Critical Care Transport (CCT)

The Emergency Ambulance Service, Inc. (“EAS”) CCT Program is a dedicated resource specifically designed with the appropriate personnel, medications, and specialized equipment to provide the care and monitoring required for transporting critically ill patients.

Definition: CCT (or SCT) is the inter-facility transportation of a critically injured or ill beneficiary by a ground ambulance vehicle, including the provision of medically necessary supplies and services, at a level of service beyond the scope of the EMT-Paramedic. CCT is necessary when a beneficiary’s condition requires ongoing care that must be furnished by one or more health professionals in an appropriate specialty area, for example, emergency or critical care nursing, emergency medicine, respiratory care, cardiovascular care, or a paramedic with additional training.

Staffed 24-hours a day, 365-days of the year with a Critical Care Transport RN and two EMTs, Emergency utilizes a fully equipped Critical Care Transport (“CCT”) Unit.  A Respiratory Therapist (“RT”) is readily available and can be added to the team on a moments notice.

Even the highest acuity patients can be easily transported without taxing the resources of the sending facility and without interruption in the patient’s level of ICU care. Our CCT Unit is equipped with a Newport Medical HT70 Transport Ventilator with CPAP and BIPAP capability; a Zoll M Series® CCT Monitor Defibrillator with three-channel display for ECG and up to two invasive pressures, with ranges covering arterial, pulmonary, central venous or intracranial pressure, as well as two temperature channels, non-invasive monitoring for SpO2, EtCO2, NIBP, and fully interpretive 12-lead ECG with external pacing; multiple Mini-med IV pumps, and interventional medications found in hospital ICU’s.

Equipped with a high capacity inverter to supply constant power to sensitive medical equipment when the vehicle is in transit, EAS’s CCT Unit can accommodate the transport of almost any type of critical care patient requiring special equipment including Intra-Aortic Balloon Pump therapy and extracorporeal membrane oxygenation (“ECMO”).

In order to meet the needs of so many different types of critical patients, much is taken into consideration in the staffing of the CCT Unit.  There is a careful selection and hiring process, in which individuals with a varied critical care and/or emergency room nursing backgrounds are sought. The Nurses and RT’s, and the EMTs they work with are selected based on experience, adaptability, and critical thinking ability as well as overall professional competence in caring for critical patients. All nursing and respiratory staff members meet the requirements of the Los Angeles County EMS Agency.  Ongoing training is mandatory for all teams, ensuring confidence in the latest treatment modalities. The patient care on our CCT Unit is physician directed, and no different than the care provided in any hospital ICU.

If you are in need of CCT transport, please feel free to turn to EAS.