.4 Diagnostics equipment

 Sphygmomanometer: (Type; Aneroid or mercury, Portable type, Cuff: Velcro type, washable,
Measuring range; 0-300 mmHg or wider Instrument Cabinet, Enameled sheet gauge 18 or
better, Upper section with two lockable glass and two adjustable glass shelves of Dimensions
approximately 900x500x300mm, (Height x Width x Depth)
b) Oximeter
19
f) Diagnostic light
4.1.2.5 Infusion material or equipment

4.1.2.6 Equipment for advanced life support

a) Defibrillator with rhythm and patient data recording
b) Cardiac monitor
c) External cardiac pacing
d) Portable advanced resuscitation system (p.a.r.s.) Contents of portable airways care system
e) Intubation equipment – to include laryngoscope handle(s) with suitable blades Magill forceps
f) Nebulization apparatus
g) Thorax drainage kit
h) Volumetric infusing device
i) Central vein catheters
j) Requirements for emergency and transport ventilators
k) PEEP-valve, adjustable or set
l) Capnometer
4.1.2.7 Bandaging and nursing

2. Blankets
20
5. Kidney bowl
6. Vomiting bag
8. Sharps container
12. Waste bag
4.1.2.8 Personal protection equipment (for each member of the crew for protection and to
4. Safety helmet
4.1.2.9 Rescue and protection material

2. Seat belt cutter
4. Spotlight
6. First Aid Bag
21
4.2 Personnel
a) Three persons minimum shall staff the advanced-life-support ambulance. The driver, in
addition to having a valid and appropriate driver's licence and professional driving permit for the
specific type of vehicle being manned, shall also be registered at a minimum level of ambulance
emergency assistant. The patient attendants shall be registered as emergency medical technician,
emergency care assistant, registered nursing officer or medical officer.
b) A supervising registered medical practitioner must be available 24 hours a day for medical
control, advice or intervention by radio, telephone or on scene. The supervising medical
practitioner should hold currently valid Advanced Trauma Life Support (ATLS), Advanced
Cardiac Life Support (ACLS), Advanced Paediatric Life Support (APLS), and Basic Trauma
Life Support (BTLS) or Pre-hospital Trauma Life Support (PHTLS) certificates or the
equivalents.
c) Personnel must be dressed in appropriate personal protective clothing.
5.0 Boat Ambulance, Type B

5.1 Specifications for the Vessel
5.1.1 Basic Dimensions
1. Length: 36ft
2. Beam: 10ft `
3. Draft: 1.1ft
4. Fuel capacity: 750 Litres aluminium fuel tank
5. Water capacity: 200 Litres aluminium water tank
6. Standard Engines: Outboard Engines, 2x200 HP, 2 stroke
7. Speed of up to: 40 knots
8. Treatment beds: 2
9. Passengers capacity: 15 (8 in cabin + 7 at bow)
Note
1. Patient Cabin; External dimension: 5000 x 1850 x 2070mm (LxWxH). The cabin should
have enough working space for the medical personnel. The patient cabin should be fitted
with Lockable sliding windows complete with Tinted Glass; Dimensions 450 x 1200mm.
22
The Minimum opening dimensions in the patient compartment should be 1200 x 1,050
(Height X Width).
2. Treatment beds: There will be 2 beds (Main Stretcher and a sub-stretcher). The Main
Stretcher will be a Vynl leather bed with head pad, aluminum frame construction of 2 mm
thick circular Hollow sections, mounted on 4 casters 100 mm tow of which with brakes, with
restraints and locking device with retractable legs. The Sub-Stretcher; Bench type seat /
stretcher platform, which sturdy Light weight canvas foldable to the side of the patient cabin.
3. Intravenous (IV) Bottle Brackets: 2No. side mounted brackets complete with bottle straps for
intravenous apparatus or 2 IV hooks on the ceiling above patient area.
5.1.2 Standard Vessel Features

