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HomeMy WebLinkAboutAgenda Report - March 4, 1981 (27)Aj%j .L "-araU"UX%-n /:� re4uu. -L u oy mayor Pro Tempore McCarty, City SERVICE Attorney Stein prepared a letter regarding the relationship between the City of Lodi and the ambulance service operating therein. Council discussion followed with Mayor Katnich appointing Mayor Pro Tempore McCarty to review the ambulance rates. Eli 170 SOUTH STOCKTON STREET LODIo CALIFORNIA 95240 (209' 334-0830 February 10, 1981 Lodi City Councilmen City of Lodi 221 W. Pine St. Lodi, CA 95240 Gentlemen: 012 Please accept this request for a rate increase, for you understand in today®s inflation it is impossible to hold prices with the cost of manpower, fuel and supplies used going up almost on a daily basis. We have a responsibility to the people we serve to provide the best quality service to the sick and injured that is humanly possible. To keep a high standard today, we must keep current with our equipment and man- power. Paramedics are professional personnel trained to the highest competency of all state and county levels of emergency field medicine. To keep the professional paramedic, we must compensate them for their knowledge, skills and time so that we do not lose quality trained per- sonnel to other cities. With all of these demands upon the company, we find it necessary to request an inflation increase to our present rate structure. A cost projection of 23% inflationary raise would enable us to stay at a level of professional service that our community now enjoys. This still would bring us below the state average of cost of service, but place us high in quality for the services the people receive. As always, we will do all possible to hold cost to the best interest of the people we serve. If you have any questions, please feel free to contact me at my office. POS o ejM Enclosures 1 = � Sincerely, C,,- " b a o 4, erg' ry D. c m e Controller Medl-Cab Lodi Medical Produeft �,...a.-.._-_. _ ter, .......... ._,..� Ambulance Service,, Inc. ITO SOUTH STOCKTON STREET LORI, CALIFORNIA 95240 (209) 3U-WM PROPOSED RATE INCREASE CURRENT INCREASE DESCRIPTION PRICE PRICE Base rate 69.o0 85.00 Sit-up patient 69.00 85.00 Mileage -one way 3.45 4.50 Night call - 7PM to 7AM 34.37 17.75 Emergency 14.37 17.75 Oxygen - per tank 17.25 21.25 Waiting time -- per 15 min 8.65 10.75 Paramedic stand-by per 15 min 11.50 14.25 IPPB respirator 34.50 42.50 Paramedic service 40.25 49.50 Clinical spec - per hour 17.25 21.25 Defibrillator use 11.50 14.25 Emergency EKG 28.75 35.50 Heart/Lung resuscitator 28.75 35.50 Suction 11.50 14.25 Resuscitator elder 11.50 14.25 Infant ambo 11.50 14.25 Adult ambo 11.50 14.25. Emergency child birth 28.75 35.50 O.B. pack 11.50 14.25 Oral airway .3.45 4.25 Reactose 8.65 10-75 Flat Stretcher 17.2.5 21.25 Orthopedic stretcher 17.25 21.25 Spinal board w short 11.50 14.25 Spinal board W long 11.50 14.25 Traction splint 11.50 14.25 Ladder spine 11.50 14.25 Cardboard splint 8.65 10.75 Inflation splint 8.65 10.75 Cold pak 9.00 11.25 Burn pak - large 28.75 35.50 Barn pak - small 11.50 14.25 Sand bags 2.30 3.00 Anti --shock trousers 23.00 28.50 Multi-trauma dressing 5.75 7.25 ET tube 35.00 Esophogeal airway 35.00 Needle thoracotomy 75.00 Cricothyroid stick 75.00 Medl-Cab Lodi Medical Produeft �,...a.-.._-_. _ ter, .......... ._,..� Lodi Ambulance Service, Inc. A California Corporation Income Statement (Cash Basis) For the 12 month Period Ending Dec. 31, 1980 I NCOME: Total Cash Basis Income from Balance Services: OPERATING EXPENCES: Salaries Insurance Notes & Contracts (interest) Rent Advertising & Promotion Telephone i Utilities Legal t Accounting Radio & Medical Equipment Medical Supplies 'saxes & Licenses Payroll Taxes Laundry Office Expence Auto Maintenance Gas & Oil Refunds Depreciation Expence Officers - Operating Expence Total Operating Expence: $133,649.87 35,883.89 37,643.88 14,400.00 5,157.02 8,24765 2,239-70 5,531.27 2,289.61 95700 61,245.42 3,201.56 9,663.74 7,970.06 15,882.27 8,892.91 8,403.00 12,727.00 The Accompanying Letter is an integral part of this statement. (Unaudited) $372,252.49 a . e CALIFORNIA A14BULANCE ASSOCIATION RATE SURVEY AS OF DECEMBER 1980 COUNTY _BASE MILEAGE NIGHT EMERGENCY Alameda 95.00 4.50 16.50 15.00 Amador 60.00 4.50 12.50 12.50 Butte 82.50 4.00 19®00 20.00 Contra Costa 85.50 5.00 20.00 25.00 Fresno 105.00 5.00 25.00 25.00 Hw"ldt 100.00 