1916
1928
1938
International Ford GMC and Dodge Chassis are now becoming today’s newest Ambulances.

Have Changes in EMS been Positive?
Yes
No
Long way to Go Yet
Not Sure
Maybe

  Click on Rig & visit McCoy Miller
McCoy Miller was the Builder for ALL of Mercy Ambulance Services Fleet. McCoy Miller Builds beyond industry Standards and there rigs last and in this photo the workman ship protected the Medics involved in this accident.  This Unit was responding to a medical, traveling at 70 mph the unit was struck broadsided by a drunk driver, after impact the rig became airborne landing on it's side.  Two of my Fellow Co-Workers received minor injuries and were released later that evening.  Scott Brady then CEO of Mercy Ambulance and a former medic himself, along with its staff were surprised how well the vehicle performed.  The interior cabinets remained intact and equipment that had been secured protected the crew from their medical equipment from becoming deadly missiles. 
                                    (McCoy Miller purchased this unit back and used it as an expo display.)
                                          THANK YOU McCoy MILLER FOR BUILDING EXCELLENCE
1957 Edsel
1959 Edsel
1960 Ford Panel
1965 Chevy
  1965 Cadillac
1969 Ford Van
1977 Cadillac High Top
Dodge Custom
1986 Ford Van
1989 Ford Van
1998 Ford Modular
2001 Ford Modular by McCoy Miller
2002 Ford Modular by McCoy Miller
Mercy Unit 171-Was delivered in April 1991, The Ambulance was built by McCoy Miller.  This unit was at the time, the newest ambulance to be added to Mercy's Western Michigan Operations Fleet which consisted of 40 (forty) McCoy Miller Ambulances.  Mercy also provided "contract ALS" Operations in Las Vegas, Indiana, Nevada, and Virginia with it's fleet built Ambulances by McCoy Miller.
In 1994 Mercy purchased 4 (four) "Road Rescue, Type III Modular Ambulance's.” The remainder of Mercy’s Fleet remained of "McCoy Miller" Ambulances built to Mercy’s specifications.  Road Rescue was unable to win a contract to become the sole provider of Mercy’s extensive fleet of Ambulances.
Sign InView Entries
Add this page to your favorites.
Life Pak 10
Mast trousers
Cardio-2 Also called a "Thumper" which provides Automatic CPR
Old Portable telemetry
Inside a Rig with a Stryker Stretcher
Oxygen
Photo courtesy of Chris Ritter former Mercy Paramedic
EQUIPMENT CARRIED In: Today's Ambulances


Airway & Suction
Airway Bag            
Oral Airway (assorted sizes)
Nasal Airway (assorted sizes)
Ventilator
Monitors
Physio-Control Life Pak 11 monitor/defibrillator w/pacing and 12 lead ECG
Pro-Pak 102 ECG/Pulse/Blood Pressure
LSP 3000 Portable Ventilator
Monitors
Thermometer
Combo-Tube
Blood Pressure Cuff
Stethoscope
Suction
Ohmeda Portable Suction
Nellcor Pulse Oximeter
Portable Oxygen Tank/Regulator/Wrench
Oxygen Mask (Adult/Pediatric)
Nasal Cannula
Nebulizer
Bag-Valve-Mask (Adult)
Laryngoscope Handle
Laryngoscope Blades (Miller and MacIntosh 1 -3) Disposable
Endotracheal Tubes (size 3 -8)
Stylet
Magil Forceps
Oral Airway (assorted sizes)
Nasal Airway (assorted sizes)
Combo-Tube
Police EMS
Fire EMS
Ambulance EMS
This Unit was Built by Road Rescue
1962 Ambulance--same type that Carried President Kennedy's body from Andrews Airforce Base
1974 Oldsmobile
SCHOOL VIOLENCE
  "Mommy"
Johnny brought a gun to school,
He told his friends that it was cool,
And when he pulled the trigger back,
It shot with a great crack.
Mommy, I was a good girl,
I did what I was told,
I went to school,
I got straight A's and B's,
I even got the gold!
But Mommy, when I went to school that day,
I never said good-bye,
I'm sorry Mommy, I had to go,
But Mommy, please don't cry.
When Johnny shot the gun,
He hit me and another,
And all because Johnny,
Got the gun from his older brother.
Mommy, please tell Daddy;
That I love him very much,
And please tell Zack; my boyfriend;
That it wasn't just a crush.
And tell my little sister;
That she is the only now,
And tell my dear sweet Grandmother;
I'll be waiting for her now,
And tell my wonderful friends;
That they always were the best,
Mommy, I'm not the first,
I'm no better then the rest.
Mommy, tell my teachers;
I won't show up for class,
And never to forget this,
And please don't let this pass.
Mommy, why'd it have to be me?
No one deserves this,
Mommy, warn the others,
Mommy, I left without a first kiss.
And Mommy, tell the doctors;
I know they really did try,
I think I even saw the Doctor,
Trying not to cry.
Mommy, I'm slowly dying,
With a bullet in my chest,
But Mommy, please remember,
I'm in heaven with the rest.
Mommy, I ran as fast as I could,
When I heard that crack,
Mommy, listen to me if you would,
I'm not coming back.
I wanted to go to college,
I wanted to try things that were new,

