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Difference between revisions of "PNB IRCS - HTH Ambulance New Brunswick (NB)"

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Response Priority
 
Response Priority
 +
 
“E” (Echo) Response
 
“E” (Echo) Response
 
*Life Threatening Emergency—patient not breathing (choking, hanging, drowning)
 
*Life Threatening Emergency—patient not breathing (choking, hanging, drowning)

Revision as of 18:33, 12 June 2012

Introduction

Land and air ambulance services in New Brunswick are provided to the province though a single private sector company named “Ambulance New Brunswick”

Maritimes Scanning Site

Visit the THE MARITIMES SCANNING SITE - NEW BRUNSWICK EMERGENCY HEALTH SERVICES (http://www.marscan.com/nbambulance.htm) for more information. The topics discuss in the article are :

  • History (about the service and the radio system)
  • Communications and Dispatch - they don't give the radio codes use on the air-for that, see below
  • Air Ambulance
  • Ground Ambulance
  • Ambulance type and other vehicules
  • Ambulance bases
  • Crew Shifts and Accommodations
  • Medical First Response (MFR)
  • OLMC (On-line Medical Control)
  • Contact with ER

Regions

ANB has divided the Province of New-Brunswick into 4 operational regions for dispatching purpose : North, East, South & West. ANB - Bases and Hospitals1.jpg

Radio Network

ANB utilizes a conventional VHF system (in the 148MHz and 150-152MHz) for their operations. The same freq is used 2 times for each city. Once as a talkaround (simplex) freq for the city. Again as the dispatch (repeater) freq for the same city

The channel line-up is not continous. It goes from ch 1-18, 31-48, 50, 60, 70. Odd channel number are talkaround (simplex with no tone) freqs and even channel number are dispatch (repeater with a tone usualy 151.4 except for ch. 10 & 12, with a tone of 167.9) freqs for specific cities. For exemple, (ch. 5) 148.765 is the Moncton talkaround freq while (ch. 6) 148.765 with a tone of 151.4 is the dispatch freq.

For a list of all hospitals in the province, their call sign and the dispatch ch. where the medics do their report to that hospital, see http://www.marscan.com/nbhospitalslist.htm

Some freqs are simulcast with other freqs. See map below (PS. I know the map is hard to read - i'm working on clearing it up) File:ANB Radio Network1.jpg

Codes

ANB uses two sets of codes for dispatching : the 10-codes and the ProQA codes(dispatch protocol)

10 codes

  • 10-01 = Transfer
  • 10-02 = Booked call
  • 10-03 = Life threat - lights only
  • 10-04 = Priority - lights & siren
  • 10-05 = Death at scene - call coronor
  • 10-06 = Legally dead
  • 10-07 = No patient trans.- patient refused
  • 10-09 = Administrative repairs
  • 10-21 = CPR in progress

ProQA codes

These codes are use to describe the chief complaint and condition of the patient while dispatching a call.

Media:Dispatch Protocols - ProQA1.doc

To understand the letter in the ProQA code (like 6Echo1 = 6-E-01) read the following.

Response Priority

“E” (Echo) Response

  • Life Threatening Emergency—patient not breathing (choking, hanging, drowning)
  • ALS Fire Department First Responder—lights and siren
  • ALS Ambulance—lights and siren
  • Basic Life Support Fire Unit responds with lights and siren at fire department’s discretion

“D” (Delta) Response

  • Life Threatening Emergency—Chest pain, difficulty breathing, unconsciousness, seizures, dangerous bleeding
  • ALS Fire Department First Responder—lights and siren
  • ALS Ambulance—lights and siren
  • Basic Life Support Fire Unit responds with lights and siren if closest ALS first responder is unavailable

“C” (Charlie) Response

  • Potentially Life Threatening Emergency—Difficulty breathing, non-responsive, stroke, substance overdose, diabetic problems, serious injury
  • ALS Fire Department First Responder—lights and siren

ALS Ambulance—lights and siren

  • Basic Life Support fire unit responds with lights and siren if first/second closest ALS first responder is unavailable**

“B” (Bravo) Response

  • Unknown Situation, Serious bleeding/injury, pregnancy, psychiatric problems
  • ALS Fire Department First Responder—lights and siren
  • ALS Ambulance—lights and siren

“A” (Alpha) Response

  • Non-life threatening situation with high potential for transport
  • ALS ambulance—non-emergency
  • ALS fire unit dispatched may be second closest, if nearer units are unavailable.
  • ALS fire unit dispatched may be third closest, if nearer units are unavailable.