Authority: IC 16-31-2-7; IC 16-31-3-14; IC 16-31-3-14.5; IC 16-31-3-20

Affected: IC 16-31-3

Sec. 5. Each and every land ambulance will have the following minimum emergency care equipment, and this equipment shall be assembled and readily accessible:

1. (1) Respiratory and resuscitation equipment as follows:

   1. (A) Portable suction apparatus, capable of a minimum vacuum of three hundred (300) millimeters mercury, equipped with two (2) each of the following:

      1. (i) wide-bore tubings;
      2. (ii) rigid catheters;
      3. (iii) soft pharyngeal suction tips in child size; and
      4. (iv) soft pharyngeal suction tips in adult size.
   2. (B) Onboard suction, capable of a minimum vacuum of three hundred (300) millimeters mercury, equipped with wide-bore tubing and both rigid and soft pharyngeal suction tips.

   3. (C) Bag-mask ventilation units, hand operated, one (1) unit in each of the following sizes, each equipped with clear face masks and oxygen reservoirs with oxygen tubing:

      1. (i) Adult.
      2. (ii) Child.
      3. (iii) Infant.
      4. (iv) Neonatal (mask only).
   4. (D) Oropharyngeal airways, two (2) each of adult, child, and infant.
   5. (E) One (1) pocket mask with one-way valve.

   6. (F) Portable oxygen equipment of at least three hundred (300) liters capacity (D size cylinder) with:

      1. (i) yoke;
      2. (ii) medical regulator;
      3. (iii) pressure gauge; and
      4. (iv) nondependent flowmeter.

   7. (G) Onboard oxygen equipment of at least three thousand (3,000) liters capacity (M size cylinder) with:

      1. (i) yoke;
      2. (ii) medical regulator;
      3. (iii) pressure gauge; and
      4. (iv) nondependent flowmeter.

   8. (H) Oxygen delivery devices shall include the following:

      1. (i) High concentration devices, two (2) each, adult, child, and infant.
      2. (ii) Low concentration devices, two (2) each, adult.

   9. (I) Nasopharyngeal airways, two (2) each of the following with water soluble lubricant:

      1. (i) Small (20-24 french).
      2. (ii) Medium (26-30 french).
      3. (iii) Large (31 french or greater).
   10. (J) Bulb syringe individually packaged in addition to obstetrics kit.
   11. (K) Nonvisualized airway minimum of two (2) with water soluble lubricant.
   12. (L) Semiautomatic or automated external defibrillator and a minimum of two (2) sets of pads.

2. (2) Wound care supplies as follows:

   1. (A) Multiple trauma dressings, two (2) approximately ten (10) inches by thirty-six (36) inches.
   2. (B) Fifty (50) sterile gauze pads, three (3) inches by three (3) inches or larger.
   3. (C) Bandages, four (4) soft roller self-adhering type, two (2) inches by four (4) yards minimum.
   4. (D) Airtight dressings, four (4), for open chest wounds.
   5. (E) Adhesive tape, two (2) rolls.
   6. (F) Burn sheets, two (2), sterile.
   7. (G) Triangular bandages, four (4).
   8. (H) Bandage shears, one (1) pair.

3. (3) Patient stabilization equipment as follows:

   1. (A) Traction splint, lower extremity, limb-supports, padded ankle hitch, and traction strap, or equivalent, one (1) assembly in adult size.
   2. (B) Upper and lower extremity splinting devices, two (2) each.
   3. (C) One (1) splint device intended for the unit-immobilization of head-neck and torso. These items shall include the splint itself and all required accessories to provide secure immobilization.
   4. (D) One (1) long backboard with accessories to provide secure spinal immobilization.

   5. (E) Rigid extrication collar, two (2) each capable of the following sizes:

      1. (i) Pediatric.
      2. (ii) Small.
      3. (iii) Medium.
      4. (iv) Large.
   6. (F) One (1) ambulance litter with side rails, head-end elevating capacity, mattress pad, and a minimum of three (3) adjustable restraints to secure the chest, hip, and knee areas.

4. (4) Medications if approved by medical director, and solely for use by individuals with a certification as an emergency medical technician or higher, are as follows:

   1. (A) Baby aspirin, eighty-one (81) milligrams each.
   2. (B) Activated charcoal.
   3. (C) Instant glucose.
   4. (D) Epinephrine auto-injector or auto-injectors.

5. (5) Personal protection/universal precautions equipment, minimum of two (2) each, including the following:

   1. (A) Gowns.
   2. (B) Face masks and shields.
   3. (C) Gloves.
   4. (D) Biohazard bags.
   5. (E) Antimicrobial hand cleaner.

6. (6) Miscellaneous items as follows:

   1. (A) Obstetrical kit, sterile, one (1).

   2. (B) Clean linens consisting of the following:

      1. (i) Pillow.
      2. (ii) Pillow case.
      3. (iii) Sheets and blankets.

   3. (C) Blood pressure manometer, one (1) each in the following cuff sizes:

      1. (i) Large adult.
      2. (ii) Adult.
      3. (iii) Pediatric.

   4. (D) Stethoscopes, one (1) each in the following sizes:

      1. (i) Adult.
      2. (ii) Pediatric.
   5. (E) Sharps collector, one (1) being a minimum of seven (7) inches in height.
   6. (F) A current copy of the basic life support protocols.

(Indiana Emergency Medical Services Commission; Emergency Medical Services Rule II, E; filed Jun 5, 1975, 11:57 a.m.: Rules and Regs. 1976, p. 93; filed May 10, 1977, 10:52 a.m.: Rules and Regs. 1978, p. 219; filed Nov 3, 1980, 3:55 p.m.: 3 IR 2200; filed Dec 2, 1983, 2:43 p.m.: 7 IR 355; errata, 7 IR 1254; filed Dec 13, 1985, 9:13 a.m.: 9 IR 1045; filed Aug 18, 1986, 1:00 p.m.: 10 IR 31; filed May 15, 1998, 10:25 a.m.: 21 IR 3875; filed Jun 30, 2000, 4:18 p.m.: 23 IR 2727; filed Apr 4, 2002, 9:15 a.m.: 25 IR 2507; filed Feb 20, 2003, 8:00 a.m.: 26 IR 2342; filed Jun 11, 2004, 1:30 p.m.: 27 IR 3523; filed Jul 31, 2007, 10:01 a.m.: 20070829-IR-836060011FRA; readopted filed Jul 29, 2010, 8:07 a.m.: 20100825-IR-836100267RFA; readopted filed Oct 31, 2016, 1:48 p.m.: 20161130-IR-836160328RFA; readopted filed Nov 28, 2022, 2:51 p.m.: 20221228-IR-836220299RFA; readopted filed Jul 24, 2024, 3:48 p.m.: 20240821-IR- 836230827RFA)