5.00 15.00 15.00 Los Angeles 75.00 4.00 9.00 10.00 Monterey 75.00 3.50 15.00 15.00 Napa 75.00 3.50 10.00 15.00 Orange 75.00 4.00 15.00 15.00 Placer 90.00 5.00 15.00 25.00 Plumas 65.00 3.00 15.00 15.00 Riverside 73.00 4.00 20.00 25.00 Sacramento 75.00 5.00 15.00 15.00 San Bernardino 70.00 3.00 10.00 15.00 San Diego 84.00 4.00 15.00 15.00 San Francisco 85.00 4.00 14.00 14.00 S.J. (Tracy) 89.00 4.50 22.50 35.00 San Luis Obispo 95.00 5.00 30.00 30.00 San Mateo 115.00 4.50 15.00 25.00 Santa Barbara 99.00 5.50 22.00 39.00 Santa Clara 115.00 3.50 15.00 15.00 Shasta 85.00 4.50 15.00 15.00 Siski,you 85.00 4.50 15.00 15.00 Solano 80.00 4.50 15.00 15.00 Sonoma 95.00 6.00 30.00 40.00 Stanislaus 89.00 4.50 22.50 35.00 Tulare 70.00 3.50 15.00 15.00 Tuolumne 90.00 4.50 15.00 15.00 Ventura 85.00 5.25 20.00 25.00 Yolo 90.00 5.00 15.00 15.00 Averages 85.54 4.39 17.03 20.17 OXYGEN 16.50 12.50 16.00 20.00 15.00 15.00 9.00 10.00 8.00 15.00 15.00 10.00 10.00 15.00 7.50 15.00 12.00 25.00 20.00 15.00 23.00 15.00 15.00 15.00 13.00 25.00 25.00 15.00 15.00 20.00 18.00 15.50 Stein, City Attorney Rea Anbulance Service Operations tee March 3, 1981 Jim y has asked ry office to let you know the relationship between the City of Lodi and the ambulance service operating hist Attached for your information is a copy of City Code Section 2A-1 et seg. regaxding the operation of ambulance vehicles within the City of Lodi. The relationship of the City of Lodi to the arkulance r aniy is one of the City, thresh its police power, licensing the dance cmpany within the City of U�di. Basically, an ambulance conpany which inks to operate in a city is required to file for a permit to operate. The City Council would then conduct a hearing regarding the mead and necessity for the propr8ei service in the City of Lodi and the qualifications of the parti..-ular ambulance company to serve the citizens of the City. As to the issue of the rates to be charged by the ambulance any, the City's position appears to be one of non --regulation except where there appears to be a need to regulate the ambulance company in changing rates to the citizens of the City of Lodi. Section 2A-3 per- mits the City Council to fiscally determim and fix the rates to be charged by the operator if they so choose. Other cities, such as Stockton., set the rates after a long and arduous procedure requiring any meetings between the ambulance conpany and the City Council to determine the adequacy of the rates. The City of Lodi's position allows the City Council to set rates if there is a need, but des not E2gAm the City Council to set the rates. QLD M. STEIN CITY ATIDFNLY attachment 2A•1 AMBULANCES § 2A-4 Article 1, In Ganem!. See. 2A-1° Definitions. For the purposes of this chapter, the following words and phrases %hail have the meanings respectively ascribed to there by this section: faaur* grouerb for .a Ambulance. An privately -owned vehicle Any p y equipped or used for irarnsporting' the mounded, injured or sick, including, but is not re- stricted to, emergency vehicles used for such purpose.. ambulance optnator. Any person engaged in the business of carry- ing or transporting wounded, injured or sick persons for hire over and along public streets. (Ord. No. 756, 1 1.) Sec. 2A-2. Establishment of rules and regulations for opera- tion and maintenance. The city council by maolution may prescribe rules and regulations for the operation and maintenance of ambulance service. (Ord. No. 756, 3 14.) Sec. 2A-3. Rate schedule to be filed; adherence to rate sched- ule required. The owner of every ambulance operating in the city shall file, with his application for an operator's permit, a true and correct schedule of rates to be charged for the transportation of passengers in all ve- hicles operated by such owner. Such rates shall not be changed or modified in any manner without first filing the chi r ged or modified rates with the city council thirty days prior to the effective date of such change or modification. The city council reserves the right to finally determine and fix, by resolution, the rates to be charged by the operator of the ambulance service. (Ord._ No. 756, J 13.) Sec. 2A-4. Only licensed ambulance drivers and atter�danta to be employed by ambulance service. Each permittee and ambulance opemtov under this chapter shall employ only those persona who have obtained an ambulance driver's or attendants permit issued by the department of motor vehicles of the state. (Ord. No. 756, ¢ 2.) 