 Hull material is fibre glass
 2 adult size treatment flatbeds
 Lockers & Water Proof Storage for Medical Equipment
 Marine Air Conditioner
 Marine Generator of up to 11 KW
 Marine Toilet
 Battery Chargers
 Sockets 240 dc (4 Nos)
 Electrical outlet 12 V Lighter (4 Nos)
 GPS, Touch Screen LCD Radar, Chart Plotter, Depth Sounder
 VHF Radio
 Refrigerator
 Siren, Loud Speaker & Blue colour flashing Light
 Hydraulic Steering System
 Electric Bilge Pump
 Navigational Lights
 Anchor Light
 Blower
 Battery 2 Pc
23
 Fire Extinguisher of 6kg (2 Nos)
 Windscreen Wiper (Nos. 2)
 Transom Shower
 Marine Horn Trumpet – Twin
 Trim Tab
 Bow Railing
 Remote Control Search Light
 Cushion on Forward Area
 Horn Steaming & Navigation Lights Switch
 SS Windlass Winch with RC pad
 Mooring Rope 100 Ft
 Shore Power socket
 Compass
 Bow Sheet SS
 Bow Roller SS
 Anchor 20 Kg with 30m chain and 100m rope.
 Heavy Duty D’ Fender
 Antifouling Paint
 Life Jacket adult– (15 Nos) Approved as certified by US Coast Guard
 Life Jacket child– v(5 Nos) Approved as certified by US Coast Guard
5.1.3 Vessel Recognition Specifications

The following are the specifications for purposes of recognition and visibility of the boat
ambulances.
4. Blue Rotary Beacon Lamp (Roof light Bar) on the vessel.

 Length: Full Width light bar 1220mm Min covering entire width of vessel.
 Light: 2X quad Centre Mirrors, 4X Corner mirrors
 Sound: 60 Watt Siren with Wail, Yelp and phaser tones
 Red and Blue Flashes
 Four Lights 150 x 75 mm mounted on the side to patient Cabin Rear and Front
24
 To enhance the recognition and visibility of the vessel in daylight the base body colour
should be yellow or white. Where the white body option is selected additional fluorescent
yellow or fluorescent red should be used on the external surface of the vehicle.
 For night time visibility micro-prismatic reflective material should be applied.
 A reflective "STAR OF LIFE" emblem (minimum size 500 mm) together with reflective
letters, numerals or a symbol identifying the organization “Ministry of Health Uganda,
Emergency Medical Services and the vessel, should be applied to the roof of the ambulance.
 A reflective "STAR OF LIFE" emblem should be applied to the sides and rear of the Vessel
ambulance. The word "ambulance - Rescue" should be applied in reflective upper-case letters,
a minimum of 100 mm high, in a colour contrasting with the background, to the side and rear
 Provision for the medical emergency call number
5.1.4 Other Specifications

 The vessel ambulance MUST be Factory Made
 The vessel manufacturer will provide trainings for the crew and boat operator before and
after vessel delivery.
 Provide a one cross country trailer for the vessel.
 Manuals; All operator manuals in English
 Warranty for all equipment; 3 years overall while for other items can be specified
25
5.2 Medical Equipment Specifications
5.2.1 Patient handling equipment
c) Vacuum mattress
d) Device for conveying a seated patient
5.2.2 Patient immobilization equipment
a) Traction device
5.2.3 ventilation/respiration equipment
b) Portable oxygen
5.2.4 Diagnostics equipment

 Sphygmomanometer: (Type; Aneroid or mercury, Portable type, Cuff: Velcro type,
washable, Measuring range; 0-300 mmHg or wider Instrument Cabinet, Enameled sheet
26
gauge 18 or better, Upper section with two lockable glass and two adjustable glass shelves
of Dimensions approximately 900x500x300mm, (Height x Width x Depth)
b) Oximeter
f) Diagnostic light
5.2.5 Infusion material or equipment

