N.H. Code Admin. R. Saf-C 5906.08
(b) A unit provider shall equip each air medical transport vehicle with the required equipment specified in Table 5906.2.
Item Name:
Size or Description
Number or Criteria
BLS
AEMT
Paramedic
Mass Casualty Tags
Undefined
50 each
Yes
Yes
Yes
Ambulance Cot Safety Straps
Full Set: Shoulder Harness system with hip and leg straps
1 each
Yes
Yes
Yes
Ambulance Cot Vehicle Mounting Bracket System
Undefined
1 each
Yes
Yes
Yes
Ambulance Cot with Mattress
Undefined
1 each
Yes
Yes
Yes
Infant/Child Safety Restraint System Meeting NH EMS Patient Care Protocol Requirements
System for Pediatric Patients weighing 5-80 Pounds
1 system
Yes
Yes
Yes
Fixed Suction
80-300 mmhg
1 each
Yes
Yes
Yes
Fixed Suction Canister with Liner OR Disposable Canister
Compatible with device
1 each
Yes
Yes
Yes
Main/Fixed Oxygen Tank
3000 Liter; containing not less than 500 psi
1 each
Yes
Yes
Yes
Oxygen Regulator/Flow meter (Wall Mounted)
2-15 LPM capable
1 each
Yes
Yes
Yes
Blanket
Undefined
4 each
Yes
Yes
Yes
Pillowcase
Undefined
2 each
Yes
Yes
Yes
Pillow with Fluid Resistant Cover
Undefined
1 each
Yes
Yes
Yes
Sheet
Undefined
4 each
Yes
Yes
Yes
Towel
Undefined
4 each
Yes
Yes
Yes
Urinal, Portable
Adult
1 each
Yes
Yes
Yes
Bed Pan
Adult
1 each
Yes
Yes
Yes
Emesis Container
Undefined
1 each
Yes
Yes
Yes
Sharps Needle Container
Fixed
Yes
Yes
Yes
Yes
Siren
Undefined
1 each
Yes
Yes
Yes
Exterior Rotating/Flashing Lights
Visible on 4 Sides
1 each
Yes
Yes
Yes
Fixed Scene Lights
Left, Right and Rear
1 each
Yes
Yes
Yes
Name of Unit on Vehicle Exterior
Minimum 4-inch High Lettering
Left and Right Side
Yes
Yes
Yes
Current Motor Vehicle Registration
Unexpired
1 each
Yes
Yes
Yes
Current Motor Vehicle Inspection Sticker
Unexpired
1 each
Yes
Yes
Yes
Current Motor Vehicle Insurance Certificate
With Vehicle
1 each
Yes
Yes
Yes
Motor Vehicle License Plates
Front and Rear
1 each
Yes
Yes
Yes
Current Motor Vehicle Registration License Plate Stickers
Front and Rear
1 each
Yes
Yes
Yes
Two-Way Radio Communications, Statewide EMS Ambulance-to-Hospital Primary Frequency
Capability Tested
1 each
Yes
Yes
Yes
Two-Way Radio Communications, Unit Dispatch Center
Capability Tested
1 each
Yes
Yes
Yes
Antimicrobial Hand Cleanser
6 Ounces
1 Container
Yes
Yes
Yes
Binoculars
Undefined
1 pair
Yes
Yes
Yes
Biohazard Waste Bag
Undefined
2 each
Yes
Yes
Yes
Disposable Impermeable Boot Covers
Extra Large
2 pair
Yes
Yes
Yes
Disposable Impermeable Coverall; or
Sizes to Fit Staffing
2 each
Yes
Yes
Yes
Disposable Impermeable Gown
Universal or Largest Available
2 each
Yes
Yes
Yes
Disposable, Latex-Free Exam Gloves
Small, Medium and Large
1 Box each
Yes
Yes
Yes
Current edition of US DOT Emergency Response Guidebook
1 each
Yes
Yes
Yes
Fire Extinguisher, Portable 2-A/10-B/C
Outside of Patient Compartment
1 each
Yes
Yes
Yes
Fire Extinguisher, Portable 2-A/10-B/C
Inside of Patient Compartment
1 each
Yes
Yes
Yes
Full Face Fluid Protection
Universal
2 each
Yes
Yes
Yes
Battery Charger(s) for Hand-Held Light – OR - Replacement Batteries
Sized per Light Type
1 Replacement Change per Light
