Paramedic Equipment Requirements
Soft Supplies and Other Equipment
4X4 Pads ABD Pads Trauma Dressing Isolation Kits Roller Gauze Triangular Bandages OB Kit w/Blub Syringe Sterile Saline Betadine Shears Stethoscope Hemostat Scalpel Blood Pressure Cuffs Large Adult Adult Child Infant Alcohol Prep Pads	Band Aids Antiseptic Hand Cleaner Exam Gloves (various sizes) Emesis Basin/Bag Commercial Tourniquet Linens Tape Occlusive Dressing Thermometer Sharps Container Glucometer w/strips Time Critical Bands (Trauma/Stroke) Triage Tag/Tape Protocols Biohazard Bags N95 Respirator Pediatric Dosage Guide (Pedi-Wheel, Tape) Disinfectant Solution
Airway, Oxygen, and Suction
Main O2 Portable O2 OPA set NPA set Lubricating Jelly Nasal Cannula – Adult Nasal Cannula – Pediatric NRB – Adult NRB – Pediatric NRB – Infant BVM – Adult BVM – Pediatric BVM – Infant Nebulizer Kit Suction – On-Board Suction – Portable Suction Tubing Rigid Suction Tip	Suction Catheters 8fr. or 10fr. 12fr. 14fr. or 18fr. Magill Forceps – Adult Magill Forceps – Pediatric ETCO2 Detector Cric Kit or 10/12ga Needle Laryngoscope Handle – Adult Laryngoscope Handle – Pediatric Laryngoscope Blades (1-4 or 0-3) ET Tubes 2.5mm – 7.5mm ET Tube Holder – Adult ET Tube Holder – Pediatric Stylette – Adult Stylette - Pediatric Secondary Advanced Airway – Adult Secondary Advanced Airway – Pediatric
Monitor
Cardiac Monitor Cardiac Monitor Cables 4 Lead 12 Lead Defibrillator Pacer ECG Paper	Defibrillator Pads/Paddles – Adult Defibrillator Pads/Paddles – Pediatric Electrodes – Adult Electrodes – Pediatric Pulse Oximetry – Adult Pulse Oximetry – Pediatric

IV Supplies
Micro Drip set Adjustable Drip set (this can replace micro and macro sets) IV Start sets/tourniquet IV Catheters 14-24 gauge Syringes 1cc-60cc Needles 18-25 gauge 10-, 12-, or 14-gauge catheter (3.25 inches in length) or a commercial chest decompression needle	Macro Drip set IO Access Device IO Needle – Adult IO Needle - Pediatric
Medications
All medications must adhere to the current AHA ACLS Guidelines
Atropine Adenosine Antiarrhythmic (Bolus and Infusion) Antiemetic Aspirin IV Dextrose Pressor Epinephrine 1:10,000 Epinephrine 1:1,000 Crystalloid Solution	H1 Antagonist Inhaled Beta Agonist Magnesium Sulfate Narcotic Antagonist Nitroglycerin (Drip/Oral/Transdermal) Sodium Bicarbonate Narcotic Analgesic Benzodiazepine
Additional controlled substances and medications may be allowed at the medical director's discretion
Mechanical and Transport
Fire Extinguisher Haz-Mat Reference Guide Reflective Safety Wear Flashlight KED Pediatric Restraint System Spine Board w/straps Window Punch	Traction Splint Various Adjustable Splints Elevating Stretcher Folding Stretcher, Scoop Stretcher, or Stair Chair Cervical Collars – Adult Cervical Collars – Pediatric
Radio Frequencies
Enroute to Scene: 155.235 MHz	At Scene: 155.280 MHz	Depart Scene: 155.340 MHz
Services must have all equipment and medications listed as a part of the service's written protocols and must not exceed the EMSP's scope of practice.