5.2.6 Equipment for advanced life support
g) Defibrillator with rhythm and patient data recording

h) Cardiac monitor
i) Portable airways care system (p.a.c.s.) Manual resuscitator Mouth to mask ventilator with
oxygen inlet Airways oro- or nasopharyngeal airway Aspirator Suction catheter
j) Portable advanced resuscitation system (p.a.r.s.) Contents of portable airways care system
27
k) Intubation equipment – to include laryngoscope handle(s) with suitable blades Magill forceps
l) Nebulization apparatus
5.2.7 Bandaging and nursing
2. Blankets
5. Kidney bowl
6. Vomiting bag
8. Sharps container
12. Waste bag
5.2.8 Personal protection equipment (for each member of the crew for protection and to

4. Safety helmet
5.2.9 Rescue and protection material

2. Seat belt cutter
28
4. Spotlight
6. First Aid Bag
5.3 Personnel
A. The boat ambulance will be operated by 2 Coxswains/Navigators and 2 Emergency Medical
Technicians. The boat shall be available 24/7 for use by the patients.
B. A supervising Regional EMS Coordinator, must be available 24 hours a day for medical
consultation, and because basic life support is a supervised category of emergency care, the
service must demonstrate how these personnel will be clinically supervised.
C. The staff must be dressed in suitable personal protective clothing and equipment.
6.0 Boat Ambulance, Type C

6.1 Specifications for the Vessel
6.1.1 Basic Dimensions
1) Length: 36ft
2) Beam: 10ft `
3) Draft: 1.1ft
4) Fuel capacity: 750 Litres aluminium fuel tank
5) Water capacity: 200 Litres aluminium water tank
6) Standard Engines: Outboard Engines, 2x200 HP, 2 stroke
7) Speed of up to: 40 knots
8) Treatment beds: 2
9) Passengers capacity: 15 (8 in cabin + 7 at bow)
Note
29
1. Patient Cabin; External dimension: 5000 x 1850 x 2070mm (LxWxH). The cabin should
have enough working space for the medical personnel. The patient cabin should be fitted
with Lockable sliding windows complete with Tinted Glass; Dimensions 450 x 1200mm.
The Minimum opening dimensions in the patient compartment should be 1200 x 1,050
(Height X Width).
2. Treatment beds: There will be 2 beds (Main Stretcher and a sub-stretcher). The Main
Stretcher will be a Vynl leather bed with head pad, aluminum frame construction of 2 mm
thick circular Hollow sections, mounted on 4 casters 100 mm tow of which with brakes, with
restraints and locking device with retractable legs. The Sub-Stretcher; Bench type seat /
stretcher platform, which sturdy Light weight canvas foldable to the side of the patient cabin.
3. Intravenous (IV) Bottle Brackets: 2No. side mounted brackets complete with bottle straps for
intravenous apparatus or 2 IV hooks on the ceiling above patient area.
6.1.2 Standard Vessel Features

 Hull material is fibre glass
 2 adult size treatment flatbeds
 Lockers & Water Proof Storage for Medical Equipment
 Marine Air Conditioner
 Marine Generator of up to 11 KW
 Marine Toilet
 Battery Chargers
 Sockets 240 dc (4 Nos)
 Electrical outlet 12 V Lighter (4 Nos)
 GPS, Touch Screen LCD Radar, Chart Plotter, Depth Sounder
 VHF Radio
 Refrigerator
 Siren, Loud Speaker & Blue colour flashing Light
 Hydraulic Steering System
 Electric Bilge Pump
 Navigational Lights
30
 Anchor Light
 Blower
 Battery 2 Pc
 Fire Extinguisher of 6kg (2 Nos)
 Windscreen Wiper (Nos. 2)
 Transom Shower
 Marine Horn Trumpet – Twin
 Trim Tab
 Bow Railing
 Remote Control Search Light
 Cushion on Forward Area
 Horn Steaming & Navigation Lights Switch
 SS Windlass Winch with RC pad
 Mooring Rope 100 Ft
 Shore Power socket
 Compass
 Bow Sheet SS
 Bow Roller SS
 Anchor 20 Kg with 30m chain and 100m rope.
 Heavy Duty D’ Fender
 Antifouling Paint
 Life Jacket adult– (15 Nos) Approved as certified by US Coast Guard
 Life Jacket child– v(5 Nos) Approved as certified by US Coast Guard
6.1.3 Vessel Recognition Specifications

The following are the specifications for purposes of recognition and visibility of the boat
ambulances.
 Blue Rotary Beacon Lamp (Roof light Bar) on the vessel.

