- Experienced staff
- Appropriate equipment and vehicle
- Full assessment and investigation
- Extensive monitoring
- Careful stabilization of the patient
- Continuing care during transfer
- Direct handover
- Documentation and audit
Intensive care patients tend to become unstable on movement. Other transport vehicles are not conducive to active intervention and no help is available. In such cases, ICU ambulance is equipped with necessary measures to prevent these risks during the transfer.
Equipment for establishing and maintaining a safe airway is available. There is a portable mechanical ventilator with disconnection alarms that can provide variable inspired oxygen concentrations, tidal volumes, respiratory rates, levels of positive end-expiratory pressure, and inspiratory: expiratory ratios. The ambulance carries sufficient oxygen to last the duration of the transfer plus a reserve of 1-2 hours.
When patients with heart issues avail our ICU ambulance service, they are supported by a portable monitor with an illuminated display to record heart rhythm, oxygen saturation, blood pressure by non-invasive and invasive methods, end-tidal carbon dioxide, and temperature. Suction equipment and defibrillator are available if necessary. A warming blanket is provided. The vehicle also contains several syringe pumps with long battery life and appropriate drugs.
In addition to the vehicle’s crew, a minimum of two attendants accompany. One of them is an experienced doctor competent in resuscitation, airway care, ventilation, and other organ support. He or she is assisted by another doctor, nurse, paramedic, or technician familiar with intensive care procedures and equipment. The presence of experienced attendants not only ensures that basics for safe transfer are undertaken but also prevents transfers from getting rushed without full preparation.
Care is maintained at the same level as in the intensive care unit. Monitoring of arterial oxygen saturation expired carbon dioxide tensions, heart rhythm, temperature, and arterial pressure would be continuous. As the non-invasive measurement of blood pressure is affected by movement, intra-arterial monitoring would be there.
This is our high-end ambulance, provided by renowned hospitals only. The base fare for this type of ambulance is BDT. 1000 and the minimum fare is 3000.