I guess I'm not going with Daddy; On that trip to the new zoo. I wanted to get married, I wanted to have a kid, I wanted to be a singer, Mommy, I wanted to live. But Mommy, I must go now, The time is getting late, Mommy tell my boyfriend, I'm sorry, I had to cancel the date. I love you Mommy, I always have, I know; you know it's true, And Mommy all I wanted to say is, "Mommy, I love you"
MEDICAL COMUNICATIONS (MED-COM)
The Pictures above are of the Kent County Medical Communications Center.  Ambulances out in the field, in automobiles,in a home, or in the back of Ambulance racing to a Hospital, are patched into the Receiving hospital for Patient Reports are given over the air.
These boxes were used upto the early 90's.  The Green Box called the "Five Box," carried all the meds and Narcotics.
The Blue Box was called the "Two Box," and held IV Solutions, Setup Tubing, and Blood Tubing
In the "Old Days," medics would fill out there EMS Reorts anywhere they could find a place to write.  Today PDA's, Computer's, and Hospital Paramedic Report Rooms
360 Degree View of the back of an Ambulance
360 Degree View of the back of an Ambulance
360 View of the interior of a Freightliner Ambulance
360 View of the interior of a Freightliner Ambulance
360 View of a Type 2 Rig
360 View of a Type 2 Rig
Listen to this 911 CALL  a Prediction of the Financial       crisis hitting both Rural and Urban EMS Services
Life on the Rig
                 JUST ANOTHER DAY IN EMS
I delivered a baby on the ambulance stretcher
I baptized a newborn whose life ended before it began.
I hugged a frightened child.
I was kissed by an intoxicated old man.
I held the hand of a teenage girl while she delivered a 3 pound baby.
I listened to the mournful squeak of a stretcher being wheeled to the morgue.
I gently stroked the fragile hand of a 102 year old woman.
I hesitated at the outreached hand of a 300 pound prisoner in handcuffs.
I trudged for ten hours in my boots.
I had a teenager vomit on those same boots.
I rubbed the feverish body of a 14-year-old cancer patient.
I cradled the ice-cold hand of a child hit by a car.
I was referred to as "an angel of mercy".
I was called every four-letter word in the book.
I always see fear in people's eyes.
I never see joy or relief.
I listened to a tormented voice pleading for the preservation of life.
I heard the threatening words of one bent on self destruction.
I spoke with a girl who was hoping she had the flu, not a pregnancy.
I see innocent people hurt by a drunk driver, and the drunk driver is never hurt.
I marveled at the genius of a cardiologist.
I saw a 12-year-old boy who shot himself in the head, and the gun was still loaded at his feet.
I talked in circles with a schizophrenic person.
I was horrified at the battered body of a child whose parents were incapable of love.
I gazed at a horribly burned body.
I shuddered at a cold water drowning.
I see women beaten up by their spouses, but they never press charges.
I walk into houses and do CPR with family watching over my shoulder in tears.
I arrive at serious auto accidents, and the first words I hear are, "Am I going to die?"
I find out hours later they did die.
I listen to the repeated question "Why?” from a family devastated by death.
I search my soul for the answers to their question.
This is just another day in EMS.
           An EMT's Prayer

GOD ... Grant me the ability to give emergency care.  With skillful hands, knowledgeable mind, and tender loving care.
Help me deal with everything, when lives are on the line.

To see the worst, administer aid, and ease a worried mind.  So help me as I go today, accept what fate may be.  Touch these hands, use this mind, and help this E.M.T.
Amen
INTUBATION
Video inside a Rig
Depending on the nature of the emergency, EMTs and paramedics typically are dispatched to the scene by a 911 operator and often work with police and fire department personnel. Once they arrive, they determine the nature and extent of the patient’s condition while trying to ascertain whether the patient has preexisting medical problems. Following strict procedures, they give appropriate emergency care and transport the patient. Some conditions can be handled following general rules and guidelines, while more complicated problems are carried out under the direction of medical doctors by radio.
The specific responsibilities of EMTs and paramedics depend on their level of qualification and training.
To determine this, the National Registry of Emergency Medical Technicians (NREMT) registers Emergency Medical Service (EMS) Providers at four levels: First Responder, EMT-Basic, EMT-Intermediate, and EMT-Paramedic. Some States, however, do their own certification and use numeric ratings from 1 to 4 to distinguish levels of proficiency.
A 2007 U.S. Government study showed that Private EMS
Services averaged a median salary:  2006 of only $23,500
per year.
This is a method used by Paramedics to establish what is called an advanced airway that provides the Brain and Heart with critical Oxygen
Click for EMS Classifieds
Is Heaven in the Yellow Pages?
Mommy went to Heaven, but I need her here today, My tummy hurts and I fell down, I need her right away.

Operator can you tell me how to find her in this book?  Is heaven in the yellow part, I don't know where to look.  I think my daddy needs her too, at night I hear him cry.
I hear him call her name sometimes, but I really don't know why.

Maybe if I call her, she will hurry home to me.  Is Heaven very far away, is it across the sea?

She's been gone a long, long time she needs to come home now!  I really need to reach her, but I simply don't know how.

Help me find the number please, is it listed under "Heaven"?  I can't read these big big words, I am only seven.

I'm sorry operator; I didn't mean to make you cry, Is your tummy hurting too, or is there something in your eye?

If I call my church maybe they will know.  Mommy said when we need help that's where we should go.

I found the number to my church tacked up on the wall.  Thank you operator, I'll give them a call.
TELEPHONE # FOR HEAVEN
          BULLET PROOF VEST'S
Today these vests are becoming necessary as well as standard issue equipment for medics by EMS Services
UNITED STATES COAST GUARD MEDICS LOAD A PATIENT FOR AIR TRANSPORT


History of EMS
Modern EMS systems developed following the 1966 publication of  National Academy of Sciences paper entitled Accidental Death and Disability: The Neglected Disease of Modern Society and the work of J.F. Pantridge extending emergency cardiac care to the prehospital setting in the United Kingdom. Dr. Pantridge’s program in Northern Ireland inspired the pioneering efforts of physicians such as Eugene Nagel in Miami and Leonard Cobb in Seattle to extend emergency cardiac care to the patient’s home.
Medicine is primarily concerned with preventing and curing disease and relieving suffering. Emergency Medical Service (EMS) is an important part of the health care system, especially for people who suffer sudden and unexpected emergencies. In most communities, EMS is regarded as a public good. There are myriad approaches to offering EMS: it may be provided by the fire department, by another agency within the local government, by private entities that provide care within a local geographic area, by volunteer organizations, or by any number of other configurations.

Emergency Medical Service is often regarded as including the full spectrum of emergency care from recognition of the emergency condition, requesting emergency medical aid, provision of prehospital care, through definitive care in the hospital. It may also include medical response to disasters, planning for and providing medical coverage at mass gatherings, and interfacility transfer of patients. However, for the purposes of this document, the examination of EMS is limited to the more traditional, colloquial definition: prehospital emergency care from the time of the request for medical aid until arrival at and transfer of care to the hospital.