 Length: Full Width light bar 1220mm Min covering entire width of vessel.
31
 Light: 2X quad Centre Mirrors, 4X Corner mirrors
 Sound: 60 Watt Siren with Wail, Yelp and phaser tones
 Red and Blue Flashes
 Four Lights 150 x 75 mm mounted on the side to patient Cabin Rear and Front
 To enhance the recognition and visibility of the vessel in daylight the base body colour
should be yellow or white. Where the white body option is selected additional fluorescent
yellow or fluorescent red should be used on the external surface of the vehicle.
 For night time visibility micro-prismatic reflective material should be applied.
 A reflective "STAR OF LIFE" emblem (minimum size 500 mm) together with reflective
letters, numerals or a symbol identifying the organization “Ministry of Health Uganda,
Emergency Medical Services and the vessel, should be applied to the roof of the ambulance.
 A reflective "STAR OF LIFE" emblem should be applied to the sides and rear of the Vessel
ambulance. The word "ambulance - Rescue" should be applied in reflective upper-case letters,
a minimum of 100 mm high, in a colour contrasting with the background, to the side and rear
 Provision for the medical emergency call number
6.1.4 Other Specifications

 The vessel ambulance MUST be Factory Made
 The vessel manufacturer will provide trainings for the crew and boat operator before and
after vessel delivery.
32
 Provide a one cross country trailer for the vessel.
 Manuals; All operator manuals in English
 Warranty for all equipment; 3 years overall while for other items can be specified
6.2 Medical Equipment Specifications
6.2.1 Patient handling equipment
c) Vacuum mattress
d) Device for conveying a seated patient a
6.2.2 Patient immobilization equipment
a) Traction device
6.2.3 ventilation/respiration equipment
b) Portable oxygen
6.2.4 Diagnostics equipment
33
 Sphygmomanometer: (Type; Aneroid or mercury, Portable type, Cuff: Velcro type,
washable, Measuring range; 0-300 mmHg or wider Instrument Cabinet, Enameled sheet
gauge 18 or better, Upper section with two lockable glass and two adjustable glass shelves
of Dimensions approximately 900x500x300mm, (Height x Width x Depth)
b) Oximeter
f) Diagnostic light
6.2.5 Infusion material or equipment

6.2.6 Equipment for advanced life support
A. Defibrillator with rhythm and patient data recording

B. Cardiac monitor
C. External cardiac pacing
34
D. Portable advanced resuscitation system (p.a.r.s.) Contents of portable airways care system
E. Intubation equipment – to include laryngoscope handle(s) with suitable blades Magill forceps
F. Nebulization apparatus
G. Thorax drainage kit
H. Volumetric infusing device
I. Central vein catheters
J. Requirements for emergency and transport ventilators
K. PEEP-valve, adjustable or set
L. Capnometer
6.2.7 Bandaging and nursing
2. Blankets
5. Kidney bowl
6. Vomiting bag
8. Sharps container
12. Waste bag
6.2.8 Personal protection equipment (for each member of the crew for protection and to
35
4. Safety helmet
6.2.9 Rescue and protection material

2. Seat belt cutter
4. Spotlight
6. First Aid Bag
pins, Sterile dressings.
6.2 Personnel
A. The boat ambulance will be operated by 2 Coxswains/Navigators and 2 Emergency Medical
Technicians. The boat shall be available 24/7 for use by the patients.
B. A supervising registered medical practitioner must be available 24 hours a day for medical
control, advice or intervention by radio, telephone or on scene. The supervising medical
practitioner should hold currently valid Advanced Trauma Life Support (ATLS), Advanced
Cardiac Life Support (ACLS), Advanced Paediatric Life Support (APLS), and Basic Trauma
Life Support (BTLS) or Pre-hospital Trauma Life Support (PHTLS) certificates or the
equivalents.
C. Personnel must be dressed in appropriate personal protective clothing.
36
7.0 Aeromedical Ambulance
Operators of aeromedical services must comply with the regulations of the Ugandan Civil
Aviation Authority. All ambulance service personnel in the aviation environment must have
successfully completed an Aviation Healthcare Provider Course.
8.0 Medical Response Vehicle