32.4 SUM 0 17, 947 &M 1143 �° 4A-5 LORI MY CODE ! 2A-7 Article Pia AmbulanceOperators' Permits. .5. Requind. It shall be unlawful for any person to engage in the business of operating an ambulance in the city without first securing a permit so to do from the city according to each and every requirement of this and without emplying with each and every regulation con- tained in this chapter pertaining to 0business of carrying or tr=8- porting wounded, injured or sack persons for hire. (®rd. No. 756, Sawa -6e Eacep No ambulance operator's permit shall be required of any person who delivess but does not pick up wounded, Injured or sick persons in the city or of any person who picks up wounded, injured or sick per- sona in the city to deliver to a point outside the city. (Ord. No. 756, 12.) Sec. a7. Applicat ; fee. Any pennon desiring to obtain the permit required by vection 2A-5, shall pay a fee of ten dollars to the city cleric, and shall make appli- cation for such permit to the city council. 'Duna application shall be signed by the applicant and shall set forth: (a) The name, businm and address. of the applicant. (b) '11e name and address of the owner of the ambulance busi- Ms. (c) Mw number and type, age, condition and patient capacity of each ambulates proposed to be. operated by the applkant, stating the make and year of manufacture. (d) The fad that such ambulances comply with sections 2416, 2418, 21714 of the Vehicle Code of the state and - °ntle 15 of the Administrative Code 'of the state as well as all other stafe laws and orders applicable to the licensing of emergency MKI to for ' oltx� I J 2A•7 itso MW business of Igo a permit to 'ement of this 3egulation con- ying or trans - )rd No. 756, 4 any person )ick persons in or sick per - No. 756, section 2fl-5, male appli- ition shall be t liulance busi• capacity of applicant, s tions 2416, �. 'Title 13 gas all other emergency I RA -8 AMBULANCES J 2A-9 (e) The color scheme, insilmia, name, monogram or other dis- tinguishing characteristics to be used to designate the private ambulance or private ambulances of the applicant. (f) °The location and description of the place from which the business is intended to operate and the vehicles are to be stored. (g) The schedule of rates proposed to be charged for ambulance service. (h) The experience of the applicant in the transportation of grounded, injured and sick persons. (i) The fact that all operators of ambulances shall hold ambu- lance drivers' certificates issuee by the department of motor vehicles of the state. ( j) Any Facts which the applicant believes tend to prove that pub - lie convenience and necessity require the granting of a per- mit and such other information as the city council may rew quire. (Ord. No. 756, § 3.) Sec. 2A-8. Investigation; fingerprinting and photographing of applicant. Upon the filing of an application for an ambulance operator's per- mit, the city clerk shall direct the chief of police to cause an investign. tion to be rnade and file a report %ithin thirty days from the date of filing; of the application. 'Ilse chief of police shall require the ap- plicant or any person named in the application to be fingerprinted and photographed. (Ord. No. 756, J 3.) See. 2A-4. Council hearing to determine public convenience and necessity—Required. Upon the filling of a fully completed application for a permit to engage in the business of operating an ambulance, and receipt of the report of the chief of police, the city clerk shall present the application to the city council Who shall fix a time for a public hearing; thereon for the purpose of determining; whether the public convenience and necessity require the proposed service. No permit shall be granted until the council shall, after investigation and hearing;, declare by res- olution that the public convenience and necessity require the proposed 32.5 �a+t�p. I 1 •B1 ?inOpP. 