It is the responsibility of the medical director to determine the supply level and type of equipment to be used within the facility and to incorporate these specifications into both the contract and the medical care plan. Often this is dictated by the local EMS system, which provides equipment for the facility. Response teams should be equipped with basic airway and first aid equipment. The teams must also have adequate extrication and transportation devices based on the layout of the facility. In the event of a cardiac arrest, a defibrillator should be available to be sent to the location of the patient along with ALS personnel with advanced airway equipment. This may not be necessary if an intravenue treatment facility is within 3 to 5 min transport time under actual event conditions. The medical care system should have enough defibrillators to allow access to one from any location within the facility in 5 min or less.
Equipment within the treatment sites should be based on the level of care provided, the number of patients anticipated, and the length of time each patient would be required to stay at the site awaiting disposition or transportation. If not on-site, transportation should be established in the plan to have the capabilities of transporting the patient to a hospital within 30 min of the request.
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