Yes
Yes
Yes
Hand-Held Light or Headlamp
Undefined
2 each
Yes
Yes
Yes
Hospital Grade Disinfectant Solution or Wipes
Container or Bottle
1 each
Yes
Yes
Yes
N95 or N100 Mask
Sized for Crew
2 Masks
Yes
Yes
Yes
Portable CO Detector or Alarm
Undefined
1 each
Yes
Yes
Yes
Respiratory Mask, Fluid Resistant
Universal
1 Box
Yes
Yes
Yes
Safety Vest, High-Visibility, ANSI/ISEA-Compliant Type-2
Sized for Crew
1 per each Crew Member Responding
Yes
Yes
Yes
Seatbelts
Undefined
1 per seat
Yes
Yes
Yes
Sharps/Needle Container
Vehicle mounted
1 each
Yes
Yes
Yes
Pocket Ventilation Mask with One-Way Valve
Adult
1 each
Yes
Yes
Yes
Adjustable PEEP (Positive End-Expiratory Pressure) Valve
1 Size
2 each
Yes
Yes
Yes
Bag Valve Mask Resuscitator with oxygen reservoir & transparent mask
Child
1 each
Yes
Yes
Yes
Bag Valve Mask Resuscitator with oxygen reservoir & transparent mask with PEEP Connection
Adult
1 each
Yes
Yes
Yes
Blind Insertion/SupraGlottic Airways
Complete Set of available Adult and Pedi Sizes per Manufacturer and Model
1 each
Yes
Yes
Yes
Bulb Syringe (separate from OB kit)
Infant
1 each
Yes
Yes
Yes
Fixed Oxygen Regulator for Main/Fixed Oxygen
Capable of reducing pressure to 50 PSI
1 each
Yes
Yes
Yes
Lubricating Jelly, Water Soluble
Single Use Package
4 each
Yes
Yes
Yes
Nasal Cannula
Pediatric
1 each
Yes
Yes
Yes
Nasal Cannula
Adult
2 each
Yes
Yes
Yes
Nasopharyngeal Airways
6 Sizes, Infant-Adult
1 each
Yes
Yes
Yes
Oropharyngeal Airways
6 Sizes, Infant-Adult
1 each
Yes
Yes
Yes
Oxygen Non-Rebreather Mask with Reservoir Bag
Pediatric
1 each
Yes
Yes
Yes
Oxygen Non-Rebreather Mask with Reservoir Bag
Adult
2 each
Yes
Yes
Yes
Portable Oxygen Tank (1 Min 500 PSI, 1 Full)
Size D or >
2 Tanks
Yes
Yes
Yes
Portable Oxygen Tank Opening Device
Compatible with device
1 each
Yes
Yes
Yes
Portable Oxygen Tank Regulator/Flow Meter
2-15 LPM capable
1 each
Yes
Yes
Yes
Portable Suction
80-300 mmhg
1 unit
Yes
Yes
Yes
Portable Suction Canister with liner OR Disposable Canister
Compatible with device
1 each
Yes
Yes
Yes
Suction Catheters
Rigid, Widebore
1 each
Yes
Yes
Yes
Suction Catheters
1 Flexible Catheter size between 6-10 F and 1 flexible catheter size between 12 and 16 F
1 each size (2 total)
Yes
Yes
Yes
Transparent Mask for Bag Valve Mask Resuscitator
Neonate Compatible with Child BVM
1 each
Yes
Yes
Yes
Transparent Mask for Bag Valve Mask Resuscitator
Infant Compatible with Child BVM
1 each
Yes
Yes
Yes
Commercial Advanced Airway securing device
Pedi and Adult Capable
1 each
Yes
Yes
Yes
CPAP (One complete and Operational System)
Complete Set of available Adult Sizes per Manufacturer and Model
1 System
No
Yes
Yes
Continuous Quantitative Waveform Capnography Monitor (Electronic)
1 Size
1 each
No
No
Yes
Electronic ETCO2 monitoring sampling Cannula
Adult
2 each
No
No
Yes
Electronic ETCO2 monitoring sampling Cannula
Pedi
2 each
No
No
Yes
Electronic ETCO2 monitoring Tube Adapter
One size
2 each
No
No
Yes
Endotracheal Tubes
Full set of 12 sizes 2.5 - 8.0
1 Set
No
No
Yes
Laryngoscope Blades, Curved
2, 3, 4
1 each
No
No
Yes