EMS care is provided by a variety of personnel, both paid and volunteer, who are trained at various levels of sophistication including first responders, EMT-Basic, EMT-Intermediate, and EMT-Paramedic. Basic level providers, trained in as little as 110 hours, provide services such as first aid, cardiopulmonary resuscitation, and patient stabilization. At the other end of the training spectrum, paramedics, who have acquired up to thousands of hours of training, bring highly sophisticated medical interventions that require critical thinking, such as endotracheal intubation and intravenous medication administration, to patients in the prehospital setting.

EMS agencies often employ physicians with the expertise to evaluate new treatments and with the ability to develop and improve protocols based on scientific findings.
EMS treats and transports approximately 25 to 30 million patients per year. As an important point of entry into the healthcare system, EMS is in a unique position to impact those patients. It is logical to assume that prehospital intervention positively affects patient outcome, but this influence is difficult to quantify. For example, early defibrillation to victims of sudden cardiac arrest, administration of nitroglycerin to patients with chest pain, and prehospital administration of fibrinolytic therapy to patients with myocardial infarction measurably saves lives. On the other hand, seemingly logical interventions such as the pneumatic anti-shock garment and endotracheal intubation in children in just over the past few years have begun studies and research that study if in fact harm is caused to the pediatric patient.  More research is necessary to provide the evidence upon which EMS practices in pediatrics treatment can be based.

Misperceptions about EMS on the part of the public abound. In one study, fifteen percent of the patients in a hospital emergency department thought that paramedics were physicians. The entertainment media routinely depict cardiopulmonary resuscitation as resulting in good patient outcome, likely leading to unrealistic expectations among the lay public. Most members of the public believe that the use of warning lights and sirens saves clinically significant time in ambulance response and transport to the hospital, although several studies have suggested otherwise, and the debate continues today regarding rapid transport.
EMS Service Expensive to Operate
EMS Systems are expensive to operate. The true economic burden of EMS is widely distributed and therefore well hidden from view. In the Medicare program alone, more than $2.5 billion is spent for patient transportation. It is estimated that $5 billion is spent on EMS in the United States each year. More detail on the costs of the EMS system is available in the document describing the Negotiated Rule Making process on EMS reimbursement sponsored by the Health Care Financing Administration on the Internet at: ww.hcfa.gov/medicare/comstate.html
The incremental costs and benefits of different levels of EMS care are poorly quantified and remain the subjects of ongoing studies.
The Star of Life (SOL) was designed by a Leo R. Schwartz, EMS Branch Chief at the National Highway Traffic Safety Administration ( NHTSA ) United States of America. The star of life was created in 1973 as a common symbol to be used by US emergency medical services (EMS) and medical goods pertaining to EMS, after complaints from the American National Red Cross objecting to the use and imitation of the red cross symbol by ambulance services throughout America

However the use of the red cross symbol can still be seen on military vehicles, hospital tents and buildings to protect wounded civilian and military personnel as per the Geneva Convention in times of war.

The snake and staff in the symbol portray the staff of Aesculapius, son of Apollo, the staff represents medicine and healing. The Star of Life symbol can be seen as a means of identification on ambulances and ambulance equipment worldwide. It`s use on EMS patches in the US and other countries signifies the wearer has been trained to meet National or State Training Standards.
In order to become a paramedic you must first complete basic Emergency Medical Technician (EMT) training. Basic EMT training is conducted by many Community Colleges in Michigan.

Your first step is to enroll in EMT training. EMT requirements are as follows:

1. It must be a state approved EMT program.

2. You must have a high school diploma or GED and be 18 yrs of age.

3. You must be able to pass a physical examination and be signed off by a physician as having sufficient health to do the responsibilities of an EMT.

4. Be free of Felony, drug, or DUI convictions.

5. Pass the schools prescribed EMT course with usually an average of 80%

After meeting those requirements, an applicant will need to enroll in a Paramedic training course given by many institutions (Community Colleges) for admission to the Paramedic program.
  Become a Paramedic
In Michigan
Click above to learn more about the United States Coast Guard and it's role in Emergency Medical Services.

FIRST AMBULANCE SERVICE
The first ambulance service in the United States was created in Cincinnati in 1865 at Cincinnati General Hospital.
This service still operated in the fire department.

Other services followed at Grady Hospital in Atlanta, Charity Hospital in New Orleans, and several hospitals in New York City and other major cities.

In December of 1869 the first month of operation of the ambulance service of the Free Hospital of New York (Bellevue) ran 74 calls. A total of 1466 calls were run in 1870.
The Father of Modern EMS
J.D. "Deke" Farrington, MD, FACS
In the mid 1950's, J.D. "Deke" Farrington, MD, FACS (known as the Father of modern EMS), and others, questioned why the lessons learned by the military medical corps during World War II and the Korean War could not be brought into the civilian community to improve the standard of civilian care.

At that time, emergency medicine and EMS were not what we it know as today.  In San Francisco, New York, New Orleans, and other U.S. cities, interns were assigned to ambulances to provide care for the victims of trauma and other conditions outside   hospital's.  Most of U.S. hospitals did not have a place to manage emergencies. Some hospitals had set up so called "emergency room" that were unstaffed at the back of the hospital. 

The "ambulance driver" would have to ring the doorbell beside the emergency room door so that the nursing staff could come down from the ward to unlock the door.  The nurse then checked the patient and called a physician from home if she thought that the patient was really sick. Today's modern emergency departments are still primarily in the rear of the hospital and not out front is this tradition? 

Physicians that were on staff had to take turns "covering the emergency room." In the 1950's a patient involved in a major wreck with multiple fractures, and perhaps a ruptured spleen or a head injury, might be seen by an ophthalmologist or a dermatologist.

Many physicians were ill prepared to handle trauma or a major myocardial infarction, (Heart Attack) but there was no alternative. 

