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Arkansas Rules and Regulations List for Emergency Medical Services (PDF)


Minimum Required PARAMEDIC Equipment List
Soft Supplies and Other Equipment
x6 4x4 Pads
x2 ABD Pads
x2 Trauma Dressing
x2 Isolation Kits
x6 Roller Gauze
Triangular Bandages

x1 OB Kit - Must contain Bulb syringe
Meconium Aspirator
Betadine Solution (1 Bottle)
Bandage / EMT Shears

Hemostat
Scalpel
Window Punch
Antiseptic Hand Cleaner

Exam Gloves
1 box
Sterile Gloves

Emesis Basin or Equivalent
Saline Drops
Commercial Tourniquet
Blankets
Sheets

Towels
Magill Forcep - 1 Adult - 1 Pediatric
ET Stylette - x2 Adult - x2 Pediatric

ETCO2 Detector - x1 Adult - x1 Pediatric
(Colormetric or Quantitiative)
Pediatric Drug Tape, Chart, or Wheel
Pediatric Defibrillator Pads/Paddles
Adult Defibrillator Pads/Paddles
Cardiac Monitor / Defibrillator / Pacer

ECG Cables x2 sets
ECG Paper x2
Electrodes Adult x6 - Pediatric x2
Pulse Oximetry Device x1

Pulse Oximetry Probes - Adult x1 - Pediatric x1
B/P Cuff - Large Adult / Adult / Child / Infant
Stethoscope
Tape 1" and 2" x4 Hypoallergenic and non-latex
Occlusive Dressing
Thermometer
Lubricating Jelly
Sharps Container

Glucometer and Glucose Measuring Strips

Mechanical

Fire Extinguisher
Haz-Mat Reference Guide
Reflective Safety Wear
Flashlight and Batteries
N95
or N100 Respirator
Trauma Bands
Triage Tags/Tape

Protocol Book
Bio-Hazard Bags
Disinfectant Solution

Oxygen

Main and Portable O2
Nasal Cannula (Adult and Pediatric)


BVM

Sterile Saline

Suction
On-Board Unit (1)



Airway Adjuncts and Transport

Esophageal Tracheal Multi-Lumen Airway (1)


Cric Kit or 10/12ga Needle (1)

Immobilization
(2- Adult and 1 Pediatric)

Splints

Strechers
Folding Stretcher and/or
Stair Chair or Similar Device
(1 of the above)

Elevating Stretcher (1)

IV Supplies and Access Devices



IO Needles / Drill (Tibial & Humerus Access Only)
Adult (2)
Pediatric (2)
Powered and/or Manual IO Access Device

Syringes and Needles
1cc (1)
3 or 5cc (3)
10 or 12cc (3)
60cc (1)
Assorted needle sizes 15g-25g
10, 12, or 14 gauge catheter (2) (3.25 inches in length, A commercial chest decompression device can be substituted for the above)

Medications (Injectable, Oral, Intranasal, Intravenous Infusions, Inhaled Meds)
Antiarrhythmic (Bolus and Infusion)
Antiemetic agent
Aspirin 81-325mg
Dextrose 50%- minimum 100ml
Diuretic
Dopamine Drip
Epinephrine 1:10,000 - minimum 5 mg
Epinephrine 1:1000 - minimum 3 mg
H1 Blocking Agent
Inhaled Beta Agonist
Magnesium Sulfate
Narcotic Antagonist
Narcotic Analgesic
Nitroglycerine (Sub-Lingual)
Sodium Bicoarbonate
Vasopression (80 Units minimum) Not required but minimum if carried

Required Controlled Drug
Must follow Ambulance Service's Controlled Drug Policy on file with the Section of EMS

Injectable Narcotic analgesic
Benzodiazepine

Optional Equipment
Continuous Positive Airway Pressure (CPAP)
Huber Needles
Central Venous Device Access
Cardiac Thrombolytic Medications