Advanced EMT Equipment Requirements

Soft Supplies and Other Equipment

4X4 Pads ABD Pads Trauma Dressing Isolation Kits Roller Gauze Triangular Bandages OB Kit w/Blub Syringe Sterile Saline Betadine Shears Stethoscope Hemostat Scalpel Blood Pressure Cuffs Large Adult Adult Child Infant Alcohol Prep Pads	Band Aids Antiseptic Hand Cleaner Exam Gloves (various sizes) Emesis Basin/Bag Commercial Tourniquet Linens Tape Occlusive Dressing Thermometer Sharps Container Glucometer w/strips Time Critical Bands (Trauma/Stroke) Triage Tag/Tape Protocols Biohazard Bags N95 Respirator Pediatric Dosage Guide (Pedi-Wheel, Tape) Disinfectant Solution

Airway, Oxygen, and Suction

Main O2 Portable O2 OPA set NPA set Lubricating Jelly Nasal Cannula – Adult Nasal Cannula – Pediatric Suction – On-Board Suction – Portable Suction-Tubing Rigid Suction Tip Suction Catheters 8fr. or 10fr. 12fr. 14fr. or 18fr.	NRB – Adult NRB – Pediatric NRB – Infant BVM – Adult BVM – Pediatric BVM – Infant Nebulizer Kit Magill Forceps – Adult Magill Forceps – Pediatric Secondary Advanced Airway – Adult Secondary Advanced Airway – Pediatric

Monitor

Cardiac Monitor Cardiac Monitor Cables 4 Lead Defibrillator Pads/Paddles – Adult Defibrillator Pads/Paddles – Pediatric	Electrodes – Adult Electrodes – Pediatric Pulse Oximetry – Adult Pulse Oximetry – Pediatric

IV Supplies
Micro Drip set Adjustable Drip set (this can replace micro and macro sets) IV Start sets/tourniquet IV Catheters 14-24 gauge Syringes 1cc-60cc Needles 18-25 gauge	Macro Drip set IO Access Device IO Needle – Adult IO Needle - Pediatric
Medications
Aspirin IV Dextrose Epinephrine (Auto-Injector or 1:1,000) Narcotic Antagonist	Nitroglycerin Inhaled Beta Antagonist Crystalloid Solution
Additional medications may be allowed at the medical director's discretion
Mechanical and Transport
Fire Extinguisher Haz-Mat Reference Guide Reflective Safety Wear Flashlight KED Pediatric Restraint System Spine Board w/straps Window Punch	Traction Splint Various Adjustable Splints Elevating Stretcher Folding Stretcher, Scoop Stretcher, or Stair Chair Cervical Collars – Adult Cervical Collars – Pediatric
Radio Frequencies
Enroute to Scene: 155.235 MHz	At Scene: 155.280 MHz	Depart Scene: 155.340 MHz
Services must have all equipment and medications listed as a part of the service's written protocols and must not exceed the EMSP's scope of practice.

EMT Equipment Requirements (EMT, EMT-Volunteer, and Special Purpose)

Soft Supplies and Other Equipment

4X4 Pads ABD Pads Trauma Dressing Isolation Kits Roller Gauze Triangular Bandages OB Kit w/Blub Syringe Sterile Saline Betadine Shears Stethoscope Hemostat Scalpel Blood Pressure Cuffs Large Adult Adult Child Infant	Alcohol Prep Pads Antiseptic Hand Cleaner Exam Gloves (various sizes) Emesis Basin/Bag Commercial Tourniquet Linens Tape Occlusive Dressing Thermometer Sharps Container Band aids Time Critical Bands (Trauma/Stroke) Triage Tag/Tape Protocols Biohazard Bags N95 Respirator Pediatric Dosage Guide (Pedi-Wheel, Tape) Disinfectant Solution

Airway, Oxygen, and Suction

Main O2 Portable O2 OPA set NPA set Lubricating Jelly Nasal Cannula – Adult Nasal Cannula – Pediatric NRB – Adult NRB – Pediatric NRB – Infant BVM – Adult	BVM – Pediatric BVM – Infant Magill Forceps – Adult Magill Forceps – Pediatric Suction – On-Board Suction – Portable Suction-Tubing Rigid Suction Tip Suction Catheters 8fr. or 10fr. 12fr. 14fr. or 18fr.

