Thousand Islands Rescue

Some Of Our Equipment

CPAP

Pediatric ALS Bag

Our Pediatrics Advanced Life Support bags help rescuers in one of the most crucial areas of emergency care--the resuscitation of an infant or child. These were provided to TIERS through the generosity of the Children's Miracle Network of Northern New York at Samaritan Medical Center.

The Broselow^®/Hinkle Pediatric Emergency System is featured in our special Pediatrics ALS bags. The system matches the right sized equipment, the correct procedures, and the right dosages of emergency medications by one simple measurement--the height of the child--to help Paramedics deliver emergency care without having to rely on memory or making tricky dosage calculations when under stress. The same system is used in hospital emergency departments worldwide.

Once the height of the child is measured, the Paramedic uses the enclosed guidebook to determine which color range the child fits into. The correct area of the chart (left), has vital information for treating respiratory, cardiac, and seizure emergencies, and the correct emergency drug dosages for that size. These types of emergencies in children are extremely rare for emergency care providers, so they may have little recent practical experience to draw from in making their decisions; the Broselow^®/Hinkle Pediatric Emergency System makes treatment fast and accurate.

The next step is to grab the appropriately-colored pack from inside the ALS bag. Each pack has four "procedure modules" inside: Oxygen Delivery, Intubation, IV Delivery, and Intraosseus (for delivering medications into the bone marrow in children with veins too small for IV drug delivery), all with the right size equipment for the size of child. There are also two bag-valve-mask set-ups, a special blood pressure kit with three different-sized cuffs, and a special pediatric stethoscope.

Shown Below: Contents of the Yellow pack; the artificial airways shown range from Adult to Pediatric small sizes. Infant BVM shown compared to Adult BVM. Blood pressure gauge connects to one of three cuffs, depending on childs' size.  Pediatric stethoscope compared to regular stethoscope.

Lifepak^® 12 Cardiac Monitor/Defibrillator

The Medtronics Lifepak^® 12 is one of the most advanced cardiac units on the market, capable of 12-lead electrocardiagrams, which show Paramedics a much better picture of the heart's electrical functions in the field. It also measures and can record the patient's blood pressure and pulse, and monitors their oxygen saturation as well. The unit also has capnography monitoring capability, which lets the Paramedic monitor the oxygen/CO2 transfer of an intubated patient to see developing problems quickly, and can transmit real-time images of all data to the emergency room doctor instantly for more accurate diagnosis and over-the-air orders.

The Lifepak^® 12 can also be used as an infant/child defibrillator.

Pediatric Extrication "Pappoose"

Another gift from the Children's Miracle Network of Northern New York at Samaritan Medical Center were three of these Dyna Med^® Pediatric Immobilization and Transport System^® units. They are designed to provide safe, secure and comfortable immobilization for scared kids. Built-in handles help rescuers in moving the child, even in awkward situations like a vertical lift.

HDX Backboards

"All Plastic" may not sound like a great product description, but for backboards "all plastic" is not only lighter and stronger, but it can also be used in water rescues, has no slivers like a well-used wooden backboard may, and absolutely no metal parts means that emergency department doctors can leave the patient immobilized on the backboard while X-rays are being taken, and even during a CT scan ("cat scan").

EMS Helmets

Just like firefighters' protective helmets, but in EMS blue. The face mask protects the eyes and face during dangerous auto extrications, and there is also a neck cover to keep out flying debris and for cold-weather comfort.

AED Trainer

The Automatic External Defibrillator (AED), gives first responders, EMTs, and now the general public a valuable tool to help save a life in the event of a cardiac emergency. When its used correctly, an AED reads the heart's rhythm and determines if the AED can be used to correct the heartbeat.

At the same time, the AED gives loud verbal instructions to the operator on what the machine is doing ("ANALYZING HEART RHYTHM"), and what rescuers are to do ("DO NOT TOUCH PATIENT" or "START CPR").

As easy as is sounds, there is still training needed to apply and use the device. TIERS has a Lifepak 500T Training System to allow hands-on practice whenever it's needed.