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Paramedic intercept, non-hospital-based als service (non-voluntary), non-transport
HCPCS code
Name of the Procedure:
Paramedic Intercept, Non-Hospital-Based ALS Service (Non-Voluntary), Non-Transport Common names: Paramedic Intercept, ALS Intercept
Summary
A Paramedic Intercept involves advanced life support (ALS) services provided by paramedics who are not hospital-based. This is a non-voluntary, non-transport service where paramedics meet an ambulance that is already on scene to assist with a critical patient requiring advanced medical care.
Purpose
Medical Conditions or Problems Addressed
- Cardiac arrests
- Severe trauma
- Respiratory distress
- Other life-threatening emergencies
Goals or Expected Outcomes
- Stabilize the patient's condition on-site
- Provide advanced medical interventions that basic EMS personnel may not be able to perform
- Improve patient survival and outcomes before hospital transport
Indications
Specific Symptoms or Conditions
- Severe chest pain or acute myocardial infarction
- Severe allergic reactions or anaphylaxis
- Unconsciousness
- Severe bleeding or multiple injuries
- Respiratory failure or severe difficulty breathing
Patient Criteria or Factors
- Patients in critical condition requiring immediate, advanced medical intervention
- Situations where the initial ambulance crew is unable to manage the patient effectively with basic life support (BLS) skills alone
Preparation
- No specific patient preparation is needed for emergencies
- Paramedics are dispatched following assessment by BLS providers or a 911 call indicating a critical condition
- Coordination between responding BLS and ALS units
Procedure Description
- The intercept paramedic team arrives on the scene where a BLS ambulance crew is already present
- Paramedics take over patient care, providing advanced medical procedures such as intubation, IV drug administration, defibrillation, and other lifesaving techniques
- Continuous monitoring and stabilization of the patient
- Coordination with BLS providers for ongoing care until hospital transport
Tools, Equipment, Technology Used
- Cardiac monitors
- Defibrillators
- Advanced airway management tools
- Intravenous medications
Anesthesia or Sedation
- Not commonly used; however, specific medications for pain relief or sedation may be administered if necessary
Duration
- Typically lasts as long as necessary to stabilize the patient’s condition on-site
- Duration can vary widely depending on the complexity of the patient’s condition
Setting
- On-site at the location of the medical emergency (e.g., homes, public locations)
Personnel
- Paramedics
- Supporting BLS personnel
- Communication with medical control (physician oversight by radio or phone)
Risks and Complications
Common Risks
- Potential for equipment malfunction
- Adverse reactions to medications
Rare Risks
- Further patient deterioration despite interventions
Management of Complications
- Immediate corrective measures on-site
- Rapid transportation to a hospital if stability cannot be achieved
Benefits
- Increased chances of patient stabilization and survival
- Potential for more rapid implementation of critical care interventions
Recovery
- Follow-up care in a hospital as needed
- Monitoring for potential complications from medications or interventions provided
- Coordination with hospital emergency department for continued care
Alternatives
Other Treatment Options
- Direct transport by BLS to the nearest hospital without ALS intervention
Pros and Cons of Alternatives
- Direct transport may be faster but lacks advanced life support capabilities
- Paramedic intercept provides critical care sooner, potentially improving outcomes
Patient Experience
During the Procedure
- Patients may experience anxiety or fear due to their critical condition
- Reassurance and explanation from medical personnel when possible
After the Procedure
- Immediate improvement in symptoms if interventions are successful
- Pain management and continued monitoring en route to or upon arrival at the hospital
Pain Management and Comfort Measures
- Administration of pain relief medications as needed
- Continuous assessment of patient comfort levels and needs
Feel free to ask if you need further clarification or additional information on any section of the procedure!