Monitor

AED	Defibrillator Pads/Paddles – Adult Defibrillator Pads/Paddles – Pediatric

Mechanical and Transport

Window Punch Fire Extinguisher Haz-Mat Reference Guide Flashlight Traction Splint Various Adjustable Splints Elevating Stretcher	Reflective Safety Wear KED Pediatric Restraint System Spine Board w/straps Folding Stretcher, Scoop Stretcher, or Stair Chair Cervical Collars – Adult Cervical Collars – Pediatric

Optional Equipment and Medication
CPAP Nebulizer Pulse Oximetry Pulse Oximetry Probes – Adult Pulse Oximetry Probes – Pediatric	Glucometer w/strips Narcotic Antagonist Aspirin Oral Glucose Epinephrine Auto Injector Inhaled Beta Antagonist
Radio Frequencies
Enroute to Scene: 155.235 MHz	At Scene: 155.280 MHz	Depart Scene: 155.340 MHz
Services must have all equipment and medications listed as a part of the service’s written protocols and must not exceed the EMSP’s scope of practice.

Advanced Response Equipment Requirements

Soft Supplies and Other Equipment

4X4 Pads ABD Pads Trauma Dressing Isolation Kits Roller Gauze Triangular Bandages OB Kit w/Blub Syringe Sterile Saline Betadine Shears Stethoscope Hemostat Scalpel Blood Pressure Cuffs Large Adult Adult Child Infant Alcohol Prep Pads	Band Aids Antiseptic Hand Cleaner Exam Gloves (various sizes) Emesis Basin/Bag Commercial Tourniquet Linens Tape Occlusive Dressing Thermometer Sharps Container Glucometer w/strips Time Critical Bands (Trauma/Stroke) Triage Tag/Tape Protocols Biohazard Bags N95 Respirator Pediatric Dosage Guide (Pedi-Wheel, Tape) Disinfectant Solution

Airway, Oxygen, and Suction

Portable O2 OPA set NPA set Lubricating Jelly Nasal Cannula – Adult Nasal Cannula – Pediatric NRB – Adult NRB – Pediatric NRB – Infant BVM – Adult BVM – Pediatric BVM – Infant Nebulizer Kit Magill Forceps – Adult Magill Forceps – Pediatric ETCO2 Detector Cric Kit or 10/12ga Needle	Laryngoscope Handle – Adult Laryngoscope Handle – Pediatric Laryngoscope Blades (1-4 or 0-3) ET Tubes 2.5mm – 7.5mm ET Tube Holder – Adult ET Tube Holder – Pediatric Stylette – Adult Stylette – Pediatric Secondary Advanced Airway – Adult Secondary Advanced Airway – Pediatric Suction – Portable Suction-Tubing Rigid Suction Tip Suction Catheters 8fr. or 10fr. 12fr. 14fr. or 18fr.

Monitor

Cardiac Monitor Cardiac Monitor Cables 4 Lead 12 Lead Defibrillator Defibrillator Pads/Paddles – Adult Defibrillator Pads/Paddles – Pediatric	Electrodes – Adult Electrodes – Pediatric Pulse Oximetry – Adult Pulse Oximetry – Pediatric ECG Paper

