Capabilities

Critical care,
by ground.

Full advanced life support, meaning every medication and intervention New York State allows a paramedic to provide. On top of that, the ventilators and infusion pumps that keep a sick patient stable on a ride that can run well over an hour.

Hamilton T1 ventilator and LIFEPAK monitor on a stretcher during transport

01 · Ventilation

An ICU-worthy ventilator in every car

The Hamilton T1 is the ventilator critical-care transport teams rely on. Since 2023 it has ridden in every one of our units, letting a paramedic deliver lung-protective ventilation from the first minute and hand off a stable patient an hour later.

Read the three-year program review

02 · Medication delivery

Infusions measured to the drop

Infusion pumps let our paramedics run medications as continuous drips at a set rate, the way a hospital would, instead of eyeballing a drip chamber in the back of a moving ambulance. The pump keeps the rate accurate for the whole ride.

Sapphire infusion pump hanging from an IV pole with a medication bag, inside the truck

Why it matters here A secured airway at minute five beats a difficult one at minute sixty. On a long transport, the decisions made in the first ten minutes decide the outcome. RSI, video laryngoscopy and the ventilator are one system: secure the airway, confirm it on screen, and hand the breathing to a machine that doesn't get tired.

03 · Airway

Rapid sequence intubation

RSI uses medication to safely secure the airway of a patient who can't protect their own. Most ground ALS agencies in New York are not authorized to perform it. Ours is, through our medical director, with the training, equipment and case review a program like this demands.

04 · Video laryngoscopy

See the airway, don't guess at it

Every unit carries a UESCOPE video laryngoscope. A camera on the blade puts the vocal cords on a screen, so the paramedic places the tube by sight whether that's on the roadside, in a kitchen, or in the back of a moving ambulance. More tubes go in on the first try, and the patient spends less time without oxygen.

Also on board

The rest of the kit

Every unit carries the same medications and the same equipment. The care you get in Prattsville is the care you get in Coxsackie.

Inside a StatPacks bag: airway kit, oxygen cylinder, BVMs and regulator

Hamilton T1 Transport ventilators Transport ventilator, one in every unit

LIFEPAK 15 Cardiac monitor / defibrillators 12-lead ECG, pacing, defibrillation; sends the ECG to the ER

Sapphire Infusion pumps Runs IV medications at a set rate

UESCOPE Video laryngoscopes Camera on the blade; see the airway while you intubate

QuickTrach Surgical airway kits Surgical airway, for when nothing else will work

Cyanokit Smoke-inhalation antidote Antidote for cyanide poisoning from smoke inhalation

QinFlow Warrior Lite IV fluid warmers Warms IV fluids before they go in

T-POD Pelvic stabilizers Stabilizes pelvic fractures, which bleed heavily

Butterfly Bag-valve masks One mask fits every patient, from a newborn to a large adult

StatPacks Response bags The bags all of the above is carried in

Special operations · Twin Cloves Technical Rescue Team

Rescue paramedics for Catskills terrain

Members of our team serve on the Twin Cloves Technical Rescue Team, trained for backcountry, high-angle and swift-water incidents. When the patient is at the bottom of a ravine, a paramedic can get to them.

Rescuers, a diver and a Greene County paramedic working a swift-water scene on a rocky creek bed, seen from above

Rescuers in red jackets and helmets packaging a patient in a litter on snow at night

93A County Route 84, Cairo, NY 12413 · (518) 622-8092 · Chief@greene-ems.com

In an emergency, always call 911.