The Ambulance Service comprises the following:
• An Emergency Ambulance Service (EAS)
• A Patient Transport Service (PTS) that provides:
• Local Patient Transfers including a Dialysis Service
• Elective diagnosis and treatment treatments outside Gibraltar
• Emergency transfers outside Gibraltar
Emergency Ambulance Service
The EAS has a complement of 22 staff members, who are trained to Emergency Medical Technician standard and provide 24 hour emergency ambulance cover for Gibraltar. The City Fire Brigade provide a supplementary emergency service and are trained to a First Responder standard. The CFB controllers are responsible for the dispatching of Emergency Ambulances in Gibraltar.
The GHA assumed responsibility for Ambulance and A&E cover for the MoD on the 22nd Dec 2010.
Patient Transfer Service
The PTS has a complement of 9 staff members, who are trained to Ambulance Attendant standard. It provides a five day week service, and there is a crew on call to cover emergency transfers to Spain after hours and at weekends.
Administration of EMT Drugs
Towards the end of the year Parliament passed a law permitting protocol-led prescribing within the ambulance service. With the new legislation, Emergency Medical Technicians, like their counterparts in the UK, are able to administer drugs within their scope of practice.
The drugs which EMTs are now authorised to prescribe include:
• Glucagon 1mg IM
• Adrenaline 300mcg IM (1:1000) via an Epipen
• Aspirin 300mg in tablet form
• GTN 400mcg metered spray
• Salbutamol 5mg / 2.5mg via nebulisation
• Atrovent (Ibatropium Bromide) 250mcg via nebulisation
These drugs, which are safe and simple to administer, are expected to improve clinical outcomes by bringing rapid relief to patients, reducing stress and even saving lives.
Emergency Services Liaison
The task of building and improving on the public profile of the Ambulance Service both within the GHA and to the local population continues. The Ambulance Service participates in monthly meetings with the Royal Gibraltar Police, the City Fire Brigade and Social Service which help to enhance and develop working relationships with these other Essential Services.