1790 is the year that
The French started transporting wounded soldiers away from the scense of battle
The American Civil War helped do what
Establish the American Red Cross
World War 1 what did volunteers do
Join the battlefield ambulance corps
Medical temas in the Korean and Vietnam Wars established what
Further advancing field care and specialized emergency medical centers devoted to treatment of trauma
1966 had what happened that upgraded the quality of prehospital care in states
National Highway Safety Act
During the 1960's what happened to EMS
Modernization of EMS
In 1970 The National Registery of EMT estabishled what
Professional Standards
1973 what did Congress do
Passed National Emergency Medical Services Systems Act; the corner stone of the federal effort to implement and improve EMS
Components of EMS
Trauma, Burn, Stroke, Cardiac, poison control, and labor and delivery Pediatric centers
911 System
A system for telephone access to report emergencies
Enhanced 911
Has additional capability of automatically indentifying the callers phone number and location
EMR (Acronym)
Emergency Medical Responder
Emergency Medical Responder
The person First on the scene with the basic most skills of EMS
Paramedic
The Paramedic performs all of the skills EMTs and AEMTs do and the most advanced level of prehospital care
AEMT (acronym)
Advanced Emergency Medical Technician
Advanced Emergency Medical Technician
Provides what an EMT can plus transportation, advanced airway devices, and administer medications such as Intravenous and intraosseous.
EMT (Acronym)
Emergency Medical Technician
Emergency Medical Technician
The minimum level of certification and transportation, also basic medical and trauma care and medical transportation to a medical facility
What are the two most important things to remember as a EMT
Personal Safety and the Safety of your crew, patient, and bystanders
Patient Advocacy
When you plead the cause of your patient and speak up for them top get his/her concerns to the medical staff to be taken care of.
Transfer of Care
When you provide information on the patients condition, your observation of the scene, and pertinent data so there will be a continuity of the patients care
Physical Traits
Be in good health, Be in shape, Be able to carry 125lbs or more, good eyesight or have the corrects corrective lenses/contact, and awareness of the patients conditions
Personal Traits (Name a few)
Pleasant, Sincere, Cooperative, Resourceful, a self-starter, Emotionally stable, able to lead, neat and clean, of good moral character, respectful to others, in control of personal habits, controlled in conversation, able to listen to others, and fair.
EMTS must be up to date on ....
Knowledge and Skills
Medical Director
a physician who assumes ultimate responsibility for patient-care aspects of the EMS system
Medical Direction
oversight of the patient care aspects of an EMS system by the medical director
protocols
list of steps, such as assesments and interventions to be taken in different situations.
Protocols are developed by who
Medical Director of an EMS System
What do EMT basics-advanced operate as
direct agents of a physician
Designated Agent
An EMT or other person authorized by a Medical director to give medications and provide emergency care
Standing Orders
A policy or protocol issued by a Medical Director that authorizes EMTS and others to perform particular skills in certain proceedures without talking to the Medical Director
Off-line medical directions
Standing orders issued by the Medical Director that allows EMTs to give certain medications or perform certain proceedures without speaking to the Medical Director or another pyhsician
on-line medical direction
orders given directly by the on-duty physician to an EMT in the field by radio and telephone
Patient Outcome
the long-term survival of patients
Evidenced Based
description of medical techniques or practices that are supported by scientific evidence of their safety and efficacy rather thatn merely on supposition and tradition
What is based off research
Medicine
What role does EMS participate in public safety
Injury prevention for geriatic patients, injury pervention for youth, public vaccination programs, Disease surveilance
In well being what are some healthy habits to do
Have Solid relationships, excercise, sleep, eat right, limit alcohol/caffiene, stay up to date with your physicians.
Pathogens
the organisms that cause infection such as viruses and bacteria
Standard Precautions
A strict form of infection control that is based on the assumption that all blood and other body fluids are infectious
Standard Precautions are also known as
Body substance isolation (BSI)
Two types of pathogens
Bloodborne and Airborne
OSHA
Occupational Saftey Health Administration
PPE (acronym)
Personal protective equipment
Personal Protective Equipment
Equipment that processes the EMS worker from infection and/or exposure to the dangerous of rescue operations
Contamination
the introduction of dangerous chemicals, disease, or infectious materials
When TB is suspected what type of mask is needed
N-95 of High efficency particulate air respirator
Why would you wear a gown
to protect clothing and bare skin from spilled or splashed fluids
Hepititus
An infection that causes an inflammation of the liver coming in A,B,C and other strains.
Turberculosis (TB)
an infection that sometimes settles in the lungs and that sometimes can be fatal
AIDS
is a set of conditions that results when the immune system has been attacked by HIV and rendered unable to combat certain infections adequately
In 1994 What was issued by the CDC
CARE Act
What does the Ryan White CARE act do
It mandates the proceedure by which response personnel can seek to find out if they have been exposed to a potentially life threatening disease while providing patient care
Airborne Disease Exposure
To be notified by your designated officer when you have been exposed to an airborne disease
Bloodborne or other infectuious disease exposure
Where you can submit a request for a determination as to whether or not you were exposed to bloodborne or other infectious diseases
Stress
a state of physical and/or psycological arousal to a stimulus
Multiple Casuality Incident
an emergency involving mutiple patients
Two types of stress
Eustress and Distress
Eustress
Is the good kind of stress
Distress
is the bad kind of stress
What can cause stress
Multiple-casualty incidents, calls involving infants and children, severe injuries, abuse and neglects, and death of a coworker
CISD (Acronym)
Critical Incident Stress Management
Critical Incident Stress Management
a comprehensive system that includes education and resources to both prevent stree and to deal with stress appopriately when it occurs
Acute Critical incident
which is any situation that triggers a strong emotional response
Acute Stress Reaction
Occurs simultaneously with or shortly after the critical incident
Delayed Stress Reaction
may occur anytime , days, to years following a critical incident
Cumulative Stress Reaction
occurs as a result of prolonged recurring stressors in our work and private lives
Acute Stress reaction may involve
Physical, Congitive, Emotional, or Behavioral
What could be classified as a Delayed Stress Reaction
Post Traumatic Stress Disorder
What Stress reaction is brought upon by years of development and burnout
Cumulative Stress Reaction
What are some Signals of denial
Denial, Anger, Bargaining, Depression, and Acceptance
Scene Safety is what to the EMT
The most important concept in training
Hazardous Material Incident
the release of a harmful substance into the enviornment
Decontamination
the removal or cleansing of dangerous chemicals and other dangerous or infectious materials
What should you do when coming to a violent scene
Make sure the scene is safe
Can you retreat when on the scene of an accident
When the danger is justified course of action
Body Mechanics
The proper use of the body to facilitate lifting and moving and prevent injury
What steps should you take when preparing to lift
Position your feet properly, Use your legs, Never turn or twist, Do not compensate when lifting with one hand, keep weight close to your body, use stair chair when carrying patients on stairs whenever possible