LOVELOCK QRV 

Capabilities & Utilization 

QRV DUTY PHONE

(775) 629 - 7587

  • QRV 419 (Quick Response Vehicle 419) is a non-transport, ALS/critical care response unit staffed by a Critical Care Paramedic. The unit operates in partnership with Pershing General Hospital and responds to interagency requests to deliver high-level critical care directly at the patient’s bedside. QRV 419 is capable of initiating advanced treatments and coordinating patient care until a transport-capable ground or air unit assumes responsibility for patient transport.

    On QRV 419, the Critical Care Paramedic practices under the same advanced scope and utilizes the same clinical capabilities employed during helicopter air ambulance operations. This ensures seamless continuity of care from initial patient contact through patient transfer, minimizing delays in definitive treatment and improving overall patient outcomes.

  • QRV 419 is staffed 24 hours a day, 7 days a week by a Critical Care Paramedic. The unit can be requested at any time by contacting Battle Born Medevac dispatch, allowing for rapid response when advanced critical care resources are needed.

  • PGH staff are encouraged to request QRV 419 whenever additional clinical support or extra hands are needed, even if air or ground transport has not yet been arranged.

    QRV 419 may be requested for, but is not limited to, the following situations:

    • Assistance with critically ill or deteriorating patients

    • Help initiating or managing advanced airways or ventilatory support

    • Support with IV access, including difficult or ultrasound-guided IV starts

    • Assistance with patient movement or lifting, including transfers to stretchers or imaging

    • Support during high-acuity procedures or resuscitations

    • Additional clinical staffing during busy or limited-resource periods

    • Early critical care involvement while awaiting transport decisions

    • Coordination and preparation for air or ground transport arrival

    QRV 419 functions as a clinical support resource, and hospital staff should not hesitate to request the unit whenever extra hands-on assistance would benefit patient care.

    • Airway Management 

      • Endotracheal intubation

        • Rapid Sequence Intubation (RSI)

        • Video laryngoscopy

      • Supraglottic airway placement (Air-Q)

      • Surgical airway (cricothyrotomy)

    • Ventilation Management 

      • Mechanical ventilator initiation and ongoing management

      • CPAP / BiPAP therapy

      • End-tidal CO₂ monitoring and waveform interpretation

    • Manual defibrillation and synchronized cardioversion

    • Transcutaneous cardiac pacing

    • Arterial line continuous invasive blood pressure monitoring

    • Central line utilization for monitoring and medication administration

    • Continuous infusion initiation and titration, including:

      • Vasopressors: 

        • norepinephrine,

        • epinephrine,

        • vasopressin

      • Sedatives: 

        • ketamine

        • midazolam

      • Analgesics: 

        • fentanyl,

        • hydromorphone (dilaudid)

        • ketamine

      • Neuromuscular blocking agents: 

        • rocuronium

      • Antiarrhythmics: 

        • amiodarone

        • lidocaine

    • Antibiotic initiation and continuation during response

    • Insulin drip continuation for glycemic control

    • Tranexamic acid (TXA) administration

    • Thoracic injury management:

      • needle thoracostomy

      • finger thoracostomy

      • chest tube placement,

        • management, and monitoring

    • Pericardiocentesis

    • Pelvic binder application

    • Tourniquet application

    • Advanced hemorrhage control techniques

    • Spinal motion restriction decision-making

    • Burn management, including fluid resuscitation and analgesia

    • Stroke assessment

    • Seizure management, including status epilepticus

    • Intracranial pressure (ICP) mitigation strategies

    • Diabetic ketoacidosis (DKA) management, including fluid resuscitation and insulin continuation

    • Sepsis recognition and continuation of sepsis treatment bundles

    • 12-lead ECG acquisition and interpretation

    • Continuous waveform capnography

    • Invasive and non-invasive blood pressure monitoring

    • Packaging and securement of critically ill or injured patients

    • Coordination with local EMS/fire, and law enforcement agencies

    • Securement and management of invasive lines, tubes, and drains

    • Ongoing patient assessment and care coordination until transport arrives