Until the concept arose that non-physicians could be trained to provide this new kind of emergency care, the majority of the prehospital care was merely transportation provided by the local mortuaries.  Victim's were often driven to the hospital in a hearse with no one in the "patient compartment" except the patient and perhaps a family member.

Many Officials began to question the efficacy and even ethics of this type of transportation.  A paper titled "Accidental Death and Disability: The Neglected Disease of Modern Society" was written by the National Academy of Sciences and the National Research Council in 1966, it became apparent that much improvement could be made by changing the emergency vehicles themselves and improving the training of EMTs, communications, record keeping, and the care provided upon arrival to the facility.  This has begun the transition of our present day EMS System.
The Job As An EMT & Paramedic
People's lives often depend on the quick reaction and competent care of emergency medical technicians (EMTs) and paramedics, EMTs with additional advanced training to perform more difficult pre-hospital medical procedures. Incidents as varied as automobile accidents, heart attacks, drownings, childbirth, and gunshot wounds all require immediate medical attention. EMTs and paramedics provide this vital attention as they care for and transport the sick or injured to a medical facility.

Depending on the nature of the emergency, EMTs and paramedics typically are dispatched to the scene by a 911 operator and often work with police and fire department personnel. Once they arrive, they determine the nature and extent of the patient's condition while trying to ascertain whether the patient has preexisting medical problems. Following strict rules and guidelines, they give appropriate emergency care and, when necessary, transport the patient. Some paramedics are trained to treat patients with minor injuries on the scene of an accident or at their home without transporting them to a medical facility. Emergency treatments for more complicated problems are carried out under the direction of medical doctors by radio preceding or during transport.

EMTs and paramedics may use special equipment such as backboards to immobilize patients before placing them on stretchers and securing them in the ambulance for transport to a medical facility. Usually, one EMT or paramedic drives while the other monitors the patient's vital signs and gives additional care as needed. Some EMTs work as part of the flight crew of helicopters that transport critically ill or injured patients to hospital trauma centers.
At the medical facility, EMTs and paramedics help transfer patients to the emergency department, report their observations and actions to staff, and may provide additional emergency treatment. After each run, EMTs and paramedics replace used supplies and check equipment. If a transported patient had a contagious disease, EMTs and paramedics decontaminate the interior of the ambulance and report cases to the proper authorities.

Beyond these general duties, the specific responsibilities of EMTs and paramedics depend on their level of qualification and training. To determine this, the National Registry of Emergency Medical Technicians (NREMT) registers emergency medical service (EMS) providers at four levels: First Responder, EMT-Basic, EMT-Intermediate, and EMT-Paramedic. Some States, however, do their own certification and use numeric ratings from 1 to 4 to distinguish levels of proficiency.

The lowest level—First Responders—are trained to provide basic emergency medical care because they tend to be the first persons to arrive at the scene of an incident. Many firefighters, police officers, and other emergency workers have this level of training. The EMT-Basic, also known as EMT-1, represents the first component of the emergency medical technician system. An EMT-1 is trained to care for patients on accident scenes and on transport by ambulance to the hospital under medical direction. The EMT-1 has the emergency skills to assess a patient's condition and manage respiratory, cardiac, and trauma emergencies.

The EMT-Intermediate (EMT-2 and EMT-3) has more advanced training that allows administration of intravenous fluids, use of manual defibrillators to give lifesaving shocks to a stopped heart, and use of advanced airway techniques and equipment to assist patients experiencing respiratory emergencies. EMT-Paramedics (EMT-4) provide the most extensive pre-hospital care. In addition to the procedures already described, paramedics may administer drugs orally and intravenously, interpret electrocardiograms (EKGs), perform endotracheal intubations, and use monitors and other complex equipment.

EMTs and paramedics work both indoors and outdoors, in all types of weather. They are required to do considerable kneeling, bending, and heavy lifting. These workers risk noise-induced hearing loss from sirens and back injuries from lifting patients. In addition, EMTs and paramedics may be exposed to diseases such as Hepatitis-B and AIDS, as well as violence from drug overdose victims or mentally unstable patients. The work is not only physically strenuous, but also stressful, involving life-or-death situations and suffering patients. Nonetheless, many people find the work exciting and challenging and enjoy the opportunity to help others.  EMTs and paramedics employed by fire departments work about 50 hours a week. Those employed by hospitals frequently work between 45 and 60 hours a week, and those in private ambulance services, between 45 and 50 hours. Some of these workers, especially those in police and fire departments, are on call for extended periods. Because emergency services function 24 hours a day, EMTs and paramedics have irregular working hours that add to job stress
EMS Working Conditions:
EMTs and paramedics work both indoors and outdoors, in all types of weather. They are required to do considerable kneeling, bending, and heavy lifting.

These workers risk noise-induced hearing loss from sirens and back injuries from lifting patients.  In addition, EMTs and Paramedics may be exposed to diseases such as Hepatitis-B and AIDS, as well as violence from drug overdose victims or mentally unstable patients.

The work is not only physically strenuous, but also stressful, involving life-or-death situations and suffering patients. Nonetheless, many people find the work exciting and challenging and enjoy the opportunity to help others.

EMTs and Paramedics employed by fire departments work about 50 hours a week. Those employed by hospitals frequently work between 45 and 60 hours a week, and those in private ambulance services, between 45 and 50 hours.

Some of these workers, especially those in police and fire departments, are on call for extended periods.

Because emergency services function 24 hours a day, EMTs and paramedics have irregular working hours that add to job stress.
Employment:
EMTs and paramedics held about 172,000 jobs in 2000. Most career EMTs and Paramedics work in metropolitan areas. There are many more volunteer EMTs and Paramedics, especially in smaller cities, towns, and rural areas.

They volunteer for fire departments, emergency medical services (EMS), or hospitals and may respond to only a few calls for service per month, or may answer the majority of calls, especially in smaller communities.

EMTs and paramedics work closely with firefighters, who often are certified as EMTs as well and act as first responders.

Full- and part-time paid EMTs and paramedics were employed in a number of industries. About 4 out of 10 worked in local and suburban transportation, as employees of private ambulance services. About 3 out of 10 worked in local government for fire departments, public ambulance services and EMS.

