Regulation .09 Standard Ambulance Ventilation and Airway Maintenance Equipment.
Regulation .09 Standard Ambulance Ventilation and Airway Maintenance Equipment.LinkCopy Citation
Each ambulance shall carry the following standard airway maintenance and ventilation equipment:
A.
Oxygen which meets the following criteria:
(1)
For ground ambulances:
(a)
Optional onboard cylinders for BLS ambulances have a capacity of at least 3,000 liters;
(b)
Portable cylinders have a capacity of at least 400 liters;
(c)
The following number of cylinders, if on-board oxygen is present, unless more are needed for a particular patient based on COMAR 30.09.07.03A(2)(g):
(i)
One E size,
(ii)
One jumbo D size, or
(iii)
Two D size;
(d)
The following number of cylinders, if on-board oxygen is not present, unless more are needed for a particular patient based on COMAR 30.09.07.03A(2)(g):
(i)
Two E size,
(ii)
Two jumbo D size, or
(iii)
Three D size;
(2)
For air ambulances:
(a)
An on-board oxygen system that meets the CAMTS standards, which provide that:
(i)
Oxygen is installed according to FAA regulations;
(ii)
Medical transport personnel can determine if oxygen is on by in-line pressure gauges mounted in the patient care area;
(iii)
Each gas outlet is clearly marked for identification;
(iv)
Oxygen flow can be stopped at or near the oxygen source from inside the aircraft;
(v)
The indicators for quantity of oxygen remaining and measurement of liter flow are accessible to medical transport personnel while enroute; and
(vi)
Oxygen flow meters and outlets must be padded, flush mounted, or so located to prevent injury to medical transport personnel; and
(b)
A minimum of one portable oxygen cylinder that has a capacity of at least 400 liters;
(3)
All cylinders are properly color coded for U.S.P. grade, medical oxygen;
(4)
The system is free of:
(a)
Grease,
(b)
Oil, or
(c)
Other flammable organic material; and
(5)
All cylinders have passed hydrostatic testing during the past:
(a)
5 years, or
(b)
10 years, if approved by the inspector based on the condition of the cylinder;
B.
Regulators which:
(1)
Have a reducing valve limiting line pressure to 50 10 psi;
(2)
Have a pressure gauge, with a range of 0 to 2,500 psi, to indicate the pressure of oxygen remaining in the cylinder;
(3)
Are capable of delivering at least 0 to 15 liters/minute flow in calibrated increments;
(4)
Are accurate to within 1 liter/minute when at a setting equal to or less than 5 liters/minute;
(5)
Are accurate to within 1.5 liters/minute when at a setting between 6 and 10 liters/minute; and
(6)
Are accurate to within 2 liters/minute when at a setting equal to or greater than 11 liters/minute;
C.
At least one flow smeter dedicated to the portable oxygen system that is not gravity dependent;
D.
If present, positive pressure demand valves which provide:
(1)
100 percent oxygen;
(2)
An instantaneous flow rate not greater than 40 liters/minute;
(3)
An inspiratory pressure relief valve that opens at 60-centimeter water pressure; and
(4)
A 15/22-millimeter fitting;
E.
Adult oxygen administration sets which are the following types and quantities:
(1)
Four non-rebreather;
(2)
Two venturi;
(3)
Six nasal cannula;
(4)
Disposable, single use design; and
(5)
Transparent;
F.
Pediatric oxygen administration sets which are the following types and quantities:
(1)
Two non-rebreather;
(2)
Two nasal cannula;
(3)
Disposable, single use design; and
(4)
Transparent;
G.
Two sets of oxygen connecting tubing;
H.
One hand operated, self-reinflating adult bag valve mask with:
(1)
Oxygen inlet;
(2)
Reservoir tube;
(3)
Transparent face mask; and
(4)
Selectable pop off valve or no pop off valve;
I.
One hand operated, self-reinflating, pediatric bag valve mask with:
(1)
Oxygen inlet;
(2)
Reservoir tube;
(3)
One transparent neonatal face mask; and
(4)
One transparent pediatric or child face mask;
J.
One pocket mask with one-way valve; and
K.
One set of oropharyngeal airways in the following sizes:
(1)
Adult;
(2)
Child; and
(3)
Infant.