Kent County Chiefs Association

EMS Apparatus Standards

Subject: ALS Ambulance Standards

EMS Apparatus Standard

# 1-4-3

Approved

January 2024

Approved by: President James L. Price, Jr.

Revised

September 2025

ALS AMBULANCE STANDARDS

1. All ALS Ambulance to be numbered Ambulance and per your company number per your station unless your company also runs more than one Ambulance then each additional unit shall use a 2-digit number.  ALS Ambulance shall use their level of care when communicating with dispatch.

            Example: Medic 2, Paramedic 3, Medic 5, Paramedic 7-1, Medic 8-2

B.  The vehicle shall consist of a motorized piece of apparatus of minimum capacity to

  carry the equipment named below without being overloaded.  The vehicle current

   meet DOT specifications and shall not exceed chassis manufacturer's G.V.W.  It must

   be registered as an emergency vehicle and meet all codes of the Maryland Motor

   Vehicle Administration or its successors.

C.  ALS Ambulance shall be equipped as follows.

• Must remain compliant with all updates and additions to the “Maryland Institute for Emergency Medical Service System” Voluntary Ambulance Inspection Program for BLS Ambulance and ALS Ambulance Unit Equipment List and complete recertification Bi-Annually in accordance with MIEMSS.

D. All loose equipment shall be mounted in brackets and fastened to the apparatus.

• Safety Equipment

1.       Two – Wheel Chocks, mounted in a readily accessible location, that together will hold the apparatus, when loaded to its GVWR or GCWR, on hard surface with 20 precent grade with transmission in neutral and the parking brake released.

2.      One traffic vest for each seating position, each vest to comply with ANSI/ISEA 207, Standard for High-Visibility Public Safety Vests, and have a five-point breakaway feature that includes two at the shoulders, two at the sides, one at the front.

a.      Traffic vest may be part of the members issued PPE, at which point would       not be required to be carried on the apparatus.

3.      Five (5) fluorescent orange traffic cones not less than 28-in. height, each equipped with a 6-in. retro-reflective white band no more than 4-in. from the top of the cone, and additional 4-in. retro-reflective white band 2-in. below the 6-in. band.

4.      One (1) roll of fire-line tape and/or caution tape.

5.      Apparatus shall have an audible back-up alarm.

6.      One (1) CO Detector/Monitor attached to the ALS/BLS bag.

• Radios and Reference Materials

1.  One (1) two-way radio with dual head located in the patient compartment for Medial Consults, to meet county standards.

2. Two (2) portable radio to meet county standards.

3. One (1) current Kent County Map Book

4. One (1) Map Book for all surrounding counties in which the company responds to an alarm.

5. One (1) GPS or Tablet may be used in place of items 3 and 4.

6. One (1) Emergency Guidebook (ERG).

·         Miscellaneous Equipment

1.  One (1) Halligan type tool for forcible entry.

2.  One (1) flat head axe for forcible entry.

3.  One (1) pair of bolt cutters

4.  One (1) vehicle lock-out kit.

5.  One (1) clipboard or binder containing HIPPA billing signature sheets, paper refusals, and ink pens.

6.  One (1) KNOX Brand Narcotics Vault, for secure storage of Narcotics compliant with MIEMSS regulations.

7.  One (1) on board invertor capable of handling the working load of all plugged in items.

8.  Two (2) 9-ft. straps for securing bariatric patients.

·         Emergency Incident Rehab Supplies

1.  Kent County Emergency Incident Rehabilitation Organizational Pre-Incident Checklist

2.  Kent County Emergency Incident Rehabilitation Organizational EIR Supervisor Incident Checklist.

·         Suggested Items

1.  Two (2) 30-minute SCBA

2.  One (1) small cooler with the ability to carry ten (10) or more bottles of water.

3.  Minimum of two (2) life jackets.

4.  One (1) 75-ft. throw rope bag.

5.  One (1) toolbox with the following items

a.       Flat head screwdrivers

b.      Phillips head screwdrivers

c.       Set of wrenches

d.      Allen Key set.

e.       Pliers

f.        Hacksaw

g.      Hammer

h.      Rubber mallet

Betterton Volunteer Fire Company, Inc.

Chief Renny Grapes

YES      NO      NOT PRESENT

Chestertown Volunteer Fire Company, Inc.

Chief John Darling

YES      NO      NOT PRESENT

Community Volunteer Fire Company of Millington, Inc.

Chief Charles Boyles

YES      NO      NOT PRESENT

Galena Volunteer Fire Company, Inc.

Chief Albert (Bert) Piasecki, Jr.

YES      NO      NOT PRESENT

Kennedyville Volunteer Fire Department, Inc.

Chief James L. Price, Jr.

YES      NO      NOT PRESENT

Kent & Queen Anne’s Rescue Squad, Inc.

Chief Jason Lobley

YES      NO      NOT PRESENT

Rock Hall Volunteer Fire Company, Inc.

Chief Mike Pinder

YES      NO      NOT PRESENT

Kent County Emergency Service Board

Chair Lynn Sutton

Submitted for Emergency Service Board Approval on __October 20th. 2025_____________

Compliance Date _____November 19th, 2025________________________________________

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