Emergency Ambulance Services

INTRODUCTION
WHAT DO YOU MEAN BY AMBULANCE?

 A specially equipped and ergonomically designed vehicle for

transportation / emergent treatment of sick or injured people and capable of
providing out of hospital medical care during transit / when stationary
.
 The term ambulance comes from the Latin word "ambulare" as
meaning “to walk or move about” which is a reference to early medical
care where patients were moved by lifting or wheeling .

There are so many modes of ambulance:-

1. Road going ambulance:-vans, motorcycle, bicycles,buses.
2. Air going ambulance:- helicopters. Aircraft.
3. Water going ambulances:-boat, hospital ships.
 TYPES OF AMBULANCES
 Emergency ambulance – The most common type of ambulance, which provide
care to patients with an acute illness or injury. These can be road-going vans,
boats, helicopters, fixed-wing aircraft (known as air ambulances).
 Patient transport ambulance – A vehicle, which has the job of transporting
patients to, from or between places of medical treatment, such as hospital or
dialysis center, for non-urgent care. These can be vans, buses or other vehicles.
 Response unit – Also known as a Quick Response Vehicle, which is a vehicle
which is used to reach an acutely ill patient quickly, and provide on scene care.
 Bariatric ambulance – A special type of patient transport ambulance designed
for extremely obese patients equipped with the appropriate tools to move and
manage these patients
 Emergency ambulance Services

 The most common type of ambulance, which provide care

to patients with an acute illness or injury. These can be
road-going vans, boats, helicopters, fixed-wing aircraft
(known as air ambulances).

Goal :-
 To provide treatment to those in need of urgent medical care
 Purposes

 Early detection

 Early reporting

 Early response

 Good on-scene / field care

 Care on transit

 Transfer to definitive care

Emergency Ambulance Service Provider

 Government ambulance services.

 Fire or police linked services.

 Volunteer ambulance services.

 Private ambulance services.

 Combined emergency services.

 Hospital based services.

 Charity ambulance.

 Company ambulance.
108 Emergency Service
 How it works
When an emergency is reported through 108, the call taker gathers the
needed basic information and dispatches appropriate services. Basic
information obtained includes:-
 Where the call is placed from.
 The type of emergency.
 Number of people injured and the condition of the injured.
 The caller's name and contact number
Emergency help dispatched through this process is expected to reach
the site of the emergency in an average of 18 minutes. Pre-hospital care
will be given to patients being transported to the nearest hospital. The
service is normally free to patients.
 VEHICLE EQUIPMENTS

 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) This security system may be integrated with an optional central locking system.
d)An audible or visual signal shall warn the driver when any door is not
completely closed when the vehicle is in motion

 STRETCHERS:
a)A stretcher is an apparatus used for moving patients who require medical care.
b)A basic type (cot) must be carried by two or more people.
c) wheeled stretcher (known as a gurney, trolley, bed or cart)
 WINDOWS :
•In the patient’s compartment, there shall be a minimum of two
external windows.
•There shall be one on each side or one on the side and other at the rear
•Windows shall be fitted with safety glasses
 OXYGEN CYLINDER
One or more than cylinders can installed of the variable sizes (medium
or long) as per the requirements of the patients comfort.. It must
installed inside the patients compartment and beyond basin chamber so
that it would be easy for the ward boy to avail oxygen pipes to the
emergency suffering patients.
 SEAT :
a)Designing for the comforts, and non-sophisticated .
b) It also may used as the storage for the goods such as ropes, screw-
drivers, rinch , etc.
 PATIENT COMPARTMENT ENVIRONMENTAL
EQUIPMENTS
The patient compartment shall be heated, ventilated, and air conditioned
as required:- AIR CONDITIONING
The inner temperaturature should be 25 degree celcius. if it is above than
this, it shold low down to 25

INTERIOR LIGHTING :
The color temperature of the light will change the appearance of skin and organs.
Therefore it is Important that the interior lighting is suitable for patient care
during transport.
INTERIOR NOISE LEVEL :
During the test, the Siren of the Ambulance shall be kept in the off position.
INGRESS OF DUST AND RAIN WATER
All doors, windows and hatches shall not allow ingress of dust and rain water
when in the fully closed position
CONSTRUCTION AND DESIGN OF PARTS
DESIGN OF SEAT :

A.DESIGN APPROACH:-
a) Design should be in such a way that it should proper
comfort to the attendant as well as patient’s relatives.

b) It should neither long nor too short.

c) It should not also occupy more spaces of the patient’s

compartment.

d)The design of seats should be as per standard.

 B. OPTIMIZATION APPROACH:-
It must not only provide comfort but also provide such storage place
within it. So, the following optimizations have been made relating to
this:-
The space beneath the attendant seat should not be kept open. Instead it
should be closed one. Now, if we have the space to store things. So, it
also mandatory to open out the things at need.
In order to avail such facility, the design of the closed box has been
made as follows:-
* Opening the seat panel from front to top so as to take out the things
properly.
* Opening the front part of the closed box in two halves.
DESIGN OF UPPER HEAD BOX

appreciable load capacity

appreciable strength
may be one way door open system
two way door open system
tilt at the base zone
appreciable length

DESIGN OF CYLINDER

one cylinder system

two cylinder system
sizes may differ as per requirements
 CONCLUSION
Ambulances in this country lacks the standardization as most of
ambulance specifications are written by medical specialists who are
unable to translate their requirement into automotive terminology,
resulting in huge gap between user expectations & industry
deliverability
Also existence of inherent limitations in transport laws allowing
goods vehicles to be used as ambulance without incorporating safety
features, especially in patient compartment. etc
Thus redesigning the ambulance with proper specifications,
interior and medical devices improves the condition of the existing
ambulances with very minimal expenditure.
Than k y ou