Free Ambulance Medical Checklist Template

Ambulance Medical Checklist

Name

Company

Address

[your name]

[your company name]

[your company address]

Essential Medical Supplies

  • Bandages and dressing materials (sterile gauze, adhesive bandages, etc.)

  • Stethoscope and blood pressure kit (includes sphygmomanometer)

  • Medical gloves (assorted sizes, latex-free options)

  • Syringes and needles (various sizes, safety features)

  • Tourniquets (quick-release mechanism)

  • Alcohol pads and antiseptics (including iodine solutions)

  • Splints (variety of sizes and materials)

  • Burn dressings (sterile, non-adherent)

  • Wound closure strips or staples

  • Emergency blankets (thermal, sterile)

Ambulance Equipment

  • Oxygen tank (with regulators and tubing)

  • Defibrillator (automated external defibrillator - AED)

  • Laryngoscope (with assorted blade sizes)

  • IV bags and equipment (needles, catheters, drip sets)

  • Suction device (manual or electric)

  • Immobilization devices (neck collars, spinal boards)

  • Portable monitoring devices (pulse oximeter, ECG)

Emergency Response Bags

  • Pre-packed trauma bag

  • Airway management bag (with endotracheal tubes, masks)

  • Pediatric emergency bag

  • Obstetric kit for emergency childbirth

Emergency Medications

  • Epinephrine (anaphylaxis treatment)

  • Nitroglycerin (chest pain, angina)

  • Aminophylline (bronchospasm treatment)

  • Diazepam (anxiety, seizure control)

  • Amiodarone (arrhythmias management)

  • Salbutamol inhalers (asthma, COPD)

  • Aspirin (cardiac chest pain)

  • Morphine (severe pain management)

  • Naloxone (opioid overdose)

  • Glucose gel or tablets (hypoglycemia)

Vehicle and Communication Equipment

  • Vehicle maintenance log (updated)

  • GPS and navigation system (functional)

  • Two-way radio (charged and functional)

  • Mobile phone or satellite phone (with emergency numbers)

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