11-6.1 N I •10 LODI CrrY CODE I 2A-12 rvice and that the same will promote the convenience, safety and welfare of the general public. (Ord. No. 756, § 4.) Sec. 2A-10. Sarno—Notice. Notice of the hearing required by section 2A-9 shall be given to all persons to whom permits for operation of ambulances have been theretofore issued. Notice of the time and place of the public hear- ing before the city council shall also be given to the general public by causing a notice of such hearing to be published in a newspaper of Wmeral circulation in the city. One publication shall be made at least five days befom the hearing. (Ord. No. 756, J 5.) «11. Liability Insurance mquirecl. No ambulance operators permit shall be rued or eantinued in operation unless there 1.s in full force and effect a policy of insurance In such form sa the city attorney may deem proper, executed by an Insurance company approved by the city attorney, whereby the owner and the driver of each of the vehicles described in such permit are Insured agsipst liability for damage to property and for injury to or death of any person as a result of the ownership, operation or other use thereof, the minimum liability limits upon each such vehicle be- ing not less than one hundred thousand dollars on account of personal injury to or death of any one person in any one accident and two hun- dmd thousand dollars on account of personal injuries to or death of two or more persons in any one accident, and the minimum liability limits upon each such vehicle being not less than fifteen thousand dol- lars for damage to or destruction of property in any one socident. Such policy of insurance shall contain sin endorsement providinIF that the policy will not be cancelled until notice in writing shall have been given to the city addressed in care of the City Clem, City Hall, Lodi, California, at least ten days immediately prior to the time such cancellation shall become effective. (Ord. No. 756, 1 12.) 24.12- Prerequisites 4o issuance. Upon completing its investigation and hearing pursuant to section 2A-9 the city council shall grant the applicant an ambulance operatoes permit if it finds: (a) °That the vehicles described in the application and proposed to be used comply a-ith all pertinent state laws. 39.6 0 i M } l by Ike -ad Jn mu the loci or 3 t lie or slss: t they. ami nu the i e all E. M RA -12 e, safety and ) t �Ihaty en to been I the public heaar- gencral public in a newspaper % all be maple at So) or continued in icy of insurance executed by an ereby the owner such permit are for injury to or rrstiou or other such vehicle bc- aunt of personal it and two pun- to or death of Aimurn liability n thousand dol- t one accident. proyiidini_ that ting &hall have Jerk, City ):fail, s the time such 22.) to section operator's proposed to Sum 11-65 .r/da.tR 4['riaYt sA .u`x.ti.a!ti _:+._. .. v.i'� a_ r!r-.-w,s.•n. A..'o-::..� 2A. t 3 AMBULANCES 2A.1 4 (b) That the color scheme, insignia, naive, monogram or other distinguishing characteristics proposed to be used upon such ambu- lances is not in conflict with and does not imitate any color scheme, insignia, name, monogram or other distinguishing characteristics used by any other person in such manner as to mislead or tend to mis- lead, deceive or defraud the public. (c) That further ambulance service in the city is required by the public convenience and necessity and that the applicant is fit, willing and able to perform ambulance service and to conform to the provi- sions of this chapter and such rules and regulations as may be pro- mulgated by the city council. In malting such finding the city coun- cil shall take into consideration the number of ambulances already in operation, whether existing ambulance service is adequate to meet the public need, the probable effect of increased ambulance service on local traffic conditions and the character, experience send responsibility of the applicant. (Ord. No. 756, § 6.) Sec. 2A-13. Issuance; contents. If the city council, by resolution, shall find and declare that pub- lic convenience and necessity require the proposed ambulance service or will admit additional ambulance service, a permit to that effect shall be issued by the city clerk to the person entitled thereto, and the city council in its discretion shall determine the total number of ambulances which may be operated under such permit. The permit when issued shall state the name and address of the applicant, the number of ambulances that may be operated under such permit and the date of issuance thereof. No permit authorized under this article shall be issued to any person who shall not have fully complied with all the requirements of this chapter (Ord. No. 756, ii 2.) An ambulance operator's permit issued pursuant to this article shall continue to be valid from the date of issuance until the conditions stated in the application have been changed or the permit is suspend- ed or revoked by the city council for any of the reasons set forth in this chapter. (Ord. No. 756, § &.) 