IV Supplies
Micro Drip set Adjustable Drip set (this can replace micro and macro sets) IV Start sets/tourniquet IV Catheters 14-24 gauge Syringes 1cc-60cc Needles 18-25 gauge 10-, 12-, or 14-gauge catheter (3.25 inches in length) or a commercial chest decompression needle	Macro Drip set IO Access Device IO Needle – Adult IO Needle - Pediatric
Medications
All medications must adhere to the current AHA ACLS Guidelines
Atropine Adenosine Antiarrhythmic (Bolus and Infusion) Antiemetic Aspirin IV Dextrose Pressor Epinephrine 1:10,000 Crystalloid Solution	Epinephrine 1:1,000 H1 Antagonist Inhaled Beta Agonist Magnesium Sulfate Narcotic Antagonist Nitroglycerin (Drip/Oral/Transdermal) Sodium Bicarbonate Narcotic Analgesic
Additional controlled substances and medications may be allowed at the medical director's discretion
Mechanical and Transport
Fire Extinguisher Haz-Mat Reference Guide Reflective Safety Wear Flashlight KED Window Punch	Pediatric Restraint System Spine Board w/straps Traction Splint Various Adjustable Splints Cervical Collars – Adult Cervical Collars – Pediatric
Radio Frequencies
Enroute to Scene: 155.235 MHz	At Scene: 155.280 MHz	Depart Scene: 155.340 MHz
Services must have all equipment and medications listed as a part of the service's written protocols and must not exceed the EMSP's scope of practice.

Air Ambulance - Rotor Wing Equipment Requirements

Soft Supplies and Other Equipment

4X4 Pads	Band Aids
ABD Pads	Antiseptic Hand Cleaner
Trauma Dressing	Exam Gloves (various sizes)
Isolation Kits	Emesis Basin/Bag
Roller Gauze	Commercial Tourniquet
Triangular Bandages	Linens
OB Kit w/Blub Syringe	Tape
Sterile Saline	Occlusive Dressing
Betadine	Thermometer
Shears	Sharps Container
Stethoscope	Glucometer w/strips
Hemostat	Time Critical Bands (Trauma/Stroke)
Scalpel	Triage Tag/Tape
Blood Pressure Cuffs	Protocols
Large Adult	Biohazard Bags
Adult	N95 Respirator
Child	Pediatric Dosage Guide (Pedi-Wheel, Tape)
Infant	Disinfectant Solution
Alcohol Prep Pads	Survival Kit

Airway, Oxygen, and Suction

Main O2	Suction Catheters
Portable O2	8fr. or 10fr.
OPA set	12fr.
NPA set	14fr. or 18fr.
Lubricating Jelly	Magill Forceps – Adult
Nasal Cannula – Adult	Magill Forceps – Pediatric
Nasal Cannula – Pediatric	ETCO2 Detector
NRB – Adult	Cric Kit or 10/12ga Needle
NRB – Pediatric	Laryngoscope Handle – Adult
NRB – Infant	Laryngoscope Handle – Pediatric
BVM – Adult	Laryngoscope Blades (1-4 or 0-3)
BVM – Pediatric	ET Tubes 2.5mm – 7.5mm
BVM – Infant	ET Tube Holder – Adult
Nebulizer Kit	ET Tube Holder – Pediatric
Suction – On-Board	Stylette – Adult
Suction – Portable	Stylette - Pediatric
Suction Tubing	Secondary Advanced Airway – Adult
Rigid Suction Tip	Secondary Advanced Airway – Pediatric

Monitor

Cardiac Monitor	Defibrillator Pads/Paddles – Adult
Cardiac Monitor Cables	Defibrillator Pads/Paddles – Pediatric
4 Lead	Electrodes – Adult
12 Lead	Electrodes – Pediatric
Defibrillator	Pulse Oximetry – Adult
Pacer	Pulse Oximetry – Pediatric
ECG Paper

