Each air ambulance operator shall ensure that all medical equipment is appropriate to the air medical service’s scope and mission and maintained in working order according to the manufacturer’s recommendations.

1. A. Medical equipment shall be available on the aircraft that meets the state scope for EMS providers for the area in which the service intends to operate, and in line with the mission of the air ambulance service. The medical equipment shall (commensurate with the applicable scopes of practice for the air ambulance service’s staff) include, but not be limited to, the following:

   1. (1) isolation equipment:

      1. (a) isolation goggles and masks or mask/shield combination;
      2. (b) isolation gowns;
      3. (c) isolation gloves.
   2. (2) high particulate filter washes (high efficiency particulate air (HEPA) filter or N95 mask-assorted sizes;
   3. (3) containers (bags) for infectious medical waste;
   4. (4) sharps container;
   5. (5) disinfectant/germicidal;
   6. (6) waterless hand cleaner;

   7. (7) airway equipment:

      1. (a) complete set of oropharyngeal airway devices: adult, pediatric, and infant;
      2. (b) complete set of nasopharyngeal airway devices: adult, pediatric, and infant;
      3. (c) complete set of intubation equipment-adult, pediatric, and infant.
   8. (8) extra batteries and bulbs;
   9. (9) syringes, assorted sizes;
   10. (10) stylets (adult, pediatric and infant);
   11. (11) magill forceps (adult and pediatric);
   12. (12) booted hemostat or device appropriate clamp;
   13. (13) adult endotracheal tubes;
   14. (14) pediatric/infant endotracheal tubes a. 2 sizes of each tube that corresponds to the required pediatric weight-based tape, chart or wheel. Medical directors can choose tube sizes based on protocol and evidence based guidelines;
   15. (15) pediatric weight based drug tape, chart or wheel;
   16. (16) water soluble lubricant;
   17. (17) laryngoscope handle;
   18. (18) laryngoscope blades, curved and straight, sizes 0-1-2-3;
   19. (19) end-tidal carbon dioxide (CO2) monitor;
   20. (20) advanced airway procedure kit, as applicable;
   21. (21) approved medications, including blood or blood products, with equipment to maintain temperatures within manufacturer recommendations and medical standards;
   22. (22) security of medications, fluids, and controlled substances maintained by each air ambulance licensee in compliance with local, state, and federal drug laws;
   23. (23) electrocardiogram (ECG) monitor/defibrillator and appropriate adult and infant pads, including external pacemaker pads (secure positioning of cardiac monitors, defibrillators, and external pacers so that displays are visible to medical personnel);
   24. (24) pulse oximeter (adult and pediatric);
   25. (25) spare batteries as appropriate for powered medical devices;
   26. (26) ventilator as approved by medical director;
   27. (27) bleeding/burns equipment;
   28. (28) gauze pads;
   29. (29) universal trauma dressings;

   30. (30) suction equipment including tubing:

       1. (a) wall mounted suction unit;
       2. (b) portable suction unit powered or hand operated.
   31. (31) hard tip suction;

   32. (32) soft tip suction catheters set:

       1. (a) adult sizes;
       2. (b) pediatric sizes.
   33. (33) suction bags (package) or equivalent;
   34. (34) french suction catheters;
   35. (35) sterile gloves;

   36. (36) oxygen equipment (oxygen flow capable of being stopped at the oxygen source from inside the air ambulance and measurement of the liter flow and quantity of oxygen remaining is accessible to air medical personnel while in flight):

       1. (a) main oxygen source;
       2. (b) wall mounted oxygen gauge 0-15 L/min. minimum. Oxygen equipment shall be furnished capable of adjustable flow from 2 to 15 liters per minute. Masks and supply tubing for adult and pediatric patients shall allow administration of variable oxygen concentrations from twenty-four percent to ninety-five percent fraction inspired oxygen. Medical oxygen shall be provided for one-hundred and fifty percent of the scheduled flight time by a unit secured within the air ambulance.
   37. (37) compressed air as appropriate (each gas outlet clearly marked for identification);
   38. (38) portable oxygen unit;
   39. (39) portable variable flow regulator 0-15 liters per minute minimum;
   40. (40) bag-valve-mask with reservoir one hundred percent oxygen flow (adult, pediatric, and infant);
   41. (41) transparent oxygen masks, simple and non-rebreather (adult, pediatric, and infant oxygen mask);
   42. (42) nasal cannulas (adult and pediatric);
   43. (43) oxygen connective tubing and appropriate adapters;
   44. (44) oxygen humidifier/nebulizer and appropriate connecting tubing;

   45. (45) adjunct equipment, to include:

       1. (a) trauma shears;
       2. (b) stethoscope (adult and pediatric);
       3. (c) tourniquets.
   46. (46) blood pressure cuffs: (large adult, adult, pediatric, infant);
   47. (47) penlight;
   48. (48) patient hearing protection;
   49. (49) assorted tape;
   50. (50) exam gloves;
   51. (51) obstetrical kit;
   52. (52) nasogastric tubes (adult and pediatric);
   53. (53) patient restraints;
   54. (54) pediatric restraining system;
   55. (55) intravenous equipment;
   56. (56) alcohol, chlorhexidine, or betadine skin cleanser (preferably prep pads);
   57. (57) intravenous (IV) administration sets;
   58. (58) IV infusion pump tubing;
   59. (59) IV catheters and butterfly needles, assorted sizes 24-14;
   60. (60) intraosseous needles;
   61. (61) needles, assorted sizes;
   62. (62) IV solutions, per protocol;

   63. (63) associated adjunct equipment:

       1. (a) invasive line set-up;
       2. (b) pressure bags.

   64. (64) one or more cots/stretchers capable of being secured in the aircraft which:

       1. (a) can accommodate an adult of a height and weight appropriate for the capacity of the air ambulance. There shall be restraining devices or additional appliances available to provide adequate restraint of all patients including those under 60 pounds or 36 inches in height;
       2. (b) shall have the head of the primary stretcher capable of being elevated up to 30 degrees. The elevating section shall not interfere with or require that the patient or stretcher securing straps and hardware be removed or loosened;
       3. (c) shall be sturdy and rigid enough that it can support cardiopulmonary resuscitation. If a backboard or equivalent device is required to achieve this, such device will be readily available;
       4. (d) shall have a pad or mattress impervious to moisture and easily cleaned and disinfected according to Occupational Safety and Health Administration (OSHA) bloodborne pathogen requirements (29 C.F.R 1910.1030).
   65. (65) supply of linen for each patient; and
   66. (66) survival kit for all medical crew members and patients.

[7.27.5.19 NMAC - Rp, 7.27.5.20 NMAC, , Rp, 9/9/2025]