Services Carrying equipment and/or medications not listed above must

ADVANCED Equipment List

x6 4x4 Pads
x2 ABD Pads
x2 Trauma Dressing
x2 Isolation Kits
x6 Roller Gauze
Triangular Bandages
x1 OB Kit - Must contain Bulb syringe
Meconium Aspirator
Betadine Solution (1 Bottle)
Bandage / EMT Shears
Hemostat
Window Punch
Antiseptic Hand Cleaner
Exam Gloves 1 box
Sterile Gloves (4 pairs)
Emesis Basin or Equivalent
Saline Drops
Commercial Tourniquet
Magill Forceps - Adult (1) Pediatric (1)
Blankets
Sheets
Towels
Pediatric Drug Tape, Chart or Wheel (1)
Automatic External Defibrillator (AED)
Adult Pads (2 sets)
Pediatric Pads (2 sets)
Pulse Oximetry Device (1)
Pulse Oximetry Probes - Adult (1) Pediatric (1)
B/P Cuff - Lg. Adult / Adult / Child / Infant
Stethoscope
Tape 1" and 2" (4) Hypallergenic and non-latex)
Occlusive Dressing (2)
Thermometer (measuring a range of 86-105 degree F)
Lubricating Jelly
Sharps Container
Glucometer and Glucose measuring strips

Mechanical

Fire Extinguisher(s) (1)
HAZ-MAT Reference Guide
Reflective Safety Wear
Flashlight and Batteries (only if not rechargeable)
N95 or N100 Respirator
Trauma Bands
Triage Tags/Tape
Protocol Book
Bio-Hazard Bags
Disinfectant Solution

OXYGEN
Main and Portable O2
OPA Set 40mm-110mm
NPA Set (sizes 12, 16, 20f)
Nasal Cannula (Adult and Pediatric)

Masks
Non-Rebreather (2)
Pediatric (2)
Infant (1)
Partial Rebreather (1)

BVM
Adult (2) >1000ml
Pedi (1) 450-750ml
Infant (1) 150-300ml

Nebulizer (1)
Sterile Saline

Suction
Portable Unit (1)
On-Board Unit (1)
Suction Tubing (2)

Catheters
Size 8fr, or 10fr. (1)
Size 12 fr. (1)
Size 14fr or 18fr (1)
Rigid Suction Tip (1)

Airway Adjuncts and Transport

Esophageal Tracheal
Multi-Lumen Airway (1)

Immobilization

KED XP-1 or Equivalent
Spine board and Straps (2)
Pediatric Restraint System
Head Immobilization device (adult and pediatric towel - Towel Rolls are acceptable, Sand Bags are not)

Cervical Collars
Adult (3)
Pediatric (2)
Infant (1)
May Substitute: 3 adult-adjustable and 2 pediatric-adjustable

Splints
Set of padded extremity splints or acceptable substitute (vacuum splints, etc.)
Traction Splits (1)

Stretchers

Folding Stretcher and/or
Scoop Stretcher and/or
Stair Chair or Similar Device (1 of the above)

Elevating Stretcher (1)

IV Supplies and Access Devices
Micro Drip Infusion Sets (2) and
Macro Drip Infusion Sets (2) or
Adjustable Drip Sets (4) (These can be used in place of Micro/Macro Sets)
0.9% Saline Solution (4L)
Ringers Lactate (4L)
IV Start Sets / Tourniquet (6)

IV Catheters (3 of each)
14ga
16ga
18ga
20ga
22ga
24ga

IO Needles/Drill (Tibial & Humerus Access Only)
Adult (2)
Pediatric (2)
Powered and/or Manal IO Access Device

Syringes and Needles
1cc (1)
3 or 5cc (3)
10 or 12cc (3)
60cc (1)
Assorted needle sizes 18-25g

Medications

Aspirin 81-325mg
Dextrose 50% minimum 100ml
Epinephrine Auto Injector and/or Epinephrine 1:1000
Narcotic Antagonist
Nitroglycerine (Sub-Lingual)
Inhaled Beta Antagonist

Optional Equipment:
Continuous Positive Airway Pressure (CPAP)

Minimum Required BASIC Equipment List
Includes EMT, EMT-Volunteer, EMT-Specialty

4x4 Pads (6)
ABD Pads (2)
Trauma Dressing (2)
Isolation Kit (2)
Roller Gauze (6)
Triangular Bandages
OB Kit (1) - Must Contain Bulb Syringe
Meconium Aspirator
Batadine Solution (1 Bottle)
Bandage / EMT Shears
Hemostat
Window Punch
Antiseptic Hand Cleaner
Exam Gloves (1 box)
Sterile Gloves (4 Pairs)
Emesis Basin or Equivalent
Sterile Saline Drops
Commercial Tourniquet
Blankets
Sheets
Towels
Pediatric Drug Tape, Chart, or Wheel (1)
Automated External Defibrillator
AED Pads - Adult (2 Sets) Pediatric (2 Sets)
B/P Cuff - Lg Adult/Adult/Child/Infant
Stethoscope (Suitable for adults and pediatrics)
Tape 1" and 2" (4) (hypoallergenic and non-latex)
Occlusive Dressing (2)
Thermometer (range of 86-105 F)
Lubricating Jelly
Emesis Basin or Equivalent
Sterile Saline (2 1 liter bottles)

