When you call for an ambulance, the dispatcher will often ask: "Basic or ICU?" In a panic, most families don't know. This guide explains the difference in plain language so you can choose quickly - or describe the situation well enough for us to choose with you.
The three levels
BLS - Basic Life Support
What's inside: oxygen, stretcher, pulse oximeter, first-aid kit, trained attendant.
Choose BLS when: the patient is conscious, breathing normally or with mild difficulty, and needs to reach hospital lying down - falls, fractures, fever and weakness, pregnancy, most admissions.
ALS - Advanced Life Support
What's inside: everything in BLS plus a multipara monitor, defibrillator, suction, IV medicines and a trained paramedic.
Choose ALS when: the patient may get worse on the way - chest pain, stroke symptoms, seizures, serious accidents, or oxygen levels that keep falling.
ICU / Ventilator ambulance
What's inside: a moving ICU bed - transport ventilator, monitor, defibrillator, syringe pumps, suction and large oxygen supply, with a paramedic and optional doctor.
Choose ICU when: the patient is already in an ICU, on a ventilator or BiPAP, on multiple infusions, or critically unstable. This is the standard for hospital-to-hospital transfers of ICU patients.
Quick decision table
| Situation | Recommended |
|---|---|
| Elderly parent fell, conscious, possible fracture | BLS |
| Fever and weakness, going for admission | BLS |
| Breathless, oxygen 88-92% | Oxygen / BLS with oxygen |
| Chest pain, sweating | ALS / Cardiac |
| Stroke signs (face droop, arm weakness, slurred speech) | ALS |
| Shifting from one ICU to another | ICU |
| Patient on ventilator or BiPAP | Ventilator ambulance |
| Discharge home, bedridden | Patient transport |
Still not sure?
Tell the dispatcher three things: is the patient conscious, are they breathing comfortably, and are they currently in a hospital ICU? That is usually enough to decide. At Ananya we'll recommend the lowest level that is safe - and tell you honestly when an upgrade is needed.
Call 08130360764, 24x7.