Medical Ambulance Medical Ambulance Bus Patient LoadingBus Patient Loading

Inside Right of MAB looking Inside Right of MAB looking forwardforward

Inside Left looking forwardInside Left looking forward

Rear of bus and rampRear of bus and ramp

Front and Rear Cot SlidesFront and Rear Cot Slides

Cots cannot be reversed and head Cots cannot be reversed and head end must be toward front of busend must be toward front of bus

Foot End of Cot with split

slide

Front End Slide

Head End of Cot with solid

slide

Rear End Slide

Washington M

etropolitan Council of Governments

Medical Am

bulance Bus Field Operations Guide (FOG)

MEDICAL AMBULANCE BUS

M E D I C A L A M B U L A N C E B U S

M E D I C A L A M B U L A N C E B U SM E D I C A L A M B U L A N C E B U S

OXYGENOXYGEN OXYGENCONTROL

Rear RampStep

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M E D I C A L A M B U L A N C E B U SGenerator

BatteryBox

M E D I C A L A M B U L A N C E B U SM E D I C A L A M B U L A N C E B U S

M O N T G O M E R Y C O U N T Y F I R E R E S C U E

Ramp 726726

M O N T G O M E R Y C O U N T Y F I R E R E S C U E

M O N T G O M E R Y C O U N T Y F I R E R E S C U EM O N T G O M E R Y C O U N T Y F I R E R E S C U E

Storage DriverDriverStorage Storage

Storage

Seat Back

FrontSeat

Storage Storage

Front

Officers Side B

Drivers Side AA - 1

A - 2

A - 3

A - 4

A - 5

A - 6

A - 7

A - 8

A - 9

B - 1

B - 2

B - 3

B - 4

B - 5

B - 6

B - 7

B - 8

B - 9

B - 10

B - 11

MAB Loading OrderMAB Loading Order Load patients from front of bus to rearLoad patients from front of bus to rear Load least injured patients firstLoad least injured patients first Heaviest patients in the bottom Heaviest patients in the bottom

positionspositions Lightest patients should be in the top Lightest patients should be in the top

positionspositions Potential critical patients or most Potential critical patients or most

severely injured patients should be severely injured patients should be loaded in the middle positions loaded in the middle positions

Patients are placed on the bus litter Patients are placed on the bus litter OUTSIDE the bus and litter is then OUTSIDE the bus and litter is then placed on a standard ambulance cot placed on a standard ambulance cot for entry onto the bus.for entry onto the bus.

The ambulance cot should be rolled up The ambulance cot should be rolled up the ramp in the lowest maneuverable the ramp in the lowest maneuverable position with the patient’s head toward position with the patient’s head toward the front of the bus. the front of the bus.

This allows for the most stable position This allows for the most stable position and less chance for the attendant to and less chance for the attendant to strike their head on the door frame.strike their head on the door frame.

For Upper Positions:For Upper Positions:1 - Align the cot next to a litter bay1 - Align the cot next to a litter bay Raise the cot to highest positionRaise the cot to highest position Extend empty litter slide bracketsExtend empty litter slide brackets2 - While leaving the foot of the litter on 2 - While leaving the foot of the litter on the ambulance stretcher, hook the head the ambulance stretcher, hook the head of the litter into the bracketof the litter into the bracket3 – The provider at the feet then holds 3 – The provider at the feet then holds the foot end of the litter while the the foot end of the litter while the attendant at the head pulls the cot out attendant at the head pulls the cot out from under the litter, toward the front of from under the litter, toward the front of the bus (see note)the bus (see note)

4 – The provider at the head end squats 4 – The provider at the head end squats below the litter, at the level of the below the litter, at the level of the patients thighs, with his back straight, patients thighs, with his back straight, using your legs, lifts the litter to the level using your legs, lifts the litter to the level of the bracketof the bracket

6 – The provider at the feet guides the litter 6 – The provider at the feet guides the litter into the bracketinto the bracket

5 – The brackets are then slid into the rack 5 – The brackets are then slid into the rack and locked in place with the pinand locked in place with the pin

Note: In the front bays, you should reverse Note: In the front bays, you should reverse the procedure and put the foot end in the the procedure and put the foot end in the bracket first and move the stretcher bracket first and move the stretcher towards the rear of the bus and then towards the rear of the bus and then place the front end in the bracketplace the front end in the bracket

For the Middle PositionFor the Middle Position1 - Align the cot next to a litter bay1 - Align the cot next to a litter bay

Raise the cot to highest positionRaise the cot to highest position Extend empty litter slide bracketsExtend empty litter slide brackets2 - While leaving the foot of the litter on 2 - While leaving the foot of the litter on the ambulance stretcher, hook the head the ambulance stretcher, hook the head of the litter into the bracketof the litter into the bracket3 – The provider at the feet then holds 3 – The provider at the feet then holds the foot end of the litter while the the foot end of the litter while the attendant at the head pulls the cot out attendant at the head pulls the cot out from under the litter, toward the front of from under the litter, toward the front of the bus (see note)the bus (see note)

4 – Together, lift the foot end of the litter 4 – Together, lift the foot end of the litter into the bracketinto the bracket

5 – The brackets are then slid into the 5 – The brackets are then slid into the rack and locked in placerack and locked in place