ORDIN Nr.

1092/1500 din 7 septembrie 2006

privind stabilirea competenelor i atribuiilor echipajelor publice de intervenie de
diferite niveluri n faza prespitaliceasc
EMITENT: MINISTERUL SNTII PUBLICE
Nr. 1.092 din 7 septembrie 2006
MINISTERUL ADMINISTRAIEI I INTERNELOR
Nr. 1.500 din 13 noiembrie 2006
PUBLICAT N: MONITORUL OFICIAL NR. 982 din 8 decembrie 2006

Avnd n vedere prevederile art. 98 alin. (3) i ale art. 101 alin. (7) din Legea nr.
95/2006 privind reforma n domeniul sntii, cu modificrile i completrile
ulterioare,
n temeiul prevederilor Hotrrii Guvernului nr. 862/2006 privind organizarea i
funcionarea Ministerului Sntii Publice i ale Ordonanei de urgen a
Guvernului nr. 63/2003 privind organizarea i funcionarea Ministerului
Administraiei i Internelor, aprobat cu modificri i completri prin Legea nr.
604/2003, cu modificrile i completrile ulterioare,

ministrul sntii publice i ministrul administraiei i internelor emit urmtorul

ordin:

ART. 1
Echipajele publice de intervenie sunt clasificate dup competenele membrilor
echipajului sau, dup caz, ale efului echipajului.
ART. 2
n vederea obinerii autorizaiei de funcionare a serviciilor de urgen
prespitaliceti de la autoritatea de sntate public, directorul medical al serviciului
de ambulan sau medicul ef al unui serviciu mobil de urgen, reanimare i
descarcerare (SMURD) va nainta actele solicitate, care vor include i o list cu
personalul, echipajele i clasificarea acestora n conformitate cu prevederile
prezentului ordin.
ART. 3
Obinerea autorizaiei de funcionare pe baza clasificrii iniiale a competenelor
nu mpiedic reclasificarea unor echipaje sau persoane de la un nivel superior la un
nivel inferior, pn la urmtoarea autorizaie de funcionare sau pn la rezolvarea
problemei care a dus la reclasificare, de acest lucru rspunznd directorul medical al
serviciului de ambulan sau medicul ef al SMURD.
 ART. 4
Reclasificarea unui echipaj sau a unei persoane la un nivel superior celui autorizat
iniial necesit obinerea aprobrii autoritii de sntate public ce a emis
autorizaia, pe baza unei cereri la care sunt anexate documentele necesare i a unei
vizite de evaluare la faa locului, dac se consider necesar.
ART. 5
Echipajele publice de intervenie sunt clasificate dup competenele efului
echipajului, respectiv dac sunt conduse de un medic sau un asistent medical,
membrii echipajului putnd avea diferite nivele de competen.
ART. 6
Competenele stabilite pentru un echipaj sunt respectate de toi membrii
echipajului respectiv, dac au acelai nivel de competen, responsabilitatea
respectrii regulamentului revenind efului/comandantului de echipaj desemnat, n
subordinea cruia se afl restul membrilor echipajului.
ART. 7
Competenele stabilite pentru un echipaj cu diferite nivele de competen sunt
respectate de eful echipajului, restul membrilor echipajului fiind subordonai
acestuia, participnd la ngrijirea i transportul pacientului, administrnd
medicamentele i efectund manevrele de asisten medical de urgen mpreun
cu i sub directa coordonare i supraveghere a efului echipajului care deine
competena cea mai mare.
ART. 8
Depirea neautorizat a competenelor de ctre membrii unui echipaj cu
competene egale sau de ctre eful unui echipaj cu competene de diferite nivele
va duce la aplicarea unor sanciuni administrative, civile ori penale persoanei sau,
dup caz, persoanelor vinovate.
ART. 9
Directorul medical al unui serviciu de ambulan sau medicul ef al unui SMURD
monitorizeaz modul de lucru al echipajelor, avnd responsabilitatea stabilirii
situaiilor n care s-a depit competena unui echipaj, prin autosesizare sau la
sesizarea unor tere pri, cum ar fi medicii de la unitile de primire a urgenelor.
ART. 10
Medicii din cadrul unitilor i compartimentelor de primire a urgenelor sau din
alte secii ale spitalelor sau clinicilor la care sunt transportai pacienii au obligaia,
prin medicul ef al unitii, compartimentului sau seciei, de a sesiza, n scris,
directorul medical al serviciului de ambulan sau medicul ef al unui SMURD
asupra situaiilor n care pacientul este adus n condiii incorecte, fr aplicarea
msurilor de prim ajutor calificat ori de asisten medical de urgen, precum i
asupra situaiilor n care un echipaj a depit competenele sau a aplicat un
tratament duntor pacientului.
ART. 11
n cazul primirii sesizrilor n privina unor abateri de la prevederile prezentului
ordin, directorul medical al serviciului de ambulan sau medicul ef al unui SMURD
care a primit sesizarea are obligaia de a investiga cazul i de a rspunde, n termen
de cel mult 15 zile lucrtoare de la primirea sesizrii, n scris, medicului ef al unitii
care semneaz sesizarea, prezentnd rezultatele investigaiei i msurile luate.
ART. 12
Depirea competenelor poate fi autorizat pentru un caz individual de un medic
care deine competenele respective, dac situaia o impune, cu condiia justificrii
deciziei i atarii unui raport n acest sens la fia de intervenie a echipajului
respectiv sau a trecerii datelor necesare direct n fia de intervenie a cazului
respectiv de ctre medicul care a autorizat aciunea.
ART. 13
(1) Echipajele clasificate la un anumit nivel au obligaia i responsabilitatea s
aplice competenele prevzute pentru nivelul respectiv dac situaia o impune.
(2) Echipajele care nu pot asigura asistena de urgen adecvat unui pacient aflat
n stare critic au obligaia de a solicita imediat sprijinul unui alt echipaj avansat la
locul interveniei sau la ntlnire.
ART. 14
Neaplicarea, fr justificare, a msurilor terapeutice de ctre un echipaj medical
de urgen sau de terapie intensiv mobil ori de ctre un ef de echipaj, dac
membrii echipajului au diferite competene, n conformitate cu competenele
prevzute pentru nivelul la care este clasificat acesta, duce la reclasificarea