Another 2 out 10 were found in hospitals, where they worked full time within the medical facility or responded to calls in ambulances or helicopters to transport critically ill or injured patients. The remainder worked in various industries providing emergency services.
  Michigan EMS Salary Average:
                  2012
Mean Hourly Wage AVERAGE = $14.00
Click the Police E-Unit Tab to learn of the dual trained Police/Paramedic Program
Add this page to your favorites.
The Job
WOOD SPLINTS
BACK BOARD & SUPPORT BLOCKS
LARYNGOSCOPE
BAG VALVE MASK
NASAL PHARANAGEAL
ORAL PHARANAGEAL
ENDOTRACHAEL TUBE
ENDOTRACHAEL BLADES
HEAD BLOCKS
SPINE BOARD
AIR SPLINTS
AIR SPLINTS
CARDBOARD SPLINTS
HARE TRACTION SPLINT
FOLDING BACK BOARD
O2 TANKS
SHOCK TROUSERS
RESPIRATOR
SCOOP STRETCHER
AED
CHILD RESTRAINT         SEAT
CARDIO II (THUMPER)
STETHOSCOPE
STOKES
OLD TELEMTRY UNITS
PATIENT PRIVACY LAW
1992 Ford Econoline Van
1996 Chevy Modular
Click photo's to enlarge
TRAUMA SHEERS
DAVES EMS HEADQUARTERS EQUIPMENT PAGE
    Ambulance
A vehicle designed for the transportation of the sick or injured. In addition to a cot mounted on a resilient base to keep patients as immobile as possible, modern ambulances are equipped with sophistcated equipment and medical devices, capable to provide pure oxygen for easier breathing, generating electrical shock for returning irregular heartbeats to normal, and in some cases incubators for newborns.
The two main types of ambulances are the civilian and the military. Modern civilian ambulances are built for speed and smooth riding. As a rule they have facilities for one or two patients and    room for either medical technicians and or a paramedic.  Community hospitals, most voluntary and private hospitals and clinics, and, in the larger urban areas, many private firms provide ambulance service.
Because of the rugged conditions in the field, military ambulances are designed for sturdiness rather than for speed and are equipped for emergency treatment of the wounded on the way to collection stations. The military ambulance usually has a load capacity of six ambulatory or four stretcher patients.
=
=
Click Pic to Enlarge
Med-Communications was moved from a local hospital to the The Aero-Med Hanger in the early 1990's, but the comm center still resembles the above
AeroMed Grand Rapids MI
Aero-Med Services
Traverse City North Flight
  APPARATUS USED TO RESPOND TO MEDICAL AND TRAUMA CALLS
EMS PERSONNEL HAVE HIGHER FATALITY THAN POLICE FIRE
Emergency Medical Workers have an occupational fatality rate of 9.6 per 100,000 workers per year in transportation-related incidents, compared with 6.3 for police, 4.5
for fire fighters and 2 for average citizens.
Researched  & Published by Brian J. Maguire
1968 Cadillac
1960
City of Detroit EMS
MANUFACTURURERS
American Emergency Vehicles
American Fire & Rescue
Amtech Emergency Products Co. 
Braun Industries, Inc.
EVTeam - Road Rescue
Marque Inc.
McCoy Miller Corporation
Medtec Ambulance Corporation
National Ambulance Builders
Odyssey Medic Cars
Osage Ambulances
PL Custom Emergency Vehicles  
Road Rescue, Inc.
Wheeled Coach Industries
AMBULANCE
NAVIGATION MENU
1952 Cadillac Mercy Rigs
Overall Site Visits
Ford's shift from diesel Engines       Opens Ambulance Market
Ford Motor Co.'s decision to stop making vans equipped with diesel engines could shift ambulance operators and others to the company's Louisville-built commercial trucks, but also may give its competitors an opportunity.

"If (General Motors) or Dodge had a chassis we could use right now, they'd have Ford's market share right away," said H.G. Clapper, chassis purchasing manager for South Carolina ambulance maker Road Rescue.
 
Clapper and others in the industry estimate that Ford has about 90 percent of the ambulance market. In the late 1980s, the automaker led the industry to diesel-powered commercial vans after a rash of engine fires in gasoline models prompted a recall.

But now Ford has stopped buying diesel engines from Navistar for use in the Ohio-built vans. The E-Series vans were the last vehicles that Ford still equipped with a 6-liter diesel, and a Navistar spokesman speculated that price was the likely reason that Ford dropped the engine.

Last year, the automaker switched to a larger engine for its commercial trucks built at the Kentucky Truck Plant on Chamberlain Lane.

Ford purchases of the smaller engines dropped so steeply that it no longer qualified for a discount, Navistar spokesman Roy Wiley said.

"At low volumes, you've got to pay more," he said.

A Ford spokesman would say only that the diesel van represented a small part of its sales.

Until one of Ford's competitors comes up with a usable diesel van, Clapper said, his customers have two choices -- get larger ambulances that use Louisville-built F-Series chassis or switch to gasoline-fueled vehicles.

F-Series-based ambulances are more capable but more expensive than the van-based models, he said. And few buyers want to switch back to gasoline models.

"This just sent us reeling," Clapper said. "There's nothing out there we can use."

Bill Pasel, fleet coordinator for Louisville Metro Emergency Medical Services, said Ford persuaded the market to switch to diesel nearly 20 years ago by pointing out the fuel savings, durability and safety of the engines.

"I've got some diesel engines out there right now running 250,000 miles on them, and they're still going strong," Pasel said. "I wouldn't get anywhere near that on a gasoline engine. … I don't think anybody is eager to go back to gasoline at this point." 

Ford's decision shouldn't have any immediate impact on the Louisville fleet. Pasel doesn't expect to get new ambulances until late 2008 or early 2009. By then, he said, Ford should have something available.