32.7 Rupp. 11-61 rye y.� mss. I 2A-15 LODI CITY CODE I 2A-18 -150 Twanaferability. If /he ambulance operator to whom an ambulance operator's permit has been issued desires to sell or transfer his business, the interested bu;er or transferor shall make application for an ambulance opertitoes permit as required by this article accompanied by an affidavit of seller of intention to surrender and cancel the permit held by such ambulance operator conditionally upon and concurrently with con- summation of such We and issuance of a permit in the tiame of the buyer. If a buyer -applicant or tranferee-applicant for a permit meets all the requirements set forth in this chapter for issuance of an am- bulance operators permit, the city council shall issue a new permit to the buyer-appli�caat and concurrently therewith cancel the seller% permit. (Ord. No. 756. 1 10.) Any person holding a permit to operate one or more ambulances as provided in this chapter who desires to change or amend such per- mit to substitute a different vehicle or :add another vehicle for a ve- hicle operated under such permit shall do to only when them has been obtained permission therefor from the city clerk. Such permission shall be granted upon written application setting forth the ,particulars of such proposed substitution or additions, and upon otherwise com- plying with the requirements of this chapter. (Ord. No. 756, ; 11.) Sec. -1 B. Daily operations of ambulance service eequirod; failure grounds for revocation of permit. Every person to whom an ambulance operator's permit has been Issued shall regularly and daily operate his business during each day of the license year to the extent reasonably necessary to meet the public demand for such service. upon an ambulance operator% fall- ure to provide such service, the city clerk may, upon £stns days' writ- ten notice to the holder of such permit, and unbar good and sufficient cause for such abandonment is evidenced, revoke such permit. (Ord. No. 756, 1 15.) Sec. -18. Revocation or suspension--- City council. The city council may at any time revoke, suspend or change, after notice to and an opportunity of hearing being given to the holder 32.8 6"M 11- r• 00 I 2A-15 LODI CITY CODE I 2A-18 -150 Twanaferability. If /he ambulance operator to whom an ambulance operator's permit has been issued desires to sell or transfer his business, the interested bu;er or transferor shall make application for an ambulance opertitoes permit as required by this article accompanied by an affidavit of seller of intention to surrender and cancel the permit held by such ambulance operator conditionally upon and concurrently with con- summation of such We and issuance of a permit in the tiame of the buyer. If a buyer -applicant or tranferee-applicant for a permit meets all the requirements set forth in this chapter for issuance of an am- bulance operators permit, the city council shall issue a new permit to the buyer-appli�caat and concurrently therewith cancel the seller% permit. (Ord. No. 756. 1 10.) Any person holding a permit to operate one or more ambulances as provided in this chapter who desires to change or amend such per- mit to substitute a different vehicle or :add another vehicle for a ve- hicle operated under such permit shall do to only when them has been obtained permission therefor from the city clerk. Such permission shall be granted upon written application setting forth the ,particulars of such proposed substitution or additions, and upon otherwise com- plying with the requirements of this chapter. (Ord. No. 756, ; 11.) Sec. -1 B. Daily operations of ambulance service eequirod; failure grounds for revocation of permit. Every person to whom an ambulance operator's permit has been Issued shall regularly and daily operate his business during each day of the license year to the extent reasonably necessary to meet the public demand for such service. upon an ambulance operator% fall- ure to provide such service, the city clerk may, upon £stns days' writ- ten notice to the holder of such permit, and unbar good and sufficient cause for such abandonment is evidenced, revoke such permit. (Ord. No. 756, 1 15.) Sec. -18. Revocation or suspension--- City council. The city council may at any time revoke, suspend or change, after notice