echipajului la un nivel inferior, pn la organizarea unor cursuri de pregtire a
echipajului sau a efului echipajului, dup caz.
ART. 15
Neaplicarea, fr justificare, a msurilor de prim ajutor de ctre un echipaj de
prim ajutor calificat impune investigarea cazului i organizarea, dac se consider
necesar, a unui curs de reciclare a echipajului n termen de cel mult 15 zile
lucrtoare i punerea sub monitorizare a acestuia de ctre medicul ef al serviciului.
ART. 16
Responsabilitatea monitorizrii modului de aplicare a msurilor terapeutice de
ctre echipajele unui serviciu de ambulan revine directorului medical al acestuia,
iar n cazul SMURD, aceasta revine medicului ef al serviciului.
 ART. 17
n lipsa unui echipaj avansat care s acorde sprijinul, echipajul care nu poate
asigura asistena de urgen la nivelul necesar procedeaz la evacuarea de urgen a
pacientului, fr ntrziere, la cel mai apropiat spital, acordnd primul ajutor pe
durata transportului.
ART. 18
Competenele unui echipaj vor fi corelate i cu tipul vehiculului utilizat, precum i
cu dotarea cu materiale, medicamente i aparatur, n conformitate cu anexele nr. I
i II.
ART. 19
Lipsa dotrii necesare unui nivel de competen face ca echipajul s nu fie
clasificat ca atare sau s fie reclasificat la un nivel inferior, temporar sau permanent,
dup caz.
ART. 20
Serviciile de urgen prespitaliceasc raporteaz sau deconteaz costurile n
conformitate cu clasificarea real a echipajului, lund n considerare tipul
vehiculului, precum i competenele echipajului sau ale efului acestuia, dup caz.
Decontarea include costul/kilometru sau costul/or de zbor i costul/solicitare.
Costul/solicitare include i costul real al medicamentelor i materialelor sanitare.
ART. 21
Directorul medical al unui serviciu de ambulan sau medicul ef al unui SMURD
rspunde de clasificarea corect a echipajelor i reclasificarea acestora n cadrul
serviciului pe care l coordoneaz, aceasta fiind o operaiune continu i flexibil
care depinde de resursele umane disponibile ntr-o tur i de tehnica de lucru aflat
n stare operativ n tura respectiv, situaia putnd fi schimbat chiar n cursul unei
ture.
ART. 22
Dispeceratul medical sau dispeceratul integrat de urgen va fi informat n scris,
prin fax ori prin sistem de transmisie a datelor, n cazul n care nu se afl n incinta
serviciului de ambulan, n legtur cu nivelul de clasificare al fiecrui echipaj de
gard i cu modificrile survenite asupra clasificrii, dac este cazul.
ART. 23
Clasificarea unor echipaje la un nivel mai nalt dect competenele reale ale
membrilor echipajului sau la un nivel mai nalt dect permite dotarea echipajului va
duce la sancionarea de ctre autoritatea de sntate public a directorului medical
al serviciului de ambulan sau a medicului ef al SMURD din care face parte
echipajul, precum i a persoanelor care au emis autorizaia iniial, dac aceasta a
stat la baza clasificrii eronate. n cazul unor consecine grave asupra pacientului,
persoanele implicate rspund, n conformitate cu prevederile legale n vigoare, fiind
posibil desfacerea contractului de munc ori eliberarea din funcia de conducere a
persoanei sau persoanelor responsabile, n urma unei anchete efectuate de
organele abilitate din judeul respectiv ori de la un nivel regional sau central.
ART. 24
Echipajele publice de intervenie de urgen, transport i consultaii n faza
prespitaliceasc sunt clasificate dup cum urmeaz:
1. echipaj de prim ajutor fr capacitate de evacuare a victimei (PA):
- mijlocul utilizat: poate include orice tip de vehicul dotat cu echipamentele
necesare acordrii primului ajutor calificat;
- astfel de echipaj poate aciona i fr vehicul, cu condiia deinerii
echipamentului necesar;
- minimum dou persoane:
2 salvatori cu instruire paramedical;
- dup caz, un conductor auto cu instruire paramedical;
- n cazul echipajelor de pompieri care intervin la incendii cu autospeciale de
intervenie dotate cu echipament de prim ajutor calificat i defibrilator
semiautomat, cel puin 3 persoane din cadrul echipajului vor fi formate ca personal
paramedical;
2. echipaj de prim ajutor cu capacitate de evacuare a victimei (PA-T):
- mijlocul utilizat: ambulane tip B2 sau nave;
- minimum 3 persoane:
a) 2 salvatori cu instruire paramedical;
b) un conductor al mijlocului de intervenie cu instruire paramedical;
3. echipaj medical de urgen cu asistent (EMU-A):
- mijlocul utilizat: ambulane tip B2 sau nave;
- minimum dou persoane:
a) un asistent medical cu pregtire n acordarea asistenei medicale de urgen;
b) un conductor al mijlocului de intervenie ambulanier sau cu instruire
paramedical;
4. echipaj medical de urgen cu medic (EMU-M):
- mijlocul utilizat: ambulane tip B1, C2 sau nave;
- minimum 3 persoane:
a) un medic care a absolvit cursuri n acordarea asistenei medicale de urgen sau
cu competen/atestat n domeniu;
b) un asistent medical cu pregtire n acordarea asistenei medicale de urgen;
 c) un conductor al mijlocului de intervenie ambulanier sau cu instruire
paramedical;
5. echipaj de terapie intensiv mobil (TIM):
- mijlocul utilizat: ambulane tip C1;
- minimum 4 persoane:
a) un medic de urgen sau un medic de anestezie terapie intensiv (specialist sau
rezident cel puin n semestrul II al anului III de rezideniat, cu acordul directorului
programului de rezideniat ori al ndrumtorului, n cazul rezidenilor n anestezie
terapie intensiv, cu experien spitaliceasc continu, instruit n utilizarea
medicaiei anestezice);
b) un asistent medical cu pregtire n acordarea asistenei medicale de urgen cu
experien spitaliceasc n manevrele de urgen i terapie intensiv i utilizarea
medicaiei anestezice;
c) o persoan cu pregtire paramedical care a absolvit cursul de prim ajutor
calificat i de lucru n cadrul unui echipaj medical de urgen;