SERVICES GIVING MEDICATIONS ARE REQUIRED TO HAVE THE FOLLOWING

Glucometer and Glucose measuring strips
Pulse Oximetry Device (1)
Pulse Oximetry Probes - Adult (1) Pediatric (1)
Sharps Container
Nubulizer (1)

Operations
Fire Extinguisher (1)
Haz-Mat Reference Guide
Reflective Safety Wear
Flashlight and Batteries
N95 or N100 RespiratorTrauma Bands
Triage Tags/Tape
Protocol Book
Bio-Hazard Bags
Disinfectant solution

Oxygen
Main O2
Portable O2
OPA Set 40mm-110mm
NPA Set (Sizes 12, 16, 20f)
Nasal Cannula (adult and Pediatric)

Masks
Non-Rebreather (2)
Pediatric (2)
Infant (1)
Partial Rebreather (1)

BVM
Adult (2) >1000ml
Pedi (1) 450-750ml
Infant (1) 150-300ml

Lubricating Jelly

Suction
Portable Unit (1)
On-Board Unit (1)
Suction Tubing (2)

Catheters
Size 8fr. or 10fr. (1)
Size 12fr.
Size 14fr or 18fr (2)
Rigid Suction Tip (1)

Splinting and Transport

Immobilization Devices
KED XP-1 or equivalent
Spine board and Straps (2)
Pediatric Restraint System
Head immobilization device (Adult and pediatric - Towel Rolls are acceptable, Sad Bags are not)

Cervical Collars
Adult (3) Pediatric (2) Infant (1)
May Substitute: 3 adult-adjustable and 2 pediatric-adjustable
(1) of the following
Folding Stretcher
Scoop Strecher
Stair Chair
Similair device

Elevating Stretcher(1)

Splints
Set of padded extremity splints or acceptable substitute (vacuum splints, etc.)
Traction Splits (1)

**Medications (Injectable, Oral, Intranasal, Intravenous Infusions, Inhaled Meds)
Aspirin 81-325mg
Oral Glucose
Epinephrine Auto Injector
Inhaled Beta Antagonist
** If Service chooses to administer medications.

Optional Equipment
Cell Phone

Minimum Required ADVANCED RESPONSE equipment list

4x4 Pads (6)
ABD Pads(2)
Trauma Dressing (2)
Isolation Kits (2)
Roller Gauze (6)
Triangular bandages
OB Kit (1) - Must contain Bulb Syringe
Meconium Aspirator
Batadine Solution (1 Bottle)
Bandage / EMT Shears
Hemostat
Scalpel
Window Punch
Antiseptic Hand Cleaner
Exam Gloves (1 box)
Sterile Gloves (4 Pairs)
Emesis Basin or Equivalent
Saline Drops
Commercial Tourniquet
Blankets
Sheets
Towels
Magill Forceps - Adult (1) Pediatric (1)
ET Stylette - Adult (2) Pediatric (2)
ETCO2 Detector - Adult (1) Pediatric (1)
(Colormetric or quantitative)
Pediatric Drug Tape, Chart or Wheel (1)
Pediatric Defibrillator Pads/Paddles (1 set)
Adult Defibrillator Pads/Paddles (1 set)
Cardiac Monitor / Defibrillator / Pacer (1)
ECG Cables (2 Sets)
ECG Paper (2)
Electrodes Adult (6 Sets) Pediatric (2 Sets)
Pulse Oximetry Device (1)
Pulse Oximetry Probes - Adult (1) Pediatric (1)
B/P Cuff - Lg. Adult / Adult / Child / Infant
Stethoscope
Tape 1" and 2" (4) (Hypallergenic and non-latex)
Occlusive Dressing (2)
Thermometer (measuring a range of 86-105 F)
Lubricating Jelly
Sharps Container
Glucometer and Glocose Measuring Strips