If it doesn't, Clapper said GM and Dodge will have options by then, and they will be more than happy to take the ambulance market from Ford.
Add this page to your favorites.
This Page was Last Updated: May 27, 2014
Daves EMS Headquarters

Navigation Menu provided
by Dave's EMS Headquarters


Using five as the best, I would rate this page?
5
4
3
2
1


How did you find this site?
Recommended
A Search Engine
CE Class
From a site link
Other

Add this page to your favorites.
Updated Fleet 2008
Lapeer County Michigan EMS Dumps Ford Ambulances
In June 2008, Lapeer EMS took possession of a demonstrator GMC Ambulance built by McCoy Miller a well known and respected Ambulance Manufacturer located in Indiana.  Lapeer County Officials and EMS Manager site the lack of confidence in Ford Motor Companies Ambulances, which have been under scrutiny over frequent breakdowns and down times. 

Ford is currently facing a class action lawsuit regarding the once former popular choice for ambulances by EMS Agencies.  According to the Web site lawyersandsettlements.com, a class action lawsuit was filed February in Federal Court in Texas against Ford Motor Co. alleging the company's diesel-powered ambulances are defective. According to the Web site, fire departments and ambulance services across the country have been experiencing engine problems such as blown gaskets, radiator hoses, and sensors in Ford ambulances equipped with the six-liter diesel.

McCoy Miller has begun offering GMC Ambulances to EMS Agencies, and EMS is defiantly happy in having a choice.  For decades Ford held the market in providing the Ambulance chassis.  Like many other EMS Agencies Lapeer County EMS has been experiencing breakdown and high maintenance issue with its Ford Ambulance fleet and are excited with the newest addition to their fleet of the GMC McCoy Miller Built Ambulance.

Detroit’s Fire Department’s EMS Division in October was forced to purchase a rush order of nine new ambulances, and was expected to receive an additional seven for a total of 16 new EMS Ambulances.  Detroit Fire/EMS was reacting to a series of complaints due to delayed responses.  Detroit/Fire EMS Medics were frustrated with frequent breakdown of Ford built ambulances often enroute to calls and EMS management officials stated that their ambulance were in the garage for service then they were on the street.

A call to EMS Ambulance dealers and manufacturers confirms over the past year, they had a large number of inquiries regarding the availability of GMC chassis’s over the ford models.

Lapeer County’s EMS Director has stated they are excited about the new unit which is now on the street.  If it performs as well as they anticipate he see’s the eventually of phasing out their current fleet Ford ambulances over the next several years.   

Story by: Dave’s EMS Headquarters
2008
Rural/Metro officials today announced that the ambulance service will loan its 1952 Packard ambulance to the New York State Museum of Transportation in Rush.

As of next week, the ambulance will be on display at the museum, as part of a long-term loan, said Rural/Metro spokesman John Halldow.

In the 1950s, Halldow noted, ambulances were used solely as a method to get a patient to the hospital. Little was done in terms of patient care during transport. In comparison, modern ambulances are much like a portable emergency room that carry a large amount of equipment as well as trained emergency medical technicians.

National Ambulance, Rural/Metro’s predecessor was one of the first private ambulance services in Rochester. It began serving Rochester in 1952 and was purchased by Rural/Metro in 1994.

“We are very pleased to be partnering with the New York Museum of Transportation to have them display the very unique and special ambulance for the public to enjoy,” Rural/Metro Vice President Barry Palatas said in a printed release. “This ambulance spends most of the time in storage and we are pleased the public will be able to enjoy this vehicle more often.”

                                                "This vehicle will be placed near other fire apparatus in the museum"
(c) Rural/Metro Image
Rural/Metro to Loan 1952 Ambulance to Museum
Copyright © 2001-2014 Davesems.com also known as Daviddsemsheadquarters.com   All Rights are Reserved.  All Information, graphics photos, and data contained in Dave’s EMS Headquarters may not be copied or reproduced without the written consent of the Webmaster
Ford Introduces New 2010 Ford E-Series Super Duty Ambulance
03-09 Ford has revealed a new and improved E-Series Super Duty ambulance package for 2010 featuring a proven 6.8 liter gasoline engine, a comprehensive array of heavy-duty components and a lower base model cost was unveiled today at the National Truck Equipment Association (NTEA) trade show in Chicago.

“The E-Series Super Duty has been the historical market leader in the ambulance segment,” said Derrick Kuzak, group vice president of Global Product Development. “Listening to our private fleet and municipal customers, we’re seeing demand for a rugged, powerful ambulance – running on comparatively less expensive gasoline – at a lower initial acquisition cost.”
Why all the brouhaha over an ambulance? Well, one of the key new features is a new 305 hp, 420 lb-ft of torque, 6.8 liter Triton V-10 engine that runs on just regular unleaded gas, which provides quite a substantial savings over the cost of a diesel motor and fuel. The new and improved engine results in more power and responsive acceleration particularly, when responding to critical, time-is-of-the-essence, emergency situations.
The new and improved truck also features standard airbags for both driver and passengers. Disc brakes that are pretty large in diameter and an anti-lock braking system behind all four wheels offers a smoother stop than with past vehicles. The revised ambulance also meets all of the applicable 2012 emission standards.

Although Ford remains mum about the ambulance’s pricing for now, the vehicle is guaranteed to appeal to municipalities and private fleets.
        NEW YORK CITY FDNY EMS
         FORD ECONOLINE DISELS
  Picture Taken 03-03-09
  Picture Received 04-12-09
Grand Rapids Michigan Based American Medical Response K-Series Dodge Chasis
Specialty EMS Units
Neonatal Transport
           McCoy Miller Company Sold
Thor Acquires Ambulance Manufacturer
Elkhart Indiana  Thor Industries Inc. has acquired SJC Industries, a privately-held manufacturer of ambulances for approximately $20 million cash.  SJC, based in Elkhart, Ind., is believed to be the second-largest manufacturer of ambulances in the U.S., according to a Thor press release. Its brands include McCoy-Miller, Marque and Premiere, which are sold through a nationwide network of dealers.

