For the purpose of this chapter, the following definitions shall apply unless the context clearly indicates or requires a different meaning.
ADVANCED LIFE SUPPORT (ALS).
Special services designed to provide definitive pre-hospital emergency medical care including, but not limited to, cardiopulmonary resuscitation, cardiac monitoring, cardiac defibrillation, advanced airway management, intravenous therapy, administration of specified drugs, and other medicinal preparations, and other specified techniques and procedures administered by authorized personnel under the direct supervision of a base hospital or utilizing approved pre-hospital treatment protocols or standing orders as part of the local EMS system at the scene of an emergency, during transport to an acute care hospital or other approved facility, during inter-facility transfer, and while in the emergency department of an acute care hospital until responsibility is assumed by the emergency department or other medical staff of that hospital.
ALS1.
Transportation by ground ambulance vehicle, medically necessary supplies and services and either an ALS assessment by ALS personnel or the provision of at least one ALS intervention.
ALS2.
Either transportation by ground ambulance vehicle, medically necessary supplies and services, and the administration of at least three medications by intravenous push/bolus or by continuous infusion excluding crystalloid, hypotonic, isotonic, and hypertonic solutions (Dextrose, Normal Saline, Ringer's Lactate); or transportation, medically necessary supplies and services, and the provision of at least one of the following ALS procedures:
(1) Defibrillation/Cardioversion;
(2) Endotracheal intubation;
(3) Central venous line;
(4) Cardiac pacing;
(5) Chest decompression;
(6) Surgical airway; or
(7) Intraosseous line.
AMBULANCE.
Any motor vehicle constructed, reconstructed, arranged, equipped or used for the purpose of transporting ill, sick, or injured persons.
AMBULANCE PROVIDER.
A person or entity that operates, or causes the operation of, an ambulance service.
AMBULANCE SERVICE.
The activity, business, or service for hire, profit, or otherwise of transporting one or more persons by ambulance upon any of the streets, roads, highways, alleys, or any public way or place whether ALS, BLS, or MICU.
APPLICANT.
Any person or entity which makes application for a permit prescribed by this chapter.
BASIC LIFE SUPPORT (BLS).
Emergency first aid and cardiopulmonary resuscitation medical care procedures which, as a minimum, include recognizing respiratory and cardiac arrest and starting proper application of cardiopulmonary resuscitation to maintain life without invasive techniques, unless authorized by state law or regulation, until the victim may be transported or until ALS medical care is available.
CITY.
The City of Cleburne, Texas.
EMS SYSTEM.
The interrelated but separate public and private entities including, but not limited to, ambulance providers, fire departments, and hospitals which, optimally, work together in the timely and appropriate provision of emergency medical services to the citizens and visitors of the city.
EMERGENCY.
Any circumstance that calls for immediate action and which the element of time in transporting the sick, wounded, or injured for medical treatment is essential to the health or life of the person. Such circumstances include, but are not limited to, accidents generally, traffic accidents, sudden illnesses and acts of violence resulting in personal injury.
EMERGENCY MEDICAL SERVICE CALL.
Any sudden or serious illness or injury requiring immediate medical attention, where delay in providing medical services may aggravate the medical condition or cause the loss of life.
EMERGENCY MEDICAL SERVICES VEHICLE.
(1) A basic life-support emergency medical services vehicle;
(2) An advanced life-support emergency medical services vehicle;
(3) A mobile intensive-care unit; or
(4) A specialized emergency medical services vehicle.
EMERGENCY MEDICAL TECHNICIAN-BASIC (EMT-B).
A person certified to render BLS medical care as required by the State of Texas.
EMERGENCY MEDICAL TECHNICIAN-PARAMEDIC (EMT-P).
A person certified to render ALS medical care as required by the State of Texas.
ENTITY.
Any public or private organization, firm, partnership, association.
MEDICAL CARE.
Any medical care rendered by an appropriately certified and/or licensed person.
MEDICAL DIRECTOR.
That physician designated to serve as the Medical Director of the EMS Agency pursuant to the Tex. Health and Safety Code § 1797.202.
NON-EMERGENCY MEDICAL CALL.
The scheduled transport of a patient in which the non-immediate transport would not aggravate the medical condition of the patient or cause the loss of life.
PATIENT.
Any person in the process of receiving medical care.
PERMIT HOLDER.
A person or entity possessing a valid city issued permit to operate an ambulance service within the City of Cleburne.
PERMIT.
The written authorization issued by the city for a designated ambulance provider to operate an ambulance service within the City of Cleburne.
(Am. Ord. 09-2003-48, passed 9-23-03)