d) un conductor auto pompier care a absolvit cursul de prim ajutor calificat sau
un conductor auto ambulanier;
6. echipaj de terapie intensiv mobil nou-nscui (TIM-NN);
- mijlocul utilizat: ambulane tip C1 cu dotare specific transportului neonatal;
- minimum 3 persoane:
a) un medic neonatolog, anestezist reanimator sau de urgen cu pregtire
specific n acordarea asistenei medicale de urgen i terapia intensiv a nou-
nscutului aflat n stare critic, n condiii de prespital i transport (specialist sau
rezident cel puin n semestrul II al anului III de rezideniat, cu acordul directorului
programului de rezideniat ori al ndrumtorului, n cazul rezidenilor n anestezie
terapie intensiv sau n neonatologie);
b) un asistent medical cu pregtire specific n ngrijirea nou-nscutului;
c) un conductor auto ambulanier sau un conductor auto care a absolvit un curs
de prim ajutor calificat;
7. echipaj de salvare aerian (ESA):
- mijlocul utilizat: aeronave de diferite categorii n conformitate cu prevederile
legale n vigoare;
- minimum 4 persoane:
a) un medic de urgen sau un medic de anestezie terapie intensiv (specialist sau
rezident cel puin n semestrul II al anului III de rezideniat, cu acordul directorului
programului de rezideniat ori al ndrumtorului, n cazul rezidenilor n anestezie
terapie intensiv sau n neonatologie);
 b) un asistent medical cu pregtire n acordarea asistenei medicale de urgen;
c) un pilot i un copilot;
8. echipaj de ambulan aerian (EAA):
- mijlocul utilizat: avion sanitar sau alte aeronave n conformitate cu prevederile
legale n vigoare;
- minimum 4 persoane:
a) un medic care a absolvit cursuri n acordarea asistenei medicale de urgen sau
cu competen/atestat n domeniu;
b) un asistent medical cu pregtire n acordarea asistenei medicale de urgen;
c) un pilot i un copilot;
9. echipaj de consultaii de urgen la domiciliu (ECU):
- mijlocul utilizat: un vehicul neclasificat cu dotare specific, fr capacitate de
transport al pacientului;
- minimum o persoan:
- un medic de medicin general/medicin de familie, cu carnet de conducere i
cu pregtire n acordarea primului ajutor avansat n cazurile de urgen;
- dup caz, un conductor auto ambulanier;
10. echipaj de transport sanitar neasistat (ET):
- minimum o persoan:
- un ambulanier;
- dup caz, echipajul poate fi format din 2 ambulanieri sau un ambulanier i un
asistent medical.
ART. 25
Competenele fiecrui tip de echipaj sunt prevzute n anexa nr. I.
ART. 26
Anumite competene sunt facultative pentru unele tipuri de echipaje i sunt
marcate n tabel cu semnul (-/+). Restul competenelor sunt obligatorii pentru un
anumit nivel de clasificare, dac sunt marcate cu semnul (+), sau incompatibile cu
nivelul respectiv de clasificare, dac sunt marcate cu semnul (-).
ART. 27
Dotarea minim obligatorie pentru fiecare tip de echipaj este prevzut n anexa
nr. II.
ART. 28
Echipajele de prim ajutor i de urgen cu asistent pot fi autorizate de ctre un
medic abilitat care face parte din structura serviciilor de urgen prespitaliceasc
sau a unitilor de primiri urgene, pentru cazuri individuale, s efectueze manevre
ori s administreze medicaie care nu face parte din competenele prevzute n
anexa nr. I. n aceste situaii, rspunderea este integral a medicului care
autorizeaz depirea competenei, dup caz, pe baza informaiilor obinute de la
echipaj i/sau a datelor obinute prin sistemul de transmisie telemedical, dac
acesta exist. Medicul are obligaia s documenteze dispoziiile n scris, cu
menionarea orei la care a ordonat echipajului s efectueze o anumit manevr sau
s administreze un anumit medicament i a motivului. Manevrele care pot fi
autorizate, dup caz, sunt marcate n anexa nr. I cu litera "R" n dreptul lor.
ART. 29
Echipajele care primesc autorizaie s depeasc anumite competene n timpul
interveniei la un caz documenteaz n fiele lor acest lucru, cu menionarea
coninutului autorizaiei primite telefonic, radiotelefonic sau personal la locul
interveniei, a orei la care s-a emis i a persoanei care a emis-o, precum i a
rezultatului aplicrii asupra pacientului a msurilor prevzute n autorizaie.
ART. 30
Dac medicul care autorizeaz un echipaj de prim ajutor s efectueze anumite
manevre care nu sunt n conformitate cu protocoalele aplicate de echipaj nu face
parte din structurile sistemului medical de urgen, echipajul are obligaia s
confirme ordinul cu dispeceratul medical sub coordonarea cruia se afl. n
asemenea situaii, medicul care a intervenit din afara sistemului este legitimat i
nregistrat cu datele de contact n fia cazului.
ART. 31
Medicii din afara sistemului medical de urgen care intervin n sprijinul
echipajelor de prim ajutor, cum sunt medicii de familie n zonele rurale, au obligaia
s respecte protocoalele de lucru ale echipajelor i faptul c echipajul este
subordonat direct dispeceratului medical n zona cruia funcioneaz. Echipajul de
prim ajutor va aplica prevederile art. 29.
ART. 32
La data intrrii n vigoare a prezentului ordin se abrog art. 1 - 8, precum i
anexele nr. 2 i 3 din Ordinul ministrului sntii nr. 270/2004 privind asistena
medical de urgen prespitaliceasc, publicat n Monitorul Oficial al Romniei,
Partea I, nr. 382 din 30 aprilie 2004.
ART. 33
Anexele nr. I i II fac parte integrant din prezentul ordin.
ART. 34
Direcia general de politici, strategii i managementul calitii n sntate din
Ministerul Sntii Publice, autoritile de sntate public judeene i a
municipiului Bucureti, Inspectoratul General pentru Situaii de Urgen,
inspectoratele pentru situaii de urgen judeene i al municipiului Bucureti,
precum i toate serviciile medicale de urgen prespitaliceasc, prim ajutor calificat
i de transport sanitar vor duce la ndeplinire prevederile prezentului ordin.
ART. 35
Prezentul ordin se public n Monitorul Oficial al Romniei, Partea I.

