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A Mobile Intensive Care Unit (MICU) is an emergency response unit, staffed by Paramedics, that complements the basic life-support therapies provided by EMTs from local First Aid Squads and Fire Departments. Essentially, the MICU brings the life-saving capabilities of the Emergency Department to you.

The MICU’s Paramedics communicate directly with Emergency Department physicians and provide advanced life-support therapies en-route to the hospital.

Each state provides criteria for the automatic dispatch of a MICU (in addition to your local first aid squad or fire department) when 9-1-1 is activated, based on the specific medical or traumatic complaint. Basic life support providers (EMTs) may also request a MICU when they identify a potentially life-threatening condition.

Examples of the types of emergencies the MICU may respond to include:

  • Respiratory or cardiac arrest
  • Cardiac emergencies
  • Breathing emergencies
  • Stroke
  • Major motor vehicle collisions
  • Severe trauma or burns
  • Severe allergic reactions
  • Unconsciousness/fainting
  • Poisoning or overdose
  • Diabetic emergencies
  • Seizures
  • Pregnancy or obstetrical emergencies

Atlantic Ambulance Paramedics are trained and measured against the strictest standards of quality; requiring prior experience as an EMT, 400+ hours of didactic training, and 900+ hours of clinical experience. Paramedics also receive focused training in caring for pediatric, geriatric, and special needs patients. Paramedics are equipped to perform advanced procedures and administer medications for a variety of potentially life-threatening conditions.

Advanced skills include but are not limited to:

  • Intravenous therapy and fluid administration
  • Advanced airway management (ie, CPAP, intubation, RSI, capnography)
  • Video laryngoscopy (GlideScope®)
  • Administer 45+ medications
  • Foreign-body airway obstruction removal
  • Cardiac monitoring and electrical therapy (cardiac pacing, cardioversion, defibrillation)
  • 12-lead Electrocardiogram (ECG) and transmission to the ED physician
  • Point-of-care diagnostic testing for blood glucose and whole blood lactate
  • Intraosseous (IO) access
  • Use of established vascular access devices (Port-a-Cath, PICC line, etc.)
  • Needle thoracotomy (chest decompression)
  • Emergency cricothyroidotomy

Recent clinical initiatives:

  • Reduced time-to-treatment for STEMI patients
  • Tele-stroke in the rig for rapid identification and faster treatment of stroke patients
  • Early identification of sepsis through the use of lactate meters
  • High-performance CPR initiative to improve cardiac arrest survival
  • Spinal Motion Restriction initiative to decrease the inappropriate use of rigid boards
  • Improved ventilation/oxygenation through the use of PEEP valves

Atlantic Ambulance Corporation operates MICU teams 24 hours a day, 365 days a year. We are proud to work alongside the local First Aid Squads, Fire Departments, and Police Departments in the communities we serve, working as a cohesive team to provide the best possible patient care.

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