Current through Register Vol. 51, No. 25, December 13, 2024
Section 30.09.10.09 - Standard Ambulance Ventilation and Airway Maintenance EquipmentEach ambulance shall carry the following standard airway maintenance and ventilation equipment:
A. Oxygen which meets the following criteria: (1) For ground ambulances: (a) Optional onboard cylinders for BLS ambulances have a capacity of at least 3,000 liters;(b) Portable cylinders have a capacity of at least 400 liters;(c) The following number of cylinders, if on-board oxygen is present, unless more are needed for a particular patient based on COMAR 30.09.07.03A(2)(g): (ii) One jumbo D size, or(d) The following number of cylinders, if on-board oxygen is not present, unless more are needed for a particular patient based on COMAR 30.09.07.03A(2)(g): (ii) Two jumbo D size, or(2) For air ambulances: (a) An on-board oxygen system that meets the CAMTS standards, which provide that:(i) Oxygen is installed according to FAA regulations;(ii) Medical transport personnel can determine if oxygen is on by in-line pressure gauges mounted in the patient care area;(iii) Each gas outlet is clearly marked for identification;(iv) Oxygen flow can be stopped at or near the oxygen source from inside the aircraft;(v) The indicators for quantity of oxygen remaining and measurement of liter flow are accessible to medical transport personnel while enroute; and(vi) Oxygen flow meters and outlets must be padded, flush mounted, or so located to prevent injury to medical transport personnel; and(b) A minimum of one portable oxygen cylinder that has a capacity of at least 400 liters;(3) All cylinders are properly color coded for U.S.P. grade, medical oxygen;(4) The system is free of: (c) Other flammable organic material; and(5) All cylinders have passed hydrostatic testing during the past: (b) 10 years, if approved by the inspector based on the condition of the cylinder;B. Regulators which: (1) Have a reducing valve limiting line pressure to 50 +/- 10 psi;(2) Have a pressure gauge, with a range of 0 to 2,500 psi, to indicate the pressure of oxygen remaining in the cylinder;(3) Are capable of delivering at least 0 to 15 liters/minute flow in calibrated increments;(4) Are accurate to within 1 liter/minute when at a setting equal to or less than 5 liters/minute;(5) Are accurate to within 1.5 liters/minute when at a setting between 6 and 10 liters/minute; and(6) Are accurate to within 2 liters/minute when at a setting equal to or greater than 11 liters/minute;C. At least one flow smeter dedicated to the portable oxygen system that is not gravity dependent;D. If present, positive pressure demand valves which provide:(2) An instantaneous flow rate not greater than 40 liters/minute;(3) An inspiratory pressure relief valve that opens at 60-centimeter water pressure; and(4) A 15/22-millimeter fitting;E. Adult oxygen administration sets which are the following types and quantities: (4) Disposable, single use design; andF. Pediatric oxygen administration sets which are the following types and quantities: (3) Disposable, single use design; andG. Two sets of oxygen connecting tubing;H. One hand operated, self-reinflating adult bag valve mask with: (3) Transparent face mask; and(4) Selectable pop off valve or no pop off valve;I. One hand operated, self-reinflating, pediatric bag valve mask with: (3) One transparent neonatal face mask; and(4) One transparent pediatric or child face mask;J. One pocket mask with one-way valve; andK. One set of oropharyngeal airways in the following sizes:Md. Code Regs. 30.09.10.09
Regulations .09, Standard Commercial Ambulance Equipment, adopted effective January 10, 2000 (26:27 Md. R. 2017)
Regulation .09A, C amended effective October 15, 2004 (31:20 Md. R. 1486)