Laryngoscope Blades, Straight
0,1,2,3,4
1 each
No
No
Yes
Spare Batteries or Charging Device for Laryngoscope Handle
Size/device appropriate to handles
1 set or device / handle size
No
No
Yes
Magill forceps
Pediatric
1 each
No
No
Yes
Magill forceps
Adult
1 each
No
No
Yes
Meconium Aspirator (Adapter)
1 Size
1 each
No
No
Yes
Nasogastric tubes sized for Pedi and Adult
1 Size 8 or 10 Fr, and 1 Size 14 or 16 Fr
1 each size
No
No
Yes
Needle Decompression Kit
Consisting of: 3.25" needle, 3-Way Stopcock and 20 cc Syringe
2 each
No
No
Yes
Spare Light Bulb or Fiberoptic Lightsource
Size appropriate to handle or blade type
1 each
No
No
Yes
Standard Laryngoscope Handle
Pediatric
1 each
No
No
Yes
Standard Laryngoscope Handle
Adult
1 each
No
No
Yes
Stylet and/or Gum Elastic Bougie, Endotracheal Tube
Pediatric
2 each
No
No
Yes
Stylet and/or Gum Elastic Bougie, Endotracheal Tube
Adult
2 each
No
No
Yes
Toomey Syringe
1 Size
1 each
No
No
Yes
Antiseptic Skin Preparation Pads
Individual packs
12 each
Yes
Yes
Yes
Bandage Dressing, Sterile
Minimum size 5” x 7”
12 Sterile Packages
Yes
Yes
Yes
Blood Pressure Cuff
Infant
1 each
Yes
Yes
Yes
Blood Pressure Cuff
Child
1 each
Yes
Yes
Yes
Blood Pressure Cuff
Adult
1 each
Yes
Yes
Yes
Blood Pressure Cuff
Adult Large or Thigh
1 each
Yes
Yes
Yes
Sphygmomanometer
To fit all sized cuffs
One
Yes
Yes
Yes
Burn Sheet, Sterile, Hospital Prepared or Commercially Disposable
Full Body
1 each
Yes
Yes
Yes
Cold Pack
Instant
4 each
Yes
Yes
Yes
Commercial Tourniquet Device
Minimum 1.5" Width
2 each
Yes
Yes
Yes
Gauze Pads, Sterile
Minimum 3” x 3”
12 Sterile Packages
Yes
Yes
Yes
Heat Pack
Instant
4 each
Yes
Yes
Yes
OB Kit.
Must Contain: Sterile Umbilical Clamp (2), Sterile Scalpel or Scissors, Sterile Bulb Syringe, Head Cap, and Heat Reflective Blanket or Material
1 complete kit
Yes
Yes
Yes
Occlusive Dressing, Sterile; or
Minimum size 4” x 4”
2 each
Yes
Yes
Yes
Plastic Wrap, Self-Adhesive
Undefined
1 roll
Yes
Yes
Yes
Pelvic Binding Device
Undefined
1 each
Yes
Yes
Yes
Penlight (flashlight or LED equivalent)
Undefined
1 each
Yes
Yes
Yes
Rolled Bandage, Soft, Self-Clinging
Minimum width 3”
4 each
Yes
Yes
Yes
Saline Solution, Sterile
Undefined
1000 ml Total
Yes
Yes
Yes
Splints capable of stabilizing upper and lower extremities in half and full lengths
Adult & Pedi
1 set
Yes
Yes
Yes
Stethoscope(s)
Adult and Pedi Capable
1 each
Yes
Yes
Yes
Traction device, Lower Extremity with Ankle Hitch
Adult
1 each
Yes
Yes
Yes
Trauma Shears
Undefined
1 pair
Yes
Yes
Yes
Triangular Bandages
Minimum size 35”
4 each
Yes
Yes
Yes
Universal Dressing, Sterile
Minimum 9” x 24”
2 Sterile Packages
Yes
Yes
Yes
Cervical Collars, Rigid
Infant through Adult
2 Complete Sets
Yes
Yes
Yes
Extrication and Movement Device, Rigid or Semi-Rigid
Long/ Full Length
1 each
Yes
Yes
Yes
Extrication and Movement Strapping Accessories
Compatible with device
1 set
Yes
Yes
Yes
Head Motion Restriction Device or System
Compatible with device
1 each
Yes
Yes
Yes
Stair Chair (with safety straps)
Undefined
1 each
Yes
Yes
Yes
Scoop Stretcher
Full Length
1 each
Yes
Yes
Yes