Under Thor’s new ownership, SJC will continue as an independent operation, in the same manner as Thor’s recreation vehicle and bus companies.  Chuck Drake, president of SJC, and Jim Evans, vice president of finance, will continue in their management roles following the closing. Drake will report to Richard Riegel, Thor’s senior group president.

“The ambulance business is a natural fit with Thor’s bus and RV businesses,” Thor Chairman, CEO and President Peter Orthwein said in a news release. “SJC is an innovator with a strong commitment to customer satisfaction. We believe their quality is the highest in the ambulance industry.”  Jackson Center-based Thor is the world’s largest manufacturer of recreational vehicles and a major builder of commercial buses.

Thor was founded in 1980. It has since grown to include a dozen divisions and has about 5,500 employees. While Thor and Airstream, one of its RV divisions, are based in Ohio, most of the other divisions operate in Northern Indiana and Michigan.--March 2010
2010 EMS FINANCIAL CRISIS, REORGANIZATIONS AND SALES
Road Rescue Introduces Critical Care Transport Ambulance
                               Built on a Furion Chassis, the New Ambulance Serves as an Emergency Room on Wheels
Marion, S.C., April 22  Road Rescue, Inc. will unveil a new "emergency room on wheels" as it debuts its Critical Care Transport vehicle at the fire-rescue industry's biggest trade show, which begins today.

Road Rescue, which is a subsidiary of Spartan Motors, Inc. will showcase the new ambulance, which serves as a mobile neo-natal or intensive care unit, at Booth 2432 during the Fire Department Instructors Conference, which runs through April 24 in Indianapolis, Ind.  Built on a Furion® chassis from Spartan Chassis, this new version of the Ultramedic is designed to operate in a high-density urban area to deliver extremely specialized, pre-hospital medical care to the patient onboard.

"Our new Critical Care Transport brings a high level of intensive care to patients in the field," said Dave Reid, senior vice president, Emergency Response Vehicles for Spartan Motors.  "Whether transporting a premature newborn or handling triage after a hurricane, the Critical Care Transport carries the medical equipment needed to care for the most critically ill and medically fragile patients.  "We feel that the new Critical Care Transport is the finest provider of pre-hospital medical care available today on the market."

The modular body of the Critical Care Transport is self-contained and capable of operating independently from the chassis in the event of a vehicle breakdown or accident.  This allows emergency-response personnel to continue to deliver lifesaving support.
The unit can carry enough medical equipment to sustain ground operations for longer periods than traditional ambulances. 

                                                   Critical  Care Transport Units can be equipped with:

Satellite communication system
Multiple oxygen or compressed air tanks
Redundant electrical systems
Patient and cot lifts
Isolettes for premature infants
Generators or inverters to create either 12-volt AC or 12-volt DC power
Special heat and air conditioning
Refrigerators

The new Critical Care Transport will be built on a Furion chassis from Spartan Motors.  Introduced in 2007, the Furion is a purpose-built cab and chassis specifically designed for the emergency-response industry.  It features a 94-inch galvanized steel cab designed for safety, roominess and maneuverability.

"The Furion provides an excellent foundation for the new Critical Care Transport," said John Sztykiel, president and CEO of Spartan Motors.  "Not only does the Furion provide a rugged, dependable and performance-oriented chassis, it does so at a very attractive price point that will resonate with dealers and customers alike. 

"This is a large and strategic step for Spartan.  In the fire truck market today, more than 50 percent of all units ride on a custom chassis – a market we were instrumental in creating.  We are very focused on leveraging this strength and developing custom chassis for the ambulance market, as virtually no vehicles are currently built on custom chassis."

                                                          Uses for the new Critical Care Transport include:

Cardiac transport
Neo-natal care
Backup to emergency helicopters in the event of poor weather conditions
On-call for large or state police dispatch centers
Natural disaster support
Mobile medical clinics

                                                                                              Road Rescue
Established in 1976, Road Rescue, Inc. designs and manufactures a complete line of premium custom ambulances and emergency-rescue vehicles.  An innovative market leader, Road Rescue pioneers new features that allow technicians to provide effective patient care in a safe, secure environment.  The Road Rescue™ brand name signifies quality, innovation, strength and reliability to emergency personnel throughout North America. Road Rescue is a subsidiary of Spartan Motors, Inc.
                                                                                    SOURCE: Road Rescue
Spartan To Exit Ambulance Business
June 24, 2010-Spartan Motors, Inc, plans to exit its Road Rescue ambulance operation as part of a continuing review of all aspects of the company's business.  Spartan exit will allow it to focus its resources on the highest growth and profit opportunities. The exit from the underperforming Road Rescue operation is scheduled to be completed by the end of 2010. 

The company exit from Spartan's Road Rescue ambulance operation in Marion, South Carolina is part of a long-term strategic review initiated at the beginning of the year of all parts of the company's business. The actions are designed to focus Spartan's resources on those operations with the greatest potential for sustainable growth and profitability.

Spartan is in discussions with potential purchasers to facilitate a sale of the operations or facilities as part of the exit plan. According to Spartan, Road Rescue generated around $20 million in revenues in 2009 and it employs 132 full-time associates.

Spartan also announced a number of actions to realign its cost structure. These included a temporary reduction in board of directors' retainer fees, salary reductions for members of the executive leadership team and other senior leaders, some workforce reductions, and other actions as part of its continuing efforts to reduce fixed costs to better match its current level of business.

With the realignment actions and exit from Road Rescue, Spartan expects to incur pre-tax one-time charges of around $6 - $7 million, the majority of which will be recognized in the company's second and third quarter results. Management expects these actions to reduce the company's permanent cost structure by $5 - $6 million on an annualized pre-tax basis.

Michigan-based Spartan Motors designs, engineers and manufactures specialty chassis, specialty vehicles and truck bodies and aftermarket parts for the Outdoor Recreation/RV, emergency-response, defense, government services, delivery and service markets.
1972 Suburban Ambulance
International      Harvester
Spartan sells Road Rescue Division to Allied Specialty Vehicles, Inc
Winter Park, Fla., Sept. 20, 2010 Allied Specialty Vehicles, Inc. (ASV) a portfolio company of American Industrial Partners (AIP), today announced that it has purchased ambulance manufacturer Road Rescue from Spartan Motors, Inc. in an asset transaction. Road Rescue is a manufacturer of premium Type I and Type III ambulances.
"We're excited to add the Road Rescue brand to our portfolio of ambulance companies.  For many years, Road Rescue has been regarded as one of the leading high-end builders of modular ambulances, and under ASV, we anticipate further enhancing that reputation", said Randall Swift, President & CEO of ASV.
About Allied Specialty Vehicles, Inc.

