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Lifeline: Basic and Advanced Life Support

Basic/Advanced Life Support Ambulance Service

Lifeline Advanced Life Suppport ambulance

Johns Hopkins Lifeline has dedicated emergency vehicle operators and paramedics to provide care to patients who do not require a Registered Nurse for transport but do require cardiac and medical monitoring.  These personnel are employed by Lifestar Response and provide staffing for our ground BLS and ALS ambulances.  They follow the medical direction of the Johns Hopkins medical control physician and protocols set forth by the Maryland Institute of Emergency Medical Services Systems (  Our paramedics and EMT’s attend the same continuing education classes offered for our critical care nurses which assures the highest level of service and care to the patient.

Basic Life Support (BLS) ambulances provide transport to patients who do not require extra support or cardiac monitoring.  A typical BLS ambulance staffed by EMT level caregivers transport includes:

  • Lower extremity fractures
  • Discharges to home and sub-acute care facilities (nursing homes)
  • Medical and Surgical patients who do not require cardiac monitoring
  • Psychiatric Patients

Advanced Life Support (ALS) ambulances (staffed by a Maryland Paramedic) transport patients who need a higher level of care during transport above those services provided by a BLS ambulance, but still do not require an R.N.  Patients who typically require ALS transport include:

  • Any medical/surgical patient with a continuous IV medicine but does not need a RN per state protocols.
  • Any patient on a Cardiac Monitor
  • Obstetrical Patients
  • Patients from urgent care centers
  • Patients with potential airway compromise
  • Any patient deemed to have a potential complication during transport when report is received from the sending facility.