Ministrul sntii publice,

Gheorghe Eugen Nicolescu

p. Ministrul administraiei i internelor,

Anghel Andreescu,
secretar de stat

ANEXA 1*)

*) Anexa nr. I este reprodus n facsimil.

Competenele echipajelor publice de urgen, transport i consultaii la domiciliu

______________________________________________________________________
________
| 1. Prim ajutor de baz fr echipamente |
|
______________________________________________________________________
________|
| PA | PA-T | EMU-A | EMU-M |TIM |ESA| EAA | ECU |ET |
| | | | |TIM-| | | | |
| | | | |NN | | | | |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| A-B-C |
|
______________________________________________________________________
________|
| Evaluarea primar a pacientului (ABC) |
|
______________________________________________________________________
________|
| + | + | + | + | +|+| + | + |+|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Recunoaterea stopului cardiac |
|
______________________________________________________________________
________|
| + | + | + | + | +|+| + | + |+|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Deschiderea manual a cilor aeriene la adult, copil i nou nscut |
|
______________________________________________________________________
________|
| + | + | + | + | +|+| + | + |+|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Meninerea libertii cilor aeriene fr echipament la adult, copil i |
| nou-nscut |
|
______________________________________________________________________
________|
| + | + | + | + | +|+| + | + |+|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Poziia de siguran |
|
______________________________________________________________________
________|
| + | + | + | + | +|+| + | + |+|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Ventilaia gur la gur la adult, copil i nou-nscut |
|
______________________________________________________________________
________|
| + | + | + | + | +|+| + | + |+|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Ventilaia gur la masc |
|
______________________________________________________________________
________|
| + | + | + | + | +|+| + | + |+|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Manevra Heimlich |
|
______________________________________________________________________
________|
| + | + | + | + | +|+| + | + |+|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Masaj cardiac extern |
|
______________________________________________________________________
________|
| + | + | + | + | +|+| + | + |+|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Hemostaza prin pansament compresiv |
|
______________________________________________________________________
________|
| + | + | + | + | +|+| + | + |+|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| 2. Prim ajutor cu echipamente |
|
______________________________________________________________________
________|
| PA | PA-T | EMU-A | EMU-M |TIM |ESA| EAA | ECU |ET |
| | | | |TIM-| | | | |
| | | | |NN | | | | |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Management ci respiratorii |
|
______________________________________________________________________
________|
| Eliberarea cilor respiratorii superioare utiliznd aspiratorul de secreii |
|
______________________________________________________________________
________|
| + | + | + | + | +|+| + | + |+|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Eliberarea cilor respiratorii inferioare utiliznd aspiratorul de secreii |
| prin intermediul tubului de traheostomie |
|
______________________________________________________________________
________|
|La |La |La |La | + | + |La |La |-|
|pacienii |pacienii |pacienii |pacienii| | |pacienii|pacienii | |
|care au |care au |care au |care au | | |care au |care au | |
|deja |deja |deja |deja | | |deja |deja | |
| | + | | | | | | | |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Utilizarea cilor orofaringiene |
|
______________________________________________________________________
________|
| + | + | + | + | + | + | + | + |-/+|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Ventilaie |
|
______________________________________________________________________
________|
| Ventilaia cu balonul i masca la adult, copil i nou-nscut |
|
______________________________________________________________________
________|
| + | + | + | + | + | + | + | + |-/+|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Utilizarea adjuvanilor de ventilaie: Combitube/easytube/obturator |
| faringian sau dispozitive similare |
|
______________________________________________________________________
________|
| -/+ | -/+ | -/+ | + | + | + | + | -/+ | - |
|Doar n |Doar n |Doar n | | | | |Doar n | |
|caz de |caz de |caz de | | | | |caz de | |
|Stop C-R |Stop C-R |Stop C-R | | | | |Stop C-R | |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Masca laringian |
|
______________________________________________________________________
________|
| -/+ | -/+ | -/+ | + | + | + | + | -/+ | - |
|Doar n |Doar n |Doar n | | | | |Doar n | |
|caz de |caz de |caz de | | | | |caz de | |
|Stop C-R |Stop C-R |Stop C-R | | | | |Stop C-R | |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Administrare medicaie |
|
______________________________________________________________________
________|
| Oxigen |
|
______________________________________________________________________
________|
| + | + | + | + | +|+| + | + |+|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Protoxid de azot pentru analgezie |
|
______________________________________________________________________
________|
| -/+ | -/+ | -/+ | + | + | + | -/+ | -/+ | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Adrenalina n caz de Stop C-R |
|
______________________________________________________________________
________|
| R | R | + | + | +|+| + | + |-|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Atropina n stop C-R |
|
______________________________________________________________________
________|
| R | R | R | + | +|+| + | + |-|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Adrenalina n caz de oc anafilactic |
|
______________________________________________________________________
________|
| R | R | R | + | +|+| + | + |-|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Nitroglicerina spray sau tablete sublingual n caz de dureri precordiale - |
| angina pectoral |
|
______________________________________________________________________
________|
| R | R | + | + | +|+| + | + |-|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Aspirina la pacieni cu dureri precordiale - suspiciune IMA |
|
______________________________________________________________________
________|
| R | R | + | + | +|+| + | + |-|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Glucoza 33% |
|
______________________________________________________________________
________|
| R | R | + | + | +|+| + | + |-|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Defibrilare/electroversie/stimulare cardiac |
|
______________________________________________________________________
________|
| Defibrilare semi-automat |
|
______________________________________________________________________
________|
| + | + | + | + | + | + | + | + |-/+|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Imobilizare/manevrare/evacuare - transport pacient |
|
______________________________________________________________________
________|
| Imobilizare coloan |
|
______________________________________________________________________
________|
| + | + | + | + | +|+| + | + |+|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Aplicare guler cervical |
|
______________________________________________________________________
________|
| + | + | + | + | + | + | + | -/+ | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Utilizare echipamente de imobilizare coloan |
|
______________________________________________________________________
________|
| + | + | + | + | + | + | + | -/+ | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Utilizare echipamente de extracie (KED) |
|
______________________________________________________________________
________|
| + | + | + | + | + | + | -/+ | -/+ | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Utilizare atele pentru membre |
|
______________________________________________________________________
________|
| + | + | + | + | + | + | + | -/+ | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Utilizare atel traciune |
|
______________________________________________________________________
________|
| -+/ | -/+ | -/+ | + | + | + | -/+ | -/+ | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Evaluare/Monitorizare |
|
______________________________________________________________________
________|
| Msurarea TA ne-invaziv |
|
______________________________________________________________________
________|
| + | + | + | + | +|+| + | + |-|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Pulsoximetrie |
|
______________________________________________________________________
________|
| -/+ | + | + | + | + | + | + | + | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Capnometrie calitativ
|
______________________________________________________________________
________|
| -/+ | -/+ | -/+ | -/+ | + | + | -/+ | -/+ | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| 3. Asistena medical de urgen |
|
______________________________________________________________________
________|
| PA | PA-T | EMU-A | EMU-M |TIM |ESA| EAA | ECU |ET |
| | | | |TIM-| | | | |
| | | | |NN | | | | |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Management ci respiratorii |
|
______________________________________________________________________
________|
| Eliberarea cilor respiratorii inferioare utiliznd aspiratorul de secreii |
| prin intermediul tubului de intubaie endotraheal |
|
______________________________________________________________________
________|
| - | - |n cazul | + | + | + | + |n cazul | - |
| | |pacienilor| | | | |pacienilor| |
| | |n stop | | | | |n stop | |
| | |cardio- | | | | |cardio- | |
| | |respirator | | | | |respirator | |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Minitraheostomie de urgen |
|
______________________________________________________________________
________|
| - | - | - | + | + | + | + | -/+ | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Intubaia endotraheal |
|
______________________________________________________________________
________|
| - | - | -/+ | + | + | + | + | -/+ | - |
| | |n cazul | | | | |n cazul | |
| | |pacienilor| | | | |pacienilor| |
| | |n stop | | | | |n stop | |
| | |cardio- | | | | |cardio- | |
