1790's
The French began to transport wounded soldiers to medical care. First documented emergency medical service. Napoleonic War
Clara Barton
School teacher who volunteered as a nurse during the American Civil War. Formed American Red Cross
1960's
development of modern EMS system began
1966
National Highway Safety Act charged U.S. Dept. of Transportation with developing EMS standards.
1970
Congress passed National Emergency Medical Services Systems.
National Emergency Medical Services Systems
passed in 1970 to implement and improve EMS systems in U.S.
levels of EMS training
Emergency Medical Responder (EMR)
Emergency Medical Technician (EMT)
Advanced Emergency Medical Technician (AEMT)
Paramedic
EMR
usually first at the scene. mostly police, firefighters, and industrial health personnel are qualified. Provides immediate care for life-threatening injuries, controlling the scene, and preparing for ambulance
EMT
minimum level of certification for ambulance personnel. basic level trauma and med care. transports to medical.
AEMT
provides basic as well as some advanced level care. my use advanced airway devices, monitoring of blood glucose, administer some medications IV and IA.
paramedic
perform ALL skills of the EMT and AEMT course. MOST advanced level of prehospital care
EMS physical
-Able to lift 125 pounds minimum
-Eyesight/ no color blindness
-Able to read and comprehend instructions
EMT traits
-Pleasant
-Sincere
-Cooperative
-Resourceful
-Self-starter
-Emotionally Stable
-Leader
-Good listener with a good moral standing
-Hygenic
medical director
Physician who assumes ultimate responsibility for medical direction
medical direction
oversight of patients' care of EMS system
protocol
List of steps for assessments and interventions to be performed in different situations
designated agent
Basic/Advanced level EMT acting as Medical Director under the actual Medical Directors license
off-line medical direction
Behind the scenes" Medical Director.
on-line medical direction
Any orders from the on-duty Medical over radio or phone
1973
National Emergency Medical Sevice Systems Act
trauma systems
Develop trauma triage, transport and treatment protocols
evaluation
Establish program for assessing and improving quality of care provided (QI, QA, TOM)
components of EMS system
Specialized Facilities
-Trauma centers
-Burn centers
-Stroke center
-Cardiac center
-Labor and Delivery
chain of human resources
1.Patient
2.Citizen calls 911
3.911 Dispatcher
4.First Responders
5.EMTS
6.Emergency Department Staff
7.Allied Health Staff