Mobile Intensive Care Ambulance

MICA Single Responder in Melbourne.

Australian Mobile Intensive Care Ambulances are well-equipped ambulances staffed by highly trained paramedics dispatched to emergency situations where patients require a higher level of care than a regular ambulance can provide.

MICA Paramedics

MICA Paramedics are extremely highly trained and experienced medical professionals. As with all Australian paramedics they hold either an Advanced Diploma of Health Science (Paramedic) (which can be converted to a Degree level by Off-campus studies), or Bachelor in Emergency Health (Paramedic), then do extra study to the MICA level.

Paramedics now have a base qualification of Bachelor Degree in Emergency Health (Paramedic) such as the B.Emerg Health (pmed) from Monash University.

MICA Paramedics must also complete a graduate diploma in emergency health. This requires concurrent employment with ambulance services in a clinical role and at least two years post-qualification experience as a paramedic in the service. While also working as a paramedic the student must complete a year’s worth of course work on advance emergency health. Paramedics may also choose to complete a Masters in Emergency Health (Paramedic). However, this focuses more on research, emergency services management and community health rather than frontline clinical care.

Working as a paramedic, whether it be MICA or ALS, can be extremely emotionally taxing.

Equipment

During the course of a days work, paramedics will go through a lot of medical supplies to treat a variety of injuries and illnesses. Standard equipment that paramedics use include:

Defibrillator/ Monitor with non-invasive monitoring and 12-lead telemetry

Oxygen Therapy - Re-breathing circuit

Advanced Airway management set

Suction kit

Spinal collars

Spine board

Inflatable splints

Collapsible wheelchair

Medical kits

Drugs

Blood pressure cuff (Sphygmometer)

Pulse oximeter

Scoop stretcher

MICA paramedics may also use:

Defibrillator/ Monitor with non-invasive monitoring and 12-lead telemetry

Capnograph

Pneumocath

Intraosseous Kit

Advanced Drugs including inotropes, antiarrhythmics, sedatives and neuromuscular blockers

Syringe pumps

Cold Intravenous Fluids to induce hypothermia

Vehicles

MICA Paramedics crew a range of vehicles depending on their mission.

Ambulance Victoria

In Victoria, MICA Paramedic teams are equipped with modified versions of the Mercedes Benz Sprinter. In the metropolitan area of Melbourne, the changes from the models used by Advanced Life Support (ALS) Paramedic Team are to accommodate equipment unique to MICA. In Regional Victoria, the same Mercedes Sprinter is used whether it be as a MICA or an ALS vehicle. Often an ALS and a MICA paramedic work as a rostered crew.

In addition to 2-paramedic crew MICA Ambulance a number of MICA Single Responder units are located within central metropolitan areas and regional areas. MICA Single Responders are equipped with a range of vehicles including Holden Adventura 4WD wagons and Ford Territory vehicles.

In rural and regional settings, time sensitive patients are treated and transported either by Advanced Life Support Paramedics (ALS) and/or Mobile Intensive Care Paramedics with support by helicopter based MICA paramedics. MICA Paramedics often are requested to support ALS Paramedics when dealing with a sick patient as a 'back-up' crew.

In response to the massive crowds expected for the 2006 Commonwealth Games, Melbourne Metropolitan Ambulance services established the bicycle response unit for use in heavy crowds and major events.

Ambulance Services New South Wales

In addition to the primary response vehicles above, the NSW Service also operates specialised vehicles that have been designed to meet geographical and operational requirements, including:

· Rescue Trucks Ambulance rescue vehicles are equipped with a vast array of equipment including motorised hydraulic tools, air tools, hand held global positioning satellite units, fibre optic search scopes, portable atmospheric testing units, lighting and breathing apparatus.

· Rapid Response Vechicles Seven Subaru Forrester AWD vehicles and two BMW motorbikes make up the current rapid response fleet. All vehicles have distinctive signage, high visibility warning lights and sirens. Subaru Forresters are also equipped with an advanced satellite navigation system.

· Over Snow Vehicles Our fleet of vehicles at Perisher Valley Station include a Haaglund all terrain vehicle, a Kassborher oversnow vehicle, two Yamaha snowmobiles, a 4WD Quad Bike and trailer and a 4WD Mercedes.

· Mega Lift Trucks These multi-purpose vehicles are used for a range of incidents including chemical, biological and radiological (CBR) incidents.

· Command & Communications Vehicle This vehicle serves as a mobile command post for the management of incidents and major planned events. Wirelessly connected to the ambulance wide area network it offers video conferencing, SmartBoard and voice communications. The vehicle also provides remote dispatching capability with the system connected in real time to the central computer aided dispatching system.

References

http://www.ambulance.nsw.gov.au/what/fleet.html

http://www.mas.vic.gov.au/main-home.html

http://www.med.monash.edu.au/beh/overview.html

MOBILE INTENSIVE CARE AMBULANCE A SERVICE IN CRISIS Report on results of MICA Survey 2006. A report Prepared by Ambulance Employees Australia - Victoria