This level of patient treatment refers to an ill or injured patient requiring limited invasive
medical intervention and intermediate-life-support medical care.
9.0 Medical Rescue Vehicle

A rescue vehicle provides emergency access to a minimum of intermediate-life-support care and
extrication from vehicular entrapment using hydraulic tools.
10.0 Annex
10.1 Drug (Medicines) cabinet

 Stainless steel panel for installation
of medical equipment such as
defibrillator, ventilator, suction
pump, syringe pump.
 Constructed of PVC integrated sheet
with high impact strength, low
flammability, good sound and
thermal installation.
 Fitted to the left side of the patient
compartment from floor to ceiling.
 Equipped with storage space for
medication and consumables.
10.2 Flooring with plywood with vinyl coating (water proof)

 Marine plywood and covered with heavy duty vinyl washable, fungi and bacteria resistance.
37
 The patient compartment floor to be covered with plywood and waterproof non-slippery
vinyl coating
10.3 Roof type ventilation fan – Inlet/outlet

 Well-designed ceiling mounted one way extractor which eliminates air and odours from the
patient compartment and disposes them outside the ambulance
 Nominal voltage: 12 VDC
10.4 Technician’s seat with seat belt

 Single foldable seat with adjustable headset
 3 point automatic safety belt (European standard) and artificial leather upholstery
10.5 Oxygen Humidifier
 In order to humidify outgoing oxygen

 The humidifier bottle be filled above lower level and less than the upper level indexes with
distilled water
 Connect to the flowmeter and check for proper connection
10.6 Oxygen Flowmeter

 Flowmeter shows and adjusts the level of outgoing oxygen
 The adjustment is done by a lever on the flowmeter, by turning this lever the oxygen flow
can be adjusted between 0 to 15 L/Min. This level is seen by means of a floating ball.
10.7 Automatic Loading Stretcher

 Length: 192 cm unfolded
 Width: 52 cm
 Cot height: Min 20 cm, Max 80 cm
 Loading height 64 cm
 Chair height 140 cm
 Chair depth 114 cm
 Weight 32 kg
 Load limit 180 kg
38
 The latest stretcher for increased speed
 Ease of transfer of patient
 Changeable to a chair
 Polymeric material on stretcher surface for comfort, attractiveness and longer durability
 Comes with foam mattresses situated above polymeric board.
 Adjustable back rest position, swing down side arms
 Undercarriage safety lock
 Set of 3 restraints for patient and with front and rear fixing system
10.8 Scoop stretcher with carrying bag

 Dimensions
o Length; Open – Min 159 cm, Max 195 cm and folded 116cm
o Width 43 cm
 Load limit 160 Kg
 Light-weight aluminium alloy structure
 Ideal for hip injuries and accident victims found on streets, support a patient in the position
found, reducing risks of further injuries.
 Easily adjustable length for patients of all height.
 3 restraints for the patient
 Fold compact for storage
10.9 Pole stretcher

 Length: Open; 185 cm and folded; 100 cm
39
 Width: 58 cm
 Weight: 6 Kg
 Load limit: 130 Kg
 Lightweight almunium alloy structure
 3 restraints included for the patient
 Telescopic handgrips
 Multiple colours available
 Folds compact for storage
 Can be used with storage/ carrying bag
10.10 Portable suction device

 Dimensions: Height 28 cm by Width 32 cm by Depth 13 cm
 Weight: 6 Kg
 Vacuum: 0.8 bar (At sea level)
 Displacements: 20 L/min
 Collection capacity: 1000 mL
 Equipped with rechargeable battery, low battery alarm, battery indicator and other advance
feasibilities
 Autoclaveable suction jar, antibacterial filter and silicon tubes
10.11 Cervical collar set