| | |respirator | | | | |respirator | |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Ventilaie/respiraie |
|
______________________________________________________________________
________|
| Ventilaia mecanic controlat a adultului cu ventilatorul prin intermediul |
| tubului endotraheal sau de traheostomie |
|
______________________________________________________________________
________|
| - | - | - | + | +|+| + | - |-|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Decomprimare toracic cu ac |
|
______________________________________________________________________
________|
| - | - | -/+ | + | + | + | + | + | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Acces intra-venos |
|
______________________________________________________________________
________|
| Acces intravenos periferic i vena jugular extern |
|
______________________________________________________________________
________|
| -/+ | -/+ | + | + | + | + | + | + | - |
|Doar n |Doar n | | | | | | | |
|cazul |cazul | | | | | | | |
|stopului |stopului | | | | | | | |
|C-R i |C-R i | | | | | | | |
|doar linie|doar linie| | | | | | | |
|periferic|periferic| | | | | | | |
|cu |cu | | | | | | | |
|condiia |condiia | | | | | | | |
|absolvirii|absolvirii| | | | | | | |
|unui |unui | | | | | | | |
|instructaj|instructaj| | | | | | | |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Administrare medicaie |
|
______________________________________________________________________
________|
| Administrare aerosoli
|
______________________________________________________________________
________|
| R | R | -/+ | + | + | + | + | + | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Administrare Heliox (amestec Heliu i Oxigen) |
|
______________________________________________________________________
________|
| - | - | - | -/+ | -/+|-/+| -/+ | - | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Administrare sedative/anticonvulsivante - IV |
|
______________________________________________________________________
________|
| - | - | R | -/+ | + | + | -/+ | -/+ | - |
| | |Doar n caz| | | | | | |
| | |de | | | | | | |
| | |convulsii | | | | | | |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Administrare analgetice ne-opioide |
|
______________________________________________________________________
________|
| - | - | R | + | +|+| + | + |-|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Administrare analgetice opioide
|
______________________________________________________________________
________|
| - | - | - | + | +|+| + | + |-|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Administrare anti-aritmice IV
|
______________________________________________________________________
________|
| - | - | - | + | + | + | + | -/+ | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Administrare medicaie inotrop IV prin sering automat |
| - Nitroglicerin |
| - Dopamin |
|
______________________________________________________________________
________|
| - | - | - | -/+ | + | + | -/+ | -/+ | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Administrare antihipertensive orale |
|
______________________________________________________________________
________|
| - | - | R | + | +|+| + | + |-|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Administrare antihipertensive IV |
|
______________________________________________________________________
________|
| - | - | - | -/+ | + | + | + | -/+ | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Administrare antispastice IV |
|
______________________________________________________________________
________|
| - | - | R | + | +|+| + | + |-|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Administrare diuretice IV |
|
______________________________________________________________________
________|
| - | - | R | + | +|+| + | + |-|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Administrare antibiotice IV |
|
______________________________________________________________________
________|
| - | - | - | -/+ | + | + | -/+ | -/+ | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Administrare antidoturi |
|
______________________________________________________________________
________|
| - | R | R | + | + | + | + | -/+ | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Administrare Calciu IV |
|
______________________________________________________________________
________|
| - | - | - | + | +|+| + | - |-|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Defibrilare/electroversie/stimulare cardiac |
|
______________________________________________________________________
________|
| Defibrilare manual
|
______________________________________________________________________
________|
| - | - | - | + | + | + | -/+ | -/+ | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Pacemaker extern
|
______________________________________________________________________
________|
| - | - | - | -/+ | + | + | -/+ | -/+ | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Electroversie sincron
|
______________________________________________________________________
________|
| - | - | - | -/+ | + | + | -/+ | -/+ | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| 4. Terapie Intensiv mobil |
|
______________________________________________________________________
________|
| PA | PA-T | EMU-A | EMU-M |TIM |ESA| EAA | ECU |ET |
| | | | |TIM-| | | | |
| | | | |NN | | | | |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Management ci respiratorii |
|
______________________________________________________________________
________|
| Traheostomie |
|
______________________________________________________________________
________|
| - | - | - | - | +|+| - | - |-|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Tehnici alternative pentru intubaie dificil |
|
______________________________________________________________________
________|
| - | - | - | - | +|+| - | - |-|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Ventilaie/respiraie |
|
______________________________________________________________________
________|
| Ventilaia mecanic asistat a adultului prin intermediul ventilatorului i |
| a tubului endotraheal sau de traheostomie |
|
______________________________________________________________________
________|
| - | - | - | -/+ | + | + | -/+ | - | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Alte modaliti de ventilaie specializate - aduli/copii |
|
______________________________________________________________________
________|
| - | - | - | - | + | + | -/+ | - | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Drenaj toracic |
|
______________________________________________________________________
________|
| - | - | - | - | + | + | -/+ | - | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Acces Intravenos |
|
______________________________________________________________________
________|
| Acces intravenos central |
|
______________________________________________________________________
________|
| - | - | - | - | + | + | -/+ | - | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Acces intraosos |
|
______________________________________________________________________
________|
| - | - | - | - | + | + | -/+ | - | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Administrare medicaie |
|
______________________________________________________________________
________|
| Administrare hipnotice IV |
|
______________________________________________________________________
________|
| - | - | - | - | + | + | -/+ | - | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Administrare Anestezice IV |
|
______________________________________________________________________
________|
| - | - | - | - | + | + | -/+ | - | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Administrare succinilcolina |
|
______________________________________________________________________
________|
| - | - | - | - | + | + | -/+ | - | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Administrare paralizante musculare de lung durat |
|
______________________________________________________________________
________|
| - | - | - | - | + | + | -/+ | - | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Administrare medicaie inotrop cu seringa automat IV |
| - Dobutamin |
| - Adrenalin |
|
______________________________________________________________________
________|
| - | - | - | - | + | + | -/+ | - | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Administrare antihipertensive IV |
| - Nitroprusiat de sodiu |
|
______________________________________________________________________
________|
| - | - | - | - | + | + | -/+ | - | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Evaluare/Monitorizare |
|
______________________________________________________________________
________|
| Msurarea TA/PVC invaziv |
|
______________________________________________________________________
________|
| - | - | - | - | + | + | -/+ | - | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Capnometrie cantitativ |
|
______________________________________________________________________
________|
| - | - | - | -/+ | + | + | -/+ | - | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| 5. Consultaii de urgen la domiciliu |
|
______________________________________________________________________
________|
| PA | PA-T | EMU-A | EMU-M |TIM |ESA| EAA | ECU |ET |
| | | | |TIM-| | | | |
| | | | |NN | | | | |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Prescriere reete |
|
______________________________________________________________________
________|
| - | - | - | -/+ | - | - | - | + | - |
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Decizia de a lsa pacientul la domiciliu |
|
______________________________________________________________________
________|
| - | - | R | + | +|+| - | + |-|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Lsarea pacientului la domiciliu sau la locul interveniei contra |
| semnturii acestuia sau a aparintorilor n fia de solicitare (refuz de |
| transport sau de asisten de urgen) |
|
______________________________________________________________________
________|
| R | R | + | + | +|+| + | + |R|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| EKG 12 derivaii i interpretarea |
|
______________________________________________________________________
________|
| - | - | - | + | +|+| + | + |-|
|__________|__________|___________|_________|____|___|_________|
___________|___|
| Transmisia de date la distan pentru interpretare (Ritm cardiac 3 derivaii,|
| EKG 12 derivaii i ali parametri) |
|
______________________________________________________________________
________|
| + | + | + | - | -|-| - | + |-|
|__________|__________|___________|_________|____|___|_________|
___________|___|