Blood Glucose Measuring Device with Appropriate Testing Strips
Undefined
1 each
Yes
Yes
Yes
Automated External Defibrillator (AED)
Adult and Pediatric capable
1 AED
Yes, unless Multifunction Cardiac Monitor is present
Yes, unless Multifunction Cardiac Monitor is present
No
Defibrillator Pad
Pediatric
2 sets
Yes
Yes
Yes
Defibrillator Pad
Adult
2 sets
Yes
Yes
Yes
Disposable Razor
Undefined
1 each
Yes
Yes
Yes
Pulse Oximeter Measuring Device
Undefined
1 each
Yes
Yes
Yes
Pulse Oximeter Sensor
Pediatric
1 each
Yes
Yes
Yes
Pulse Oximeter Sensor
Adult
1 each
Yes
Yes
Yes
Thermometer
Capable down to 86 Degrees
1 each
Yes
Yes
Yes
Monitor Spare Battery or Charging System with Continuous Power supply
Appropriate to Device
1 each
Yes, If Present
Yes, If Present
Yes
Multifunction Cardiac Monitor
Pedi and Adult Manual Defib, Pacing, Cardioversion, 12 Lead Acquisition capability
1 Monitor
Yes, If Present
Yes, If Present
Yes
Multifunction Cardiac Monitor Electrodes
Pediatric
10
Yes, If Present
Yes, If Present
Yes
Multifunction Cardiac Monitor Electrodes
Adult
20
Yes, If Present
Yes, If Present
Yes
Multifunction Cardiac Monitor Recording Paper
Appropriate to Device
1 Replacement
Yes, If Present
Yes, If Present
Yes
All Medication Expiration Dates Current
Undefined
Not Expired
Yes
Yes
Yes
Length-Based Resuscitation Tape
Pediatric
1 each
Yes
Yes
Yes
Medicine Cup or oral syringe with Measurement Increments
With Measurement Increments
1 each
Yes
Yes
Yes
Mucosal Atomization Device
Undefined
2 each
Yes
Yes
Yes
NH Patient Care Protocols, Printed or Service Owned, Dedicated Electronic Copy
Undefined
1 copy
Yes
Yes
Yes
0.9% Normal Saline Solution
IV Bags
Total 4000 ML
No
Yes
Yes
3-Way Stop-Cock
Undefined
5 each
No
Yes
Yes
Bio-Occlusive IV Site Dressing
Undefined
2 Each
No
Yes
Yes
Commercial IntraOsseous Introduction Device
Adult and Pediatric Capable
1 each
No
Yes
Yes
Filter needles
Undefined
2 each
No
Yes
Yes
IV Administration Set with min. of 2 med ports
Macro
2 sets
No
Yes
Yes
IV Arm Board
Pediatric
1 each
No
Yes
Yes
IV Arm Board
Adult
1 each
No
Yes
Yes
IV Catheter
14 gauge
2 each
No
Yes
Yes
IV Catheter
16 gauge
2 each
No
Yes
Yes
IV Catheter
18 gauge
2 each
No
Yes
Yes
IV Catheter
20 gauge
2 each
No
Yes
Yes
IV Catheter
22 gauge
2 each
No
Yes
Yes
IV Catheter
24 gauge
2 each
No
Yes
Yes
IV Pressure Bag
1000 ML
1 each
No
Yes
Yes
IV Saline Lock
Macro
2 sets
No
Yes
Yes
Sharps/Needle container
portable
1 each
Yes
Yes
Yes
Nebulizer Delivery Device Setup, Complete
Undefined
2 each
No
Yes
Yes
Needle
18-21 gauge (1-1/2 Inch Min Length)
2 Assorted
No
Yes
Yes
Needle
25-27 gauge (1 Inch Min Length)
2 Assorted
No
Yes
Yes
Needles for Commercial IntraOsseous Introduction Device
Adult and Pediatric Capable
1 each
No
Yes
Yes
Syringe
1cc
2 each
No
Yes
Yes
Syringe
3 or 5cc
4 each
No
Yes
Yes
Syringe
10 or 12cc
2 each
No
Yes
Yes
Syringe
20 or 60cc
1 each
No
Yes
Yes
Venous Constricting Band (Latex Free)
Undefined
2 each
No
Yes
Yes
Table 5906.2 Fixed Air Medical Transport Equipment
Item Name:
Size or Description
Number or Criteria
