Advanced
Life Support
Our Advanced Care Paramedics operate at the highest clinical level in pre-hospital emergency medicine — delivering hospital-grade interventions at the scene and en route to definitive care.
24/7
Availability
DOH
Licensed
ALS
Scope of Practice
HPCSA
Registered
What is Advanced Life Support?
Advanced Life Support (ALS) is the highest level of pre-hospital emergency medical care in South Africa. Medi Edge ALS units are staffed by Advanced Care Paramedics — clinicians registered with the Health Professions Council of South Africa (HPCSA) and qualified to perform complex medical interventions independently in the field.
Unlike Basic Life Support, which focuses on stabilisation and transport, ALS allows our practitioners to administer a full pharmacological formulary, perform advanced airway management, interpret 12-lead ECGs, and initiate critical care protocols — all without needing a physician on scene.
Our units are strategically deployed across the greater Pretoria region, ensuring rapid response times and clinical capability exactly where you need it.
Accreditation & Compliance
HPCSA Registered
All practitioners are registered with the Health Professions Council of South Africa under the Emergency Care scope.
Gauteng DOH Licensed
Medi Edge is fully licensed by the Gauteng Department of Health to operate ALS emergency vehicles.
Medical Aid Accredited
Contracted with all major medical aids, WCA/RMA, RAF, and private billing — no coverage gaps.
What Our ALS Units Can Do
Each capability below represents an intervention that can be performed on-scene or en route — without waiting to reach a hospital.
Cardiac Monitoring & 12-Lead ECG
Continuous cardiac monitoring with 12-lead ECG acquisition and interpretation, enabling early identification of STEMI, arrhythmias, and electrolyte disturbances.
Defibrillation & Cardioversion
Manual defibrillation for ventricular fibrillation and pulseless VT, plus synchronised cardioversion for haemodynamically unstable tachyarrhythmias.
Advanced Airway Management
Rapid Sequence Intubation (RSI), surgical airway access (cricothyrotomy), supraglottic devices, and end-tidal CO₂ monitoring for ventilated patients.
Pharmacological Formulary
Full pre-hospital drug formulary including vasopressors, antiarrhythmics, opioid analgesics, sedatives, bronchodilators, thrombolytics, and reversal agents.
IV / IO Vascular Access
Peripheral IV, central access facilitation, and intraosseous (IO) access in time-critical situations where IV access is not achievable.
Point-of-Care Diagnostics
Bedside blood glucose, SpO₂, ETCO₂, and 12-lead ECG interpretation to guide clinical decision-making in the field.
Conditions We Manage
ALS is appropriate whenever a patient's condition may deteriorate rapidly, requires pharmacological intervention, or involves complex airway or haemodynamic compromise.
ALS Unit Equipment
Every Medi Edge ALS vehicle is equipped and maintained to the full Gauteng DOH specification for Critical Care transport.
Monitoring
Cardiac monitor/defibrillator, 12-lead ECG, SpO₂, ETCO₂, non-invasive BP, temperature
Airway
Full RSI drug kit, IGEL supraglottic airways, BVM, CPAP, ventilator
Vascular Access
IV cannulas (all sizes), IO drill, infusion pumps, syringe drivers, fluid warmers
Pharmacology
Controlled and non-controlled drug safe: analgesics, sedatives, vasopressors, antiarrhythmics, reversal agents, bronchodilators
Immobilisation
Kendrick Extrication Device, vacuum mattress, long spine board, traction splint, pelvic binder
Require an ALS Response?
Our dispatchers are available 24 hours a day, 365 days a year. For life-threatening emergencies, call immediately.