Mechanical
Fire Extinguisher(s) (1)
HAX-MAT Reference Guide
Reflective Safety Wear
Flashlight and Batteries (Only if not rechargeable)
n95 OR n100 rESPIRATOR
tRAUMA bANDS
tRIAGE tAGS/tAPE
pROTOCOL Book
Bio-Hazard Bags
Disinfectant Solution

Oxygen
Poratable O2
OPA Set 40mm - 110mm
NPA Set (sizes 12, 16, 20f)
Nasal Cannula (Adult and Pediatric)

Masks
Non-Rebreather (2)
Pediatric (2)
Infant (1)
Partial Rebreather (1)

BVM
Adult (2) >1000ml
Pedi (1) 450-750ml
Infant (1) 150-300ml

Nebulizer Kit (1)
Sterile Saline (2-1L

Suction
Portable Unit (1)
Suction Tubing (2)

Catheters
Size 8 or 10fr (1)
Size 12 fr (1)
Size 14 or 18fr (1)
Rigid Suction Tip(1)

Airway Supplies
Esophageal Tracheal Multi-Lumen Airway (1)
Supraglottic Airways (Adult and Pediatric)
Laryngoscope Handles (1) Adult (1) Pediatric
Laryngoscope Blades (1-4 OR 0-3) (1ea)
ET Tube Sizes
2.5 UC
3.5 UC
4.0 UC
5.0 UC
5.5 UC
4.5 C
6.5 C
7.5 C
Cric Kit or 10/12ga Needle (1)
ET Tube Holders Adult (1) and Pediatric (1)
commercial style

Immobilization
KED XP-1 or Equivalent
Cervical Collars
Adult (3)
Pediatric (3)
Infant (1)

IV Supplies and Access Devices
Micro Drip Infusion Sets (2) and
Macro Drip Infusion Sets (2) or
Adjustable Drip Sets (4) (These can be used in place of Micro/Macro Sets)
0.9% Saline Solution (4L)
Ringers Lactate (4L)
IV Start Sets / Tourniquet (6)

IV Catheters (3 of each)
14ga
16ga
18ga
20ga
22ga
24ga

IO Needles/Drill (Tibial & Humerus Access Only)
Adult (2)
Pediatric (2)
Powered and/or Manual IO Access Device

Syringes and Needles
1cc (1)
3 or 5cc (3)
10 or 12cc (3)
60cc (1)
Assorted Needle Sizes 18G -25G
10,12 or 14 ga catheter (2) (3.25 inches in length, A commercial chest decompression device can be substituted for the above)

Medications (Injectable, Oral, Intranasal, Intravenous Infusions, Inhaled Meds)
Atropine - minimum 4mg
Adenosine
Antiarrhythmic (Bolus and Infusion)
Antiemetic Agent
Aspirin 81-325mg
Dextrose 50% minimum 100ml
Diuretic
Dopamine Drip
Epinephrine 1:10,000- minimum 5mg
Epinephrine 1:1000 - minimum 3 mg
H1 Blocking Agent
Inhaled Beta Agonist
Magnesium Sulfate
Narcotic Antagonist
Nitroglycerine (Sub-Lingual)
Sodium Bicarbonate
Vasopression (80 units minimum) - Not required but minimum if carried

Optional Equipment

Narcotic Analgesic - Must follow Ambulance Service's Controlled Drug Policy on file with the Section of EMS
Continuous Positive Airway Pressure (CPAP)
Hubar Needles
Central Venous Device Access
Cariac Thrombolytic Medications


required STRETCHER AMBULANCE equipment list

3x4 Pads (6)
ABD Pads (2)
Isolation Kit (1)
Roller Gauze (6)
Bandage / EMT Shears
Antiseptic Hand Cleaner
Exam Gloves (1 Box)
Sterile Gloves (4 Pairs)
Automated External Defibrillator
AED Pads - Adult (2 Sets) Pediatric (2 Sets)
B/P Cuff - Lg Adult/Adult/Child/Infant
Stethoscope
Tape 1" and 1" (2) (hypallergenic and non-latex)
Emesis Basin or Equivalent
Blankets Sheets Towels

Fire Extinguiser(s) (1)
Flashlight and Batteries (only if not rechargable)

Oxygen
Portable O2
OPA Set 40mm-110mm
Nasal Cannula (2)

Masks
Non-Rebreather (2)
Pediatric (2)
Infant (2)
Partial Rebreather (1)

BVM
Adult (2) >1000ml

NPA (Various Sizes)
Adult

Splinting and Transport
Elevating Stretcher.