IV Supplies
Micro Drip set Adjustable Drip set (this can replace micro and macro sets) IV Start sets/tourniquet IV Catheters 14-24 gauge Syringes 1cc-60cc Needles 18-25 gauge 10-, 12-, or 14-gauge catheter (3.25 inches in length) or a commercial chest decompression needle	Macro Drip set IO Access Device IO Needle – Adult IO Needle - Pediatric
Medications
All medications must adhere to the current AHA ACLS Guidelines
Atropine Adenosine Antiarrhythmic (Bolus and Infusion) Antiemetic Aspirin IV Dextrose Pressor Epinephrine 1:10,000 Epinephrine 1:1,000 Crystalloid Solution	H1 Antagonist Inhaled Beta Agonist Magnesium Sulfate Narcotic Antagonist Nitroglycerin (Drip/Oral/Transdermal) Sodium Bicarbonate Narcotic Analgesic Benzodiazepine
Additional controlled substances and medications may be allowed at the medical director's discretion
Mechanical and Transport
Fire Extinguisher Haz-Mat Reference Guide Reflective Safety Wear Flashlight KED Window Punch Helmet	Pediatric Restraint System Traction Splint Various Adjustable Splints FAA Approved Stretcher Cervical Collars – Adult Cervical Collars – Pediatric
Radio Frequencies
Enroute to Scene: 155.235 MHz	At Scene: 155.280 MHz	Depart Scene: 155.340 MHz
Services must have all equipment and medications listed as a part of the service's written protocols and must not exceed the EMSP's scope of practice.

Air Ambulance - Fixed Wing Equipment Requirements

Soft Supplies and Other Equipment

4X4 Pads ABD Pads Trauma Dressing Isolation Kits Roller Gauze Triangular Bandages OB Kit w/Blub Syringe Sterile Saline Betadine Shears Stethoscope Hemostat Scalpel Blood Pressure Cuffs Large Adult Adult Child Infant Alcohol Prep Pads	Band Aids Antiseptic Hand Cleaner Exam Gloves (various sizes) Emesis Basin/Bag Survival Kit Linens Tape Occlusive Dressing Thermometer Sharps Container Glucometer w/strips Time Critical Bands (Trauma/Stroke) Triage Tag/Tape Protocols Biohazard Bags N95 Respirator Pediatric Dosage Guide (Pedi-Wheel, Tape) Disinfectant Solution

Airway, Oxygen, and Suction

Portable O2 OPA set NPA set Lubricating Jelly Nasal Cannula – Adult Nasal Cannula – Pediatric NRB – Adult NRB – Pediatric NRB – Infant BVM – Adult BVM – Pediatric BVM – Infant Nebulizer Kit Magill Forceps – Adult Magill Forceps – Pediatric ETCO2 Detector Cric Kit or 10/12ga Needle Laryngoscope Handle – Adult	Laryngoscope Handle – Pediatric Laryngoscope Blades (1-4 or 0-3) ET Tubes 2.5mm – 7.5mm ET Tube Holder – Adult ET Tube Holder – Pediatric Stylette – Adult Stylette - Pediatric Secondary Advanced Airway – Adult Secondary Advanced Airway – Pediatric Suction – Portable Suction Tubing Rigid Suction Tip Suction Catheters 8fr. or 10fr. 12fr. 14fr. or 18fr.

Monitor

Cardiac Monitor Cardiac Monitor Cables 4 Lead 12 Lead Defibrillator Pulse Oximetry – Adult ECG Paper	Pacer Defibrillator Pads/Paddles – Adult Defibrillator Pads/Paddles – Pediatric Electrodes – Adult Electrodes – Pediatric Pulse Oximetry – Pediatric