ANEXA 2*)

*) Anexa nr. II este reprodus n facsimil.

LISTA ECHIPAMENTELOR, A MATERIALELOR I A MEDICAMENTELOR MINIME

OBLIGATORII PENTRU DOTAREA MIJLOACELOR DE INTERVENIE PENTRU ASISTENA
MEDICAL DE URGEN PRESPITALICEASC, PRIMUL AJUTOR I TRANSPORT
SANITAR

Lista mijloacelor de intervenie i transport:

1. Ambulan tip C
a. Echipaje Terapie Intensiv Mobil (C1)
b. Echipaj Medical de Urgen cu Medic (C2)
c. Echipaj Terapie Intensiv Mobil Nou-Nscui (C-NN)
2. Ambulan tip B1 cu medic
a. Echipaj Medical de Urgen cu Medic (B1)
3. Ambulan B2 cu alt personal acreditat fr medic
a. Echipaj Medical de Urgen cu Asistent (B2/A)
b. Echipaj de Prim Ajutor (B2/P)
4. Ambulan tip A 1
a. Echipaj Transport Sanitar Ne-Asistat (A1)
5. Autosanitar tip A 2
a. Echipaj Transport Sanitar Ne-Asistat (A2)
6. Autospecial de intervenie al medicului de urgen (MU)
a. Transport Echipaj Medical de Urgen cu Medic/Terapie
Intensiv Mobil, cu baza la spital
 7. Autospeciala de consultaii la domiciliu (AMD)
a. Transport Echipaj Consultaii la Domiciliu
8. Elicopter intervenie/transport sanitar
a. Echipaj Terapie Intensiv Mobil (Eli/TI)
b. Echipaj Terapie Intensiv Mobil - Nou Nscui (Eli/TI-NN)
9. Avion de transport sanitar
a. Echipaj Asisten Medical de Urgen/Asistent (AV/A)
b. Echipaj Asisten Medical de Urgen/Medic (AV/M)
c. Echipaj Terapie Intensiv Mobil (AV/TI)
d. Echipaj Terapie Intensiv Mobil Nou Nscui (AV/TI-NN)
10. Nava de intervenie/transport sanitar
a. Echipaj Prim Ajutor (NAV/P)
b. Echipaj Asistena Medical de Urgen/Asistent (NAV/A)
c. Echipaj Asistena Medical de Urgen/Medic (NAV/M)
d. Echipaje Terapie Intensiv Mobil (NAV/TI)
e. Echipaj Terapie Intensiv Nou-Nscui (NAV/TI-NN)
f. Echipaj Consultaii de Urgen la Domiciliu (NAV/AMD)
g. Echipaj Transport Sanitar Ne-Asistat (NAV/TS)

I. Echipament pentru manevrarea, imobilizarea i transportul pacientului (Cerine

minime)

______________________________________________________________________
________
|Nr. | Echipament |
|crt.| |
|____|
______________________________________________________________________
___|
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| C1 | B1/C2 | B2 | A1 | A2 | MU | AMD | Eli. | Avion | Nava |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 1 | Suport targ/sistem prindere-asigurare targ n timpul transportului, |
| | sistem independent de amortizare, targa putnd fi amplasabil n |
| | mijloc, lateral stng i lateral drept permind acces la pacient din |
| | toate prile respectnd regulamentele din standardul CEN 1789. |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | - | - | - | - | - |
| | C2 | | | | | | | | |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 2 | Suport targ/sistem prindere-asigurare targa n timpul transportului |
| | amplasat lateral sau n mijloc. |
|____|
______________________________________________________________________
___|
| - | + | + | + | - | - | - | + | + | + |
| | B1 | | | | | | | | |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 3 | Targa principal (cu roi n cazul autosanitarelor), cu sistem fixare |
| | pacient |
|____|
______________________________________________________________________
___|
| + | + | + | + | - | - | - | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 4 | Targa Lopat (Scoop Stretcher) |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | - | - | -/+ | - | -/+ |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 5 | Saltea vacuum
|____|
______________________________________________________________________
___|
| + | + | + | - | - | - | - | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 6 | Scaun cu rotile (n afara cazului cnd targa principal are i aceast |
| | funcie), cu sistem fixare pacient |
|____|
______________________________________________________________________
___|
| + | + | + | + | + | - | - | - | - | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 7 | Cearaf de transport sau saltea de transfer | |____|
______________________________________________________________________
___|
| + | + | + | + | + | - | - | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 8 | Targ rigid complet pentru coloana (cu imobilizare/fixare pentru |
| | cap dac nu este inclus fixarea capului n targa lopat) |
|____|
______________________________________________________________________
___|
| +/- | +/- | +/- | - | - | - | - | +/- | +/- | +/- |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 9 | Sistem de nclzire cabin medical | |____|
______________________________________________________________________
___|
| + | + | + | + | + | - | - | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 10 | Bimotor n conformitate cu reglementrile Europene n vigoare pentru |
| | elicopterele de salvare aerian. |
|____|
______________________________________________________________________
___|
| - | - | - | - | - | - | - | + | - | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 11 | Dispozitiv de traciune pentru fracturile de femur |
|____|
______________________________________________________________________
___|
| + | + | -/+ | - | - | - | - | -/+ | - | -/+ |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 12 | Set atele vacuum sau gonflabile. |____|
______________________________________________________________________
___|
| + | + | + | - | - | + | - | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 13 | Atele cervicale aduli/copii set complet sau un numr minim de 3 |
| | gulere cervicale reglabile la care se vor aduga mrimile pediatrice. |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | - | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 14 | KED (extractor pentru imobilizarea n ax a extremitii cefalice/ |
| | gtului i trunchiului n vederea extragerii accidentailor din |
| | autovehicule) |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | - | -/+ | - | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 15 | Suport agare perfuzii |
|____|
______________________________________________________________________
___|
| + | + | + | + | -/+ | - | - | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|

II. Aparatura/echipamente pentru resuscitare - respiraie (cerine minime)

______________________________________________________________________
________
|Nr. | Echipament |
|crt.| |
|____|
______________________________________________________________________
___|
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| C1 | B1/C2 | B2 | A1 | A2 | MU | AMD | Eli. | Avion | Nava |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 1 | Oxigen staionar - minim 2 x 10 l, NTP, contor debit/ventil debit cu |
| | capacitate maxim de cel puin 15 l/min. i robinet de reglare Conexiune|
| | rapid |
|____|
______________________________________________________________________
___|
| + | + | + | + | + | - | - | + | + | + |
| | | | | | | |(5 litri)| | |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 2 | Oxigen portabil - minim 5 l, NTP, contor debit/ventil debit cu |
| | capacitate maxim de cel puin 15 l/min. i robinet de reglare Conexiune|
| | rapid |
|____|
______________________________________________________________________
___|
| + | + | + | + | + | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 3 | Balon ventilaie adult/copil cu mti de diferite mrimi i rezervor |
| | suplimentar pentru oxigen. |
|____|
______________________________________________________________________
___|
| + | + | + | + | + | + | + | + | + | + |
|(2 buc.)| | | | | | |(2 buc.) |(2 buc.) | |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 4 | Set ci orofaringiene adult/copil |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | + | + | + | + |
|(2 buc.)| | | | | | |(2 buc.) |(2 buc.) | |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 5 | Laringoscop cu lame de diferite mrimi (adult/copil) i cu mandren. |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | + | + | + | + |
|(2 buc.)| | | | | | |(2 buc.) |(2 buc.) | |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 6 | Pensa Mcgill diferite mrimi
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | + | + | + | + |
|(2 buc.)| | | | | | |(2 buc.) |(2 buc.) | |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 7 | Ventilator volumetric adult/copil portabil cu PEEP i cu posibilitatea |
| | de conectare la sursa fix de oxigen |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
| | C2 | | | | | | | | |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 8 | Piesa intermediar de ventilaie artificial cu gura |
| | (masca de insuflaie) |
|____|
______________________________________________________________________
___|
| + | + | + | + | + | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 9 | Aspirator staionar electric cu capacitate min. a rezervorului de 1 l |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | - | - | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 10 | Aspirator portabil electric rencrcabil cu rezervor minim de 1 l |
|____|
______________________________________________________________________
___|
| + | + | + | + | + | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|