Infant/Child Safety Restraint System Meeting NH EMS Patient Care Protocol Requirements
System for Pediatric Patients weighing 5-80 Pounds
1 system
Fixed Suction
80-300 mmhg
1 each
Fixed Suction Canister with Liner ORDisposable Canister
Compatible with device
1 each
Main/Fixed Oxygen Tank
3000 Liter; containing not less than 500 psi
1 each
Oxygen Regulator/Flow meter (Wall Mounted)
2-15 LPM capable
1 each
Sharps Needle Container
Fixed
Yes
Siren
Undefined
1 each
Name of Unit on Vehicle Exterior
Minimum 4-inch High Lettering
Left and Right Side
Two-Way Radio Communications, Statewide EMS Ambulance-to-Hospital Primary Frequency
Capability Tested
1 each
Two-Way Radio Communications, Unit Dispatch Center
Capability Tested
1 each
Safety Vest, High-Visibility, ANSI/ISEA-Compliant Type-2
Sized for Crew
1 per each Crew Member Responding
Sharps/Needle Container
Vehicle mounted
1 each
Pocket Ventilation Mask with One-Way Valve
Adult
1 each
Adjustable PEEP (Positive End-Expiratory Pressure) Valve
1 Size
2 each
Bag Valve Mask Resuscitator with oxygen reservoir & transparent mask
Child
1 each
Bag Valve Mask Resuscitator with oxygen reservoir & transparent mask with PEEP Connection
Adult
1 each
Blind Insertion/SupraGlottic Airways
Complete Set of available Adult and Pedi Sizes per Manufacturer and Model
1 each
Bulb Syringe (separate from OB kit)
Infant
1 each
Fixed Oxygen Regulator for Main/Fixed Oxygen
Capable of reducing pressure to 50 PSI
1 each
Lubricating Jelly, Water Soluble
Single Use Package
4 each
Nasal Cannula
Pediatric
1 each
Nasal Cannula
Adult
2 each
Nasopharyngeal Airways
6 Sizes, Infant-Adult
1 each
Oropharyngeal Airways
6 Sizes, Infant-Adult
1 each
Oxygen Non-Rebreather Mask with Reservoir Bag
Pediatric
1 each
Oxygen Non-Rebreather Mask with Reservoir Bag
Adult
2 each
Portable Oxygen Tank (1 Min 500 PSI, 1 Full)
Size D or >
2 Tanks
Portable Oxygen Tank Opening Device
Compatible with device
1 each
Portable Oxygen Tank Regulator/Flow Meter
2-15 LPM capable
1 each
Portable Suction
80-300 mmhg
1 unit
Portable Suction Canister with liner OR Disposable Canister
Compatible with device
1 each
Suction Catheters
Rigid, Widebore
1 each
Suction Catheters
1 Flexible Catheter size between 6-10 F and 1 flexible catheter size between 12 and 16 F
1 each size (2 total)
Transparent Mask for Bag Valve Mask Resuscitator
Neonate Compatible with Child BVM
1 each
Transparent Mask for Bag Valve Mask Resuscitator
Infant Compatible with Child BVM
1 each
Commercial Advanced Airway securing device
Pedi and Adult Capable
1 each
CPAP (One complete and Operational System)
Complete Set of available Adult Sizes per Manufacturer and Model
1 System
Continuous Quantitative Waveform Capnography Monitor (Electronic)
1 Size
1 each
Electronic ETCO2 monitoring sampling Cannula
Adult
2 each
Electronic ETCO2 monitoring sampling Cannula
Pedi
2 each
Electronic ETCO2 monitoring Tube Adapter
One size
2 each
Endotracheal Tubes
Full set of 12 sizes 2.5 - 8.0
1 Set
Laryngoscope Blades, Curved
2, 3, 4
1 each
Laryngoscope Blades, Straight
0,1,2,3,4
1 each
