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This document outlines the minimum equipment requirements for emergency ambulance services under the Department of Defense Education Activity solicitation number HE125424Q4000. The solicitation requires bidders to provide basic cardiac life support ambulance services for interscholastic sports events at Fort Buchanan and Ramey Schools in Puerto Rico. Ambulances must be equipped with communication devices, ventilation and airway equipment including oxygen supplies, bag-valve masks in various sizes, airways, pulse oximeters, splints and immobilization devices, bandages, sheets and thermal blankets, infection control equipment, and miscellaneous emergency medical supplies. Personal protective equipment like face masks, gloves, and eye protection must also be available in accordance with applicable guidance.

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Minimum Equipment List Required With Each Ambulance

1.1.1. Communication: Two-way communication device between EMS provider, dispatcher, and medical control.

1.1.2. Ventilation and Airway Equipment: Portable and fixed suction apparatus with a regulator (per Federal specifications; see Federal Specification KKK-A-1822F reference) • Wide-bore tubing, rigid pharyngeal curved suction tip; tonsillar and flexible suction catheters, 6F–16F are commercially available (have one between 6F and 10F and one between 12F and 16F) 2. Portable oxygen apparatus, capable of metered flow with adequate tubing 3. Portable and fixed oxygen supply equipment • Variable flow regulator 4. Oxygen administration equipment • Adequate length tubing; transparent mask (adult and child sizes), both non-rebreathing and valveless;

nasal cannulas (adult, child) 5. Bag-valve mask (manual resuscitator) • Hand-operated, self-expanding bag; adult (>1000 ml) and child (450– 750 ml) sizes, with oxygen reservoir/accumulator; valve (clear, disposable, operable in cold weather);

and mask (adult, child, infant, and neonate sizes) 6. Airways • Nasopharyngeal (16F–34F; adult and child sizes) • Oropharyngeal (sizes 0–5; adult, child, and infant sizes) 7. Pulse oximeter with pediatric and adult probes 8. Saline drops and bulb suction for infants

1.1.3. Immobilization Devices (Splints): 1.Cervical collars - Rigid for children ages 2 years or older; child and adult sizes (small, medium, large, and other available sizes)

2. Head immobilization device (not sandbags) • Firm padding or commercial device

3. Lower extremity (femur) traction devices • Lower extremity, limbsupport slings, padded ankle hitch, padded pelvic support, traction strap (adult and child sizes) 4.

Upper and lower extremity immobilization devices • Joint-above and joint-below fracture (sizes appropriate for adults and children), rigid-support constructed with appropriate material (cardboard, metal, pneumatic, vacuum, wood, or plastic) 5.

Impervious backboards (long, short; radiolucent preferred) and extrication device • Short (extrication, headto-pelvis length) and long (transport, head-to–feet length) with at least three appropriate restraint straps (chin strap alone should not be used for head immobilization) and with padding for children and handholds for moving patient.

1.1.4. Bandages: Commercially-packaged or sterile burn sheets 2. Triangular bandages

• Minimum two safety pins each 3. Dressings • Sterile multitrauma dressings (various large and small sizes) • ABDs, 10”x12” or larger • 4”x4” gauze sponges or suitable size 4. Gauze rolls • Various sizes 5. Occlusive dressing or equivalent • Sterile, 3”x8” or larger 6. Adhesive tape • Various sizes (including 1” and 2”) hypoallergenic • Various sizes (including 1” and 2”) adhesive 7. Arterial tourniquet (commercial preferred)

1.1.5. Miscellaneous: Sheets, pillows, aluminum foil or thermal blanket, pneumatic antishock garment(optional), disposable bed pans/urinals/emesis basins, 0.9% normal saline for irrigation, cold packs, ambulance gurney, thermometer, low

Attachment 1 temperature reading type, towels and washcloths, nasogastric tubes (adult and pediatric), pediatrics length/weight tape

1.1.6. Infection control:_ *Latex-free equipment should be available 1. Eye protection

(full peripheral glasses or goggles, face shield) 2. Face protection (for example, surgical masks per applicable local or state guidance) 3. Gloves, nonsterile (must meet NFPA 1999 requirements found at http://www.nfpa.org/) 4. Coveralls or gowns

5. Shoe covers 6. Waterless hand cleanser, commercial antimicrobial (towelette, spray, liquid) 7. Disinfectant solution for cleaning equipment 8. Standard sharps containers, fixed and portable. Disposable trash bags for disposing of biohazardous waste 10. Respiratory protection (for example, N95 or N100 mask—per applicable local or state guidance)

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