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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!

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