ASV, with revenue of approximately $1 billion, is a market leader in three industry segments: Fire & Emergency, Recreational Vehicles, and Bus & Industrial.  The Company was formed on August 25, 2010 through the combination of four existing portfolio companies of AIP: E-ONE, Inc., Collins Industries, Inc., and Halcore Group, Inc.; with Fleetwood RV, Inc. to be combined in the fourth quarter of this year.  Within the Fire & Emergency segment, ASV offers an extensive line of fire apparatus under the E-ONE brand name including pumpers, aerials, tankers, rescues, and airport firefighting equipment. Additionally, the Company offers a full line of ambulances under the Horton, Wheeled Coach, American Emergency Vehicles, and Leader Emergency Vehicles brand names.  Within the Recreational Vehicle segment, the Company produces Class A and Class C Recreational Vehicles under many of the industry's iconic brand names including Discovery, American Coach, Bounder, and Tioga, among others.  Within the Bus & Industrial segment, the Company produces Type A bus products for both the school and childcare markets under the Collins, Mid Bus, and Corbeil brand names as well as terminal trucks and street sweeper products under the Capacity and Lay-Mor brand names.

For additional information on Allied Specialty Vehicles, Inc. please visit ASV. 
About American Industrial Partners:  American Industrial Partners is an operationally focused middle market private equity firm comprised primarily of multidisciplined engineers and experienced operators which makes control investments in North-American based industrial businesses and implements strategies to grow the earnings of those businesses.  AIP has managed three prior funds which totaled over $1 billion and is currently investing its fourth fund, $405.5 million American Industrial Partners Capital Fund IV, LP.
SOURCE Allied Specialty Vehicles, Inc.
Patient_Rights.txt
Patient_Rights.txt
Grand Rapids Michigan Ambulance Service
LARYNGOSCOPE
ENDOTRACHAEL BLADES
Sixteen Additional Ambulances where  placed into service over February 2011.
EMS EQUIPMENT PAGE 2
           2011 THRU 2020 AMBULANCES
  2011 AMR Custom Safety             designed Ambulance
    2011 Ambulance
MI County Sheriff E-Unit
    2012 Life EMS Newest fleet of Ambu-Cabs
Many EMS Providers today offer Ambu Cab's , these are specialized vehicles equipped with wheel-a-chair ramps.  They are utilized for patients whose issuance will not cover ambulance transport.  Often patients in need of dialysis utilize these vehicles. These vehicles are generally staffed by an EMT Student.  The Elderly and handicap use Amb-U-Cabs for out-patient and Doctor visitors.
Photo Property: of Dave's EMS Heqadquarters
Below is a photograph of a 1950's training class, I and the Fire Chief of Three Rivers Michigan are asking for help in finding information on what was a piece if equipment on a now retired rescue truck.  The piece of Equipment was referred to as "Mulligan Lung," I have checked with a now retired KCSD Deputy/Paramedic who advised me on 02-14-2012 that my photo below is showing "the Mulligan Lung."  Can anyone confirm the name of thies 1945-1950's equipment as the Mulligan Lung.  Please e-mail any information by clicking the e-mail link on the bottom of this site page.....Thank you
Braun Industries, Inc.
      Press Release
Van Wert, OH, February 18, 2012 - For over 40 years, Braun Industries has been building custom handcrafted ambulances that are "Built for Life." Today, they are excited to announce the launch of a new ambulance model called the Phil Braun Signature Series. Their newest ambulance will debut on a Chevy G3500 chassis at this year's EMS Today: The JEMS Conference & Exposition in Baltimore, MD from February 28, 2012 through March 3, 2012.

Designed based on popular requests from customers over the years, the Phil Braun Signature Series ambulance is a 150" model with an economical price tag. It is a safe, versatile vehicle that will provide an extended service life due to Braun's exclusive SolidBody™ Construction. Along with the SolidBody™ Construction, the Phil Braun Signature Series model has Braun’s MasterTech Multiplex electrical system, Eberhard free floating latches, an all LED exterior lighting package, a customized interior front wall, and street side wall layout. It will be available on GM and Ford platforms.

Chad Brown, Vice President of Sales and Marketing at Braun Industries, has the following to say about the new Phil Braun Signature Series model: "With the celebration of our 40th anniversary in the ambulance industry, we wanted to pay homage to our past. Phil Braun, 2nd generation President of Braun Industries, made valuable contributions not only to our company, but to the entire industry. To recognize Phil’s leadership and direction, we wanted to design a new ambulance model that he would be proud to put his name on!"

To see the Phil Braun Signature Series ambulance first, visit Braun at booth #3710 at EMS Today: The JEMS Conference & Exposition. The ambulance manufacturer will also have a Braun Super Chief on a International DuraStar Chassis and a Braun Liberty on a Ram 4500 chassis on display. Exhibit hall hours at the show are open to all as follows: March 1, 2012 from 5:00 pm to 7:30 pm, March 2, 2012 from 10:00 am to 4:00 pm, and March 3, 2012 from 9:30 am to 1:30 pm.

Contact Information Braun Industries, Inc.
Chad Brown
800-22-BRAUN
Contact

        Braun Industries new ambulance model, the Phil Braun Signature Series, will be unveiled at the EMS Today: JEMS Conference & Exposition.

Source:  Braun Industries, Inc.
    Emergency Medical Service
Ron Brady
      2013 Ambulance
    2013 Ambulance
  Click All Photos to enlarge
Centers for Medicare and Medicaid Services
The Health Care Financing Administration Goverment has been moved to the following Website addresswebsite to.......  09-2013