III. Aparatura monitorizare - defibrilare - evaluare - administrare

medicamente/soluii (cerine minime)

______________________________________________________________________
________
|Nr. | Echipament |
|crt.| |
|____|
______________________________________________________________________
___|
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| C1 | B1/C2 | B2 | A1 | A2 | MU | AMD | Eli. | Avion | Nava |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 1 | Defibrilator/monitor EKG manual cu stimulator cardiac extern |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
| | C2 | | | | | | | | |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 2 | Defibrilator semiautomat |
|____|
______________________________________________________________________
___|
| - | + | + | - | - | - | + | - | - | + |
| | B1 | | | | | | | | |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 3 | Tensiometru automat (poate fi integrat n defibrilator cu excepia |
| | elicopterului i a avionului) |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
| | C2 | | | | | | | | |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 4 | Pulsoximetru (poate fi integrat n defibrilator cu excepia |
| | elicopterului i a avionului) |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | - | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 5 | Capnometru (poate fi integrat n defibrilator cu excepia elicopterului |
| | i a avionului)
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
| | C2 | | | | | | | | |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 6 | Termometru central (poate fi integrat n defibrilator cu excepia |
| | elicopterului i a avionului)
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
| | C2 | | | | | | | | |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 7 | Monitor EKG cu pulsoximetru, capnometru, TA invaziv, TA neinvaziv, |
| | Termometru central. |
|____|
______________________________________________________________________
___|
| - | - | - | - | - | - | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 8 | Injectomat (Sering automat) |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
| | | | | | | |(2 buc.) |(2 buc.) | |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 9 | Sistem nclzire soluii perfuzabile |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 10 | Glucometru |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | + | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 11 | Stetoscop |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 12 | Tensiometru manual |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 13 | Lampa pentru examinarea pupilelor |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 14 | Ciocan reflexe |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | + | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 15 | Dispozitiv pentru perfuzie sub presiune |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|

IV. Materiale sanitare (cerine minime)

______________________________________________________________________
________
|Nr. | Echipament |
|crt.| |
|____|
______________________________________________________________________
___|
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| C | B1/C2 | B2 | A1 | A2 | MU | AMD | Eli. | Avion | Nava |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 1 | Sonde de aspiraie tip Yankauer
|____|
______________________________________________________________________
___|
| + | + | + | + | + | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 2 | Sonde de aspiraie flexibile endotraheale/incl. pediatrice |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 3 | Seringi 5 i 10 ml |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 4 | Truse perfuzie |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 5 | Seringi i truse pentru injectomat |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 6 | Sonde de intubaie traheal |
| | (2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10) |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 7 | Sonde de intubaie traheal (6, 7, 8, 9) |
|____|
______________________________________________________________________
___|
| - | - | + | - | - | - | + | - | - | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 8 | Combitube/easytube (2 mrimi) |
|____|
______________________________________________________________________
___|
| - | - | + | - | - | - | + | - | - | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 9 | Masca laringian (aduli/copii) |
|____|
______________________________________________________________________
___|
| + | - | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 10 | Trusa minitraheostomie |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 11 | Paturi minimum 2 |
|____|
______________________________________________________________________
___|
| + | + | + | + | + | + | - | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 12 | Cearceaf |
|____|
______________________________________________________________________
___|
| + | + | + | + | + | - | - | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 13 | Fei i pansamente sterile i nesterile |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | - | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 14 | Truse pentru drenaj thoracic (2 aduli/2 copii) |
|____|
______________________________________________________________________
___|
| + | - | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 15 | Pansamente speciale pentru arsuri i folie izolant |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | - | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 16 | Container "pentru replantare" cu meninerea temperaturii interne la |
| | 4 +/- 2 grade C, pentru cel puin 2 ore |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | - | + | - | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 17 | Tvi renal |
|____|
______________________________________________________________________
___|
| + | + | + | + | + | - | - | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 18 | Saci pt. vom |
|____|
______________________________________________________________________
___|
| + | + | + | + | + | - | - | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 19 | Trusa sondaj urinar/pungi colectoare urin |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | - | + | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 20 | Plosc urinar |
|____|
______________________________________________________________________
___|
| + | + | + | + | + | - | - | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 21 | Container materiale ascuite |
|____|
______________________________________________________________________
___|
| + | + | + | + | + | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 22 | Sondaj gastric |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 23 | Mnui chirurgicale sterile |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 24 | Mnui nesterile/de consult/de unic folosin |
|____|
______________________________________________________________________
___|
| + | + | + | + | + | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 25 | Canule intravenoase periferice diferite mrimi aduli/copii |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 26 | Catetere acces IV central |
|____|
______________________________________________________________________
___|
| + | - | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 27 | Ac pentru acces intraosos pediatric |
|____|
______________________________________________________________________
___|
| + | - | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 28 | Valiz/rucsac pentru materialele de intervenie portabile |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|

V. Medicamente i soluii - Cerine minime la care se pot aduga i alte

medicamente conform categoriei mijlocului de intervenie i lund n considerare
pregtirea personalului medico-sanitar