IV Supplies
Micro Drip set Adjustable Drip set (this can replace micro and macro sets) IV Start sets/tourniquet IV Catheters 14-24 gauge Syringes 1cc-60cc Needles 18-25 gauge 10-, 12-, or 14-gauge catheter (3.25 inches in length) or a commercial chest decompression needle	Macro Drip set IO Access Device IO Needle – Adult IO Needle - Pediatric
Medications
All medications must adhere to the current AHA ACLS Guidelines
Atropine Adenosine Antiarrhythmic (Bolus and Infusion) Antiemetic Aspirin IV Dextrose Pressor Crystalloid Solution Narcotic Analgesic	Epinephrine 1:10,000 Epinephrine 1:1,000 H1 Antagonist Inhaled Beta Agonist Magnesium Sulfate Narcotic Antagonist Nitroglycerin (Drip/Oral/Transdermal) Sodium Bicarbonate
Additional controlled substances and medications may be allowed at the medical director's discretion
Mechanical and Transport
Fire Extinguisher Haz-Mat Reference Guide FAA Approved Stretcher	Reflective Safety Wear Flashlight
Radio Frequencies
Enroute to Scene: 155.235 MHz	At Scene: 155.280 MHz	Depart Scene: 155.340 MHz
Services must have all equipment and medications listed as a part of the service's written protocols and must not exceed the EMSP's scope of practice.

Field Triage Decision Scheme: The Arkansas Trauma Triage Protocol

National Guideline for the Field Triage of Injured Patients

Arkansas Trauma Triage

MAJOR CRITERIA

High Risk for Serious Injury

Injury Patterns

1. Penetrating injuries to head, neck, torso, and proximal extremities
2. Skull deformity, suspected skull fracture
3. Suspected spinal injury with new motor or sensory loss.
4. Chest wall instability, deformity, or suspected flail chest
5. Suspected pelvic fracture.
6. Suspected fracture of two or more proximal long bones
7. Crushed, degloved, mangled, or pulseless extremity.
8. Amputation proximal to wrist or ankle
9. Active bleeding requiring a tourniquet or wound packing with continuous pressure.

Mental Status & Vital Signs

All Patients

1. Unable to follow commands (motor GCS < 6)
2. RR < 10 or > 29 breaths/min
3. Respiratory distress or need for respiratory support.
4. Room-air pulse oximetry < 90%

Age 0–9 years

1. SBP < 70mm Hg + (2 x age in years)

Age 10–64 years

1. SBP < 90 mmHg
2. HR > SBP (+ Shock Index)

Age ≥ 65 years

1. SBP < 110 mmHg
2. HR > SBP (+ Shock Index)

9 y/o	88
8 y/o	86
7 y/o	84
6 y/0	82
5 y/0	80
4 y/o	78
3 y/o	76
2 y/o	74
1 y/o	72
< 1	70

Patients meeting any one of the above MAJOR/RED criteria should be transported to the highest-level trauma center available within the geographic constraints of the regional trauma system.

MODERATE CRITERIA

Moderate Risk for Serious Injury

Mechanism of Injury

1. High-Risk Auto Crash
2. Partial or complete ejection
3. Significant intrusion (including roof) • >12 inches occupant site OR • >18 inches any site OR • Need for extrication for entrapped patient.
4. Death in passenger compartment
5. Child (age 0–9 years) unrestrained or in unsecured child safety seat
6. Rider separated from transport vehicle with significant impact (e.g., motorcycle, ATV, horse, etc.)
7. Pedestrian/bicycle rider thrown, run over, or with significant impact.
8. Fall from height > 10 feet (all ages)

EMS Judgment

Consider risk factors, including:

1. Low-level falls in young children (age ≤ 5 years) or older adults (age ≥ 65 years) with significant head impact or high velocity or high impact event.

2. Anticoagulant / antiplatelet use

3. Suspicion of child abuse

4. Special, high-resource healthcare needs

5. Pregnancy > 20 weeks
6. Burns in conjunction with trauma.
7. Children should be triaged preferentially to pediatric capable centers.

If concerned, take to a designated trauma center.

Patients meeting any one of the MODERATE / YELLOW CRITERIA WHO DO NOT MEET MAJOR / RED CRITERIA should be preferentially transported to a trauma center, as available within the geographic constraints of the regional trauma system (need not be the highest-level trauma center) (v3: September 1, 2023)