 Size: Adult and child
 Single piece flat design for fast and easy application
 Colour-coded Velcro closures
 X-ray transparent HDPE material
 Large chin support firm padding with tracheal opening for intubation
 Rear ventilation panel
 Easy to clean material
10.12 Head immobilizer with head and chin straps

 Lightweight, compact and compatible to any types of spinal boards
40
 Purely metal free design
 Clear diagnosis under X-ray, CT scan, MRI scan with ear lobes for monitoring convenience
10.13 Automated External Defibrillator (AED)

 Dimensions: 95 by 72 cm (4.7!)
 User information: Language instruction, heart rate, number of def, ECG course
10.14 First Aid Bag

 Made of corduroy waterproof fabric inferior frame reinforced with metal strip
 Lightweight, Heavy Duty, Resistant and Washable
 Extra visibility with reflector strips on the sides
 Spacious to fit other needed items such as medications, etc
41

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Emergency Medical Services Department

National Norms and Standards For

The Director General Health Services

Commissioner Health Services, Emergency Medical Services

Ministry of Health P.O Box 7272 Kampala, Uganda

Hon Dr Jane Ruth Aceng Ocero

Director General of Health Services MOH

2.0 Minimum Norms and Standards

General Requirements for all Road ambulance vehicles

3.0 Type B (Basic Life Support) Ambulance

3.1 Specific Requirements

27. Manuals; Operator manuals in English

3.1.1.2 Openings (Patient compartment, doors, windows, emergency exits)

3.1.1.2.1 Minimum opening dimensions in the patient compartment

A. Tailgate height (in the open H2 position) 1900 mm

B. Loading angle (stretcher) maximum 16o

taki ng a constant load of 350 kg.

1. Mobile radio transceiver

3.1.2 Medical equipment requirements

3.1.2.1 Patient handling equipment

a) Main stretcher/undercarriage – Automatic loading stretcher

3.1.2.2 Patient immobilization equipment

3.1.2.3 ventilation/respiration equipment

3.1.2.4 Diagnostics equipment

a) Manual B P Monitor, Cuff size 10 cm – 66 cm

3.1.2.5 Infusion material or equipment

a) Infusion solutions, litre

3.1.2.6 Equipment for advanced life support

a) Defibrillator with rhythm and patient data recording

3.1.2.7 Bandaging and nursing

1. Basic protective clothing including high visibility reflective jacket or tabard

3.1.2.9 Rescue and protection material

4.0 Type C (Advanced Life Support) Ambulance

4.1 Specific Requirements

25. Drug Cabinet

26. Manuals; Operator manuals in English

4.1.1.2 Openings (Patient compartment, doors, windows, emergency exits)

4.1.1.2.1 Minimum opening dimensions in the patient compartment

4.1.1.2.4 Loading area dimensions

B. Loading angle a (stretcher) maximum 16o

4.1.1.3.1 Recognition and visibility of ambulances

1. Mobile radio transceiver

4.1.2 Medical equipment requirements

4.1.2.1 Type of patient handling equipment

4.1.2.2 Patient immobilization equipment

4.1.2.3 ventilation/respiration equipment

4.1.2.4 Diagnostics equipment

a) Manual B P Monitor, Cuff size 10 cm – 66 cm

4.1.2.5 Infusion material or equipment

a) Infusion solutions, litre

4.1.2.6 Equipment for advanced life support

4.1.2.7 Bandaging and nursing

4.1.2.9 Rescue and protection material

5.0 Boat Ambulance, Type B

5.1.2 Standard Vessel Features

5.1.3 Vessel Recognition Specifications

4. Blue Rotary Beacon Lamp (Roof light Bar) on the vessel.

5.1.4 Other Specifications

5.2.1 Patient handling equipment

5.2.2 Patient immobilization equipment

5.2.3 ventilation/respiration equipment

5.2.4 Diagnostics equipment

a) Manual B P Monitor, Cuff size 10 cm – 66 cm