______________________________________________________________________
________
|Nr. | Echipament |
|crt.| |
|____|
______________________________________________________________________
___|
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| C1 | B1/C2 | B2 | A1 | A2 | MU | AMD | Eli. | Avion | Nava |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 1 | Soluii cristaloide (ser fiziologic, Ringer i Gluc. 5%, Gluc. 10%) |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 2 | Soluii coloide (Altele dect Dextran!) |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 3 | Manitol |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 4 | Analgetice majore (morfinice/opioide) |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 5 | Analgetice minore nemorfinice |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | + | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 6 | Aspirina |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 7 | Beta_2 mimetice inhalatorii |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 8 | Adrenalin |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 9 | Atropin |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 10 | ATP |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 11 | Glucoz 33% |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 12 | Calciu gluconat sau calciu clorurat |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 13 | Sulfat de magneziu |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 14 | Diazepam |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 15 | Midazolam |
|____|
______________________________________________________________________
___|
| + | - | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 16 | Ketamina |
|____|
______________________________________________________________________
___|
| + | - | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 17 | Tiopental/Etomidat |
|____|
______________________________________________________________________
___|
| + | - | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 18 | Propofol |
|____|
______________________________________________________________________
___|
| + | - | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 19 | Succinilcolin |
|____|
______________________________________________________________________
___|
| + | - | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 20 | Paralizante musculare de lung durat |
|____|
______________________________________________________________________
___|
| + | - | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 21 | HCHS |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | + | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 22 | Dexametazon/solumedrol sau echivalent |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 23 | Nitroglicerin spray sau tablete sublingual |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 24 | Nitroglicerin IV |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 25 | Dopamin |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 26 | Dobutamin |
|____|
______________________________________________________________________
___|
| + | - | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 27 | Metoprolol injectabil |
|____|
______________________________________________________________________
___|
| + | - | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 28 | Cordarone injectabil |
|____|
______________________________________________________________________
___|
| + | - | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 29 | Diltiazem injectabil |
|____|
______________________________________________________________________
___|
| + | - | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 30 | Xilina |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | + | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 31 | Trombolitic |
|____|
______________________________________________________________________
___|
| + | - | - | - | - | - | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 32 | Heparin sau alte derivate |
|____|
______________________________________________________________________
___|
| + | - | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 33 | Antiemetic injectabil |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | + | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 34 | Furosemid |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | + | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 35 | Vitamina B1, B6 |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | + | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 36 | Bicarbonat de sodiu IV |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 37 | Miofilina IV |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | + | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 38 | Isoprenalin |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 39 | Glucagon |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 40 | Toxogonin sau echivalent |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 41 | Antihipertensive injectabile |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | + | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 42 | Antispastice injectabile |
|____|
______________________________________________________________________
___|
| + | + | - | - | - | + | + | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 43 | Medicaie oral antihipertensiv, antispastic, antiemetic ... ETC. |
|____|
______________________________________________________________________
___|
| - | + | - | - | - | - | + | - | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| | |
|____|
______________________________________________________________________
___|
| | | | | | | | | | |
|________|_______|______|______|______|______|______|_________|
_________|______|
| | |
|____|
______________________________________________________________________
___|
| | | | | | | | | | |
|________|_______|______|______|______|______|______|_________|
_________|______|

VI. Echipament protecie personal (pentru fiecare membru al echipajului -

protecie i identificare personal, rang i pregtire profesional)

______________________________________________________________________
________
|Nr. | Echipament |
|crt.| |
|____|
______________________________________________________________________
___|
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| C1 | B1/C2 | B2 | A1 | A2 | MU | AMD | Eli. | Avion | Nava |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 1 | mbrcminte protecie de baz de culoare vizibil la distan i |
| | reflectorizante (bluz/pantalon sau salopet) |
|____|
______________________________________________________________________
___|
| + | + | + | + | + | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 2 | mbrcminte protecie avansat (hain de protecie/salopet ignifug cu|
| | reflectorizante) |
|____|
______________________________________________________________________
___|
| - | - | - | - | - | + | - | + | - | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 3 | Mnui protecie din material gros (pentru accidente) |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | - | + | - | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 4 | Bocanci de protecie/pantofi de protecie |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | - | + | - | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 5 | Casc de protecie (n mijlocul de intervenie pentru fiecare membru al |
| | echipajului) |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | - | + | - | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 6 | Ochelari de protecie (n mijlocul de intervenie pentru fiecare |
| | membru al echipajului) |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | - | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|

VII. Materiale i dispozitive auxiliare

______________________________________________________________________
________
|Nr. | Echipament |
|crt.| |
|____|
______________________________________________________________________
___|
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| C1 | B1/C2 | B2 | A1 | A2 | MU | AMD | Eli. | Avion | Nava |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 1 | Material pentru curenie i dezinfecie (n cantitate suficient) |
|____|
______________________________________________________________________
___|
| + | + | + | + | + | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 2 | Trusa de prim ajutor auto |
|____|
______________________________________________________________________
___|
| - | - | - | - | - | - | + | - | - | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 3 | Cuit tiere pentru centura de siguran |
|____|
______________________________________________________________________
___|
| + | + | + | + | + | + | + | + | - | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 4 | Foarfec medical pentru tiat haine |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | - | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 5 | Triunghi/lmpi de avertizare |
|____|
______________________________________________________________________
___|
| + | + | + | + | + | + | + | + | - | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 6 | Proiector mobil sau pe mijlocul de intervenie |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | - | + | - | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 7 | Lantern (cu acumulatori) |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 8 | Stingtor de incendiu |
|____|
______________________________________________________________________
___|
| + | + | + | + | + | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|

VIII. Aparate pentru comunicaii/avertizare

______________________________________________________________________
________
|Nr. | Echipament |
|crt.| |
|____|
______________________________________________________________________
___|
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| C1 | B1/C2 | B2 | A1 | A2 | MU | AMD | Eli. | Avion | Nava |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 1 | Staie radio emisie-recepie mobil |
|____|
______________________________________________________________________
___|
| + | + | + | + | + | + | + | + | + | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 2 | Staie radio emisie-recepie portabil |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | - | + | - | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 3 | Acces la reeaua telefonic prin emitorul radio sau cu telefon mobil |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | - | + | - | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 4 | Comunicaie intern ntre compartimentul ofer/pilot i cabina medical |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | - | - | + | + | - |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 5 | Semnale luminoase de avertizare conform legislaiei rutiere/navale |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | - | - | - | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 6 | Sistem de avertizare sonor |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | - | + | - | + |
|________|_______|______|______|______|______|______|_________|
_________|______|
| 7 | Sistem de adresare public |
|____|
______________________________________________________________________
___|
| + | + | + | - | - | + | - | + | - | + |
|________|_______|______|______|______|______|______|_________|
_________|______|

Comentarii:
1. O ambulan tip C care nu respect cerinele minime pentru ambulan tip C1
sau C2 se va clasifica ca ambulan tip B1 cu condiia s aib toate cerinele minime
ale unei ambulane tip B1.
2. n ambulan tip C1, elicopter i avion echipamentele de resuscitare i
management al cilor respiratorii vor trebui s existe n dublur, un set n valiz i
unul n main n sertare sau dulap, imediat accesibil fr s fie necesar
deschiderea valizei.
3. Ambulanele care vor efectua transferul nou-nscuilor vor trebui s aib n
dotare incubator nclzit i echipamentele necesare asigurrii asistenei de urgen a
nou-nscutului.
4. Ambulanele care vor efectua transfer sau intervenie a nou-nscuilor aflai n
stare critic, vor avea dotarea necesar i personalul special instruit n ngrijirea
nou-nscuilor aflai n stare critic. Dotarea va fi similar unei ambulane tip C, din
care se exclude materialele necesare interveniei la cazurile de traum, i se adaug
incubatorul, ventilatorul, echipamentele de resuscitare adaptate i medicaia
necesar.
5. Medicaia i echipamentele din liste sunt doar cele minime obligatorii pentru
fiecare mijloc de intervenie/transport. La aceste liste se pot aduga i restul
materialelor i medicamentelor considerate necesare, potrivit tipului mijlocului de
intervenie i categoria personalului care l deservete.
6. Ambulanele tip B2 i autospecialele destinate consultaiilor la domiciliu pot
avea sisteme de transmisie de date n vederea efecturii transmisiilor EKG i a altor
parametri la centrele de expertiz.

---------------