Spare Batteries or Charging Device for Laryngoscope Handle
Size/device appropriate to handles
1 set or device / handle size
Magill forceps
Pediatric
1 each
Magill forceps
Adult
1 each
Meconium Aspirator (Adapter)
1 Size
1 each
Nasogastric tubes sized for Pedi and Adult
1 Size 8 or 10 Fr, and 1 Size 14 or 16 Fr
1 each size
Needle Decompression Kit
Consisting of: 3.25" needle, 3-Way Stopcock and 20 cc Syringe
2 each
Spare Light Bulb or Fiberoptic Lightsource
Size appropriate to handle or blade type
1 each
Standard Laryngoscope Handle
Pediatric
1 each
Standard Laryngoscope Handle
Adult
1 each
Stylet and/or Gum Elastic Bougie, Endotracheal Tube
Pediatric
2 each
Stylet and/or Gum Elastic Bougie, Endotracheal Tube
Adult
2 each
Blood Pressure Cuff
Infant
1 each
Blood Pressure Cuff
Child
1 each
Blood Pressure Cuff
Adult
1 each
Blood Pressure Cuff
Adult Large or Thigh
1 each
Sphygmomanometer
To fit all sized cuffs
One
Commercial Tourniquet Device
Minimum 1.5" Width
2 each
Stethoscope(s)
Adult and Pedi Capable
1 each
Traction device, Lower Extremity with Ankle Hitch
Adult
1 each
Cervical Collars, Rigid
Infant through Adult
2 Complete Sets
Defibrillator Pad
Pediatric
2 sets
Defibrillator Pad
Adult
2 sets
Disposable Razor
Undefined
1 each
Pulse Oximeter Measuring Device
Undefined
1 each
Pulse Oximeter Sensor
Pediatric
1 each
Pulse Oximeter Sensor
Adult
1 each
Thermometer
Capable down to 86 Degrees
1 each
Monitor Spare Battery or Charging System with Continuous Power supply
Appropriate to Device
1 each
Multifunction Cardiac Monitor
Pedi and Adult Manual Defib, Pacing, Cardioversion, 12 Lead Acquisition capability
1 Monitor
Multifunction Cardiac Monitor Electrodes
Pediatric
10
Multifunction Cardiac Monitor Electrodes
Adult
20
Multifunction Cardiac Monitor Recording Paper
Appropriate to Device
1 Replacement
All Medication Expiration Dates Current
Undefined
Not Expired
Commercial IntraOsseous Introduction Device
Adult and Pediatric Capable
1 each
IV Administration Set with min. of 2 med ports
Macro
2 sets
IV Catheter
14 gauge
2 each
IV Catheter
16 gauge
2 each
IV Catheter
18 gauge
2 each
IV Catheter
20 gauge
2 each
IV Catheter
22 gauge
2 each
IV Catheter
24 gauge
2 each
Needles for Commercial IntraOsseous Introduction Device
Adult and Pediatric Capable
1 each
Venous Constricting Band (Latex Free)
Undefined
2 each
Emergency Lighting Equipment
Undefined
1 each
Survival Pack and Survival Gear
Undefined
1 per each crew member
Flashlight
Undefined
One in front
One in back
Aircraft Helmet
FAA approved
1 per each crew member
Patient Headset
Undefined
1 each
Portable Ventilator
Undefined
1 each
Invasive Blood Pressure Monitoring Devices
Undefined
Minimum of 2
Cervical Collars, Rigid
Infant through Adult
1 Complete Set
Doppler
Tied to the aircraft intercom system with High Frequency sound waves
1 each
Infusion Pump
Undefined
1 each
Stretcher/Litter
Secure Patient to Aircraft
1 each
Source. (See Revision Note #1 and Revision Note #2 at Chapter heading for Saf-C 5900) #12790, effective 5-24-19; ss by #13123, eff 10-20-20; ss by #13169, eff 2-19-21