to and an opportunity of hearing being given to the holder 32.8 6"M 11- § 2A.18 ator s Permit to interested :e, operator's affidavit of M by such r with con. same of the emit meets r of an arn. the tselices arnbulances d such per. efor avc. re has been Permission particulars raise corn. 5$, § 11.) required-, has been each day meet the toes fail. sys' Writ - sufficient b (Ord. �Se, after be holder 4 iuptc 11•RY § 2A-19 Ambulances § 2Ad19 thereof, a permit $rantrI if the ambulance operator or driver or attendant fails to operate at! ambulance authorized tender this chapter in accordance with the provisions of the applicable state law and this chapter. All permits which shall have been sus- pended or revoked by the city council shall be surrendered to the city cleric and the operation of all ambulances covered by such permits shall cease, and the continued operation thereof shall thereafter constitute a violation of this chapter. (Ord. No. 756, § 9.) Sec. 2A-19. Same --Chief of police. The chief of police may suspend or revoke any ambulance operator's permit upon finding that the permit holder no longer complies in full with the conditions of this application and this chapter. (Ord. No. 756, § 16.) C'f1:111''fER 3. Animals and Fowl. 13-1. Public pound to be maintained. 3-2. Powers and duties of anima; control officer generally. 13-3. Livestock within City Limits. 13.4. Number of dogslcats permitted within the city. 13.3. i)ogs And cats over certain age --Permit required to keep. 13-6. DOXI And cats over certain age must be registered. 13-7. Dog and cat registration fee. 13-8. Annual registration roe—Duedate—Penalties lot delinquent payment. 13-9. '"Seeing Eye" dogs—Permit. #3-10. Registered dogs and cats must wear collar identification tag attached. 1 3-11. Replacement of lost identification tags. 1 3-12. Dots Over certain age trust be vaccinated. 1 3.13. Vaccination—Prerequisite to obtaining permit. 13.14. Exceptions. 13-15. Rusitwss license fee for raising dogs and cats. 11-16, Dogs or cats which injure persons or damate property. 13-17. hocedwe when rabies exists in city or surrounding areas, 13-28. Procedure when dot or cat bites person. 13-19. Animal control offkets duties to impound animals. 13-20. Redemption of impounded animals or focal. 33 (Lo4i 6.80) Lodi AMulance,Ser0ces, Inc 1709 South Stockton Street Lodi, CA 95240, Attn: perry D. Schimke Gentlemen.* HENRY A. CLAIrtS, ft. City ARaoaW e... Chi t%rk`... RMALD FA STEIN- :......_:- C" A ; This letter will conftm that on February 13, 1981 1 received correspondence.fq the Lodi Ambulance- Services. Inca requesting a rate increase A copy of the proposed rates- are attached- The.request was presented, to the Lodi City Council at its regular meetN. on Tebruary l8, 1981. Fursuant to the City, of Lodi .Code, the proposed rates became . effective 30 days following receipt of the request by the City Council Therefore the attached-. rates becam effective March 13® 1981, The MY Code of the City of Lodi further allows the City Council to -Set rates If there is a need but does not' re the Council t6 set the rates. ® Wo Very truly yours. A Alice M. Re; he* City Clerk CePula., �i - w ..,., r . S, ... . , v. f';.,..y� nb.i i . ,-.i,• n.A,�r , �.1..., ' -81 to WON STREET 'CAUFORNIA 9$240: 01//A(IM 334 -CM ... - PROPOSED RATE INCREASE CURRENT DESCRIPTION PRICE Basli rate 69.00 Slti®up patient 69.00 !31 l eagemone way 3.45 flight tall 7PM to 7AM 14.37 .. mrgency • 14.37 Oxygen» per tank 17025 Malting time - per 15 min 8.65 Pararedlc stand-by per15 miry 11°50 IPPO'respirator 34.50 Paramedic service 40.25 Clinical spec - per hour 17.25 Dafibr•illator use 11.50. Emergency EKG 28.75 Dart/Lung resuscitator 28075 Suction, 11.50 Restaicitator elder 11.50 Infant ambu 11.50 Adult aiobu 1-1050 Emergency child birth 28.75 • 0.8. pack 11.50 Oral. airway .3-45 R•eactose 8065 FI&t Stretcher 17°25 Orthopedic stretcher 17025 t;pinal board short 11.50 Spinal board.® long 11.50 Traqlcin,;spl3nt 11.50 'Ladder spint 11.50 Cardboard• spl int 8.65 a Inflatiov splint 8.65 Cold 'pak 90 00 Eurn_pak - large 28.75 Burn pak r small 11.50 Sand bags • 2.30 Ainti-shock trousers 23000 hultl-t'rauma dressing 5.75 Et . tube Esophogeal airway -Heedle.thoracotomy Cricothyroid stick �t INCREASE PRICE 85.00 85.00 4.50 17.75 17:75 21.25 10.75 t4o2�.� 42.50 49.50 21.25 14.25 35,50 35.50 14.x5 14.25 14.25 14.25. 35-50' 14.25 4425 10.75 21.25 21.25 14.25 rs 9r