AEMT
Advanced EMT - An individual who has training in specific aspects of advanced life support, such as intravenous therapy, and the administration of certain emergency medication.
ALS
Advanced Life Support - Advanced lifesaving procedures, some of which are now being provided by the EMT.
ADA
Americans With Disabilities Act - Comprehensive legislation that is designed to protected individuals with disabilities against discrimination.
AED
Automated External Defibrillator - A device that detects treatable life-threatening cardiac arrhythmia's (ventricular fibrillation and ventricular tachycardia) and delivers the appropriate electrical shock to the patient.
Certification
A process in which a person, an institution, or a program is evaluated and recognized as meeting certain predetermined standards to provide safe and ethical care.
CQI
Continuous Quality Improvement - A system of internal and external reviews and audits of all aspects of an EMS system.
EMD
Emergency Medical Dispatch - A system that assists dispatchers in selecting appropriate units to respond to a particular call for assistance and in providing callers with vital instructions until the arrival of EMS crew.
EMR
Emergency Medical Responder - The first trained individual, such as a police officer, fire fighter, lifeguard, or other rescuer, to arrive at the scene of an emergency to provide initial medical assistance.
EMS
Emergency Medical Service - A multidisciplinary system that represents the combined efforts of several professionals and agencies to provide prehospital emergency care to the sick and injured.
EMT
Emergency Medical Technician - An individual who has training in basic life support, including automated external defibrillation, use of a definitive airway adjunct, and assisting patients with certain medications.
HIPAA
Health Insurance Portability and Accountability Act - Federal legislation passed in 1996. Its main effects in EMS is in limiting availability of patients' health care information and penalizing violations of patient privacy.
IV
Intravenous therapy - The delivery of medication directly into a vein.
Licensure
The process whereby a state allows individuals to perform a regulated act.
Medical Control
Physician instructions that are given directly by radio or cell phone (online/direct) or indirectly by protocol/guidelines (off-line/indirect), as authorized by the medical director of the service program.
Medical Director
The physician who authorized or delegates to the EMT the authority to provide medical care in the field.
National EMS Scope of Practice Model
A document created by the National Highway Traffic Safety Administration (NHTSA) That outlines the skills performed by various EMS providers.
NHTSA
National Highway Traffic Safety Administration
Paramedic
An individual who has extensive training in advanced life support, including endotracheal incubation. emergency pharmacology, cardiac monitoring, and other advanced assessment and treatment skills.
Primary Prevention
Efforts to prevent an injury or illness from ever occurring. (Never let it happen again) Ex. Vaccines
Public Health
Focused on examining the health needs of entire populations with the goal of preventing health problems.
Public Safety Access Point
A call center, staffed by trained personnel who are responsible for managing requests for police, fire fighting, and ambulance service.
Quality Control
The responsibility of the medical director to ensure that appropriate medical care standards are met by EMTs on each call. There job is to identify areas of improvements.
Secondary Prevention
Efforts to limit the effects of an injury or illness that you cannot completely prevent. Ex. Seat Belts
EMS System
EMS Agenda for the future components of an EMS System"
1. Public Access
2. Clinical Care
3. Medical Direction
4. Integration of Health Services
5. Information Systems
6. Prevention
7. EMS Research
8. Communication Systems
9. Human Resources
10. Legislati
The Star of Life
1. Detection
2. Reporting
3. Response
4. On-Scene Care
5. Care in Transit
6. Transfer of Definitive Care
Skills needed to safely deliver care
1. Scene Size-Up
2. Patient Assessment
3. Treatment
4. Packing
5. EMS as a Career: Healthy career
Memorize Table 1-2
...
9-1-1 Components
� Incident Recognition
� Access 9-1-1
� Dispatch
� First Responder
� Basic Life Support
� Advanced Life Support
� Transport Ground/Air
What allow 9-1-1 Components to Function
- Public Access
- Communication Systems
- Clinical Care
- Human Resources
- Medical Direction
- Evaluation
- Integration of Health Services
- Information systems
- EMS Research
- Legislation and Regulation
- System Finance
Prehospital Environment to the Emergency Department & Beyond
#NAME?
Many Advances in Prehospital Care
Koren and Vietnam wars.
Who did congress pointed to address prehospital care issue?
NHTSA & DOT
Main laws are put in place by this level.
Federal
Other laws are put into place and executed by this level.
State
The day-to-day limits of EMS is decided by this level.
Local - The medical Director decides.
What 3 Sources Can Cause an Error?
1. Rule Based Failure
2. Knowledge Based Failure
3. Skill Based Failure
Agenda for the Future
A multidisciplinary national review of all aspects of EMS delivery.
Roles and Responsibilities of an EMT
� Keep vehicle and equipment ready for an emergency.
� Make sure you, your partner, the pt., and bystanders are safe.
� Be an on-scean leader
� Evaluate the scene
� Give emotional support to the pt. and family.
� Uphold medical and legal standards
� Prote
Professional Attributes of EMTs
� Integrity
� Empathy
� Self-Motavation
� Appearance and Hygiene
� Confidence
� Time Management
� Communication
� Teamwork
� Respected
� Patient Advocacy - you are there for them
� Carefully Deliver Care
ASL*
Advanced procedures, such as drug administration.
BLS*
Basic lifesaving intervention, such as CPR.
EMT*
EMS professional trained in BLS interventions.
AEMT*
EMS professional trained in some ALS interventions.
Paramedic*
EMS professional trained in ALS interventions.
Medical Control*
Physician instruction to EMS team.
CQI*
A system of internal reviews and audits.
EMS*
A system to provide prehospital care to the sick and injured.
Continuing Education*
A required amount of training to maintain skills.
Quality Control*
Responsibility of the medical director to ensure that appropriate care is delivered by an EMT.
Primary Service Area*
Designated area in which the EMS service is responsible for providing prehospital care.
Medical Director*
The physician who authorized the EMT to perform in the field.
Americans with Disabilities Act*
Protects disabled individuals from discrimination.
Control of external bleeding, oxygen administration, and CPR are included in the "scope of practice" of a:
EMT
What is not true about medical control?
It is determined bu the dispatch
What is not a component of continuos quality improvement (CQI)?
Public seminars and meetings
The major goal of quality improvement is to ensure?
The public receives the highest standard of care
Federal legislation concerning patient confidentiality is known as?
HIPAA
Which of the following authorizes you, as an EMT, to provide emergency care to a patient?
The medical director
To treat a patient you will follow?
� Off-line medical control
� Online medical control
� Protocols
What level of training would allow you to perform an electrocardiogram and advanced life support?
Paramedic
While you check the patients ABC's your partner considers calling what?
ALS
While you deliver CPR on this patient, your partner retrieved the ____, which will deliver an appropriate electrical shock.
AED
EMTs can use an AED and Manual defibrillator?
True
System of continuous internal and external reviews and audits of all aspects of an EMS system.
Continuous Quality Improvement (CQI)
Each EMS system as a _____ who authorizes the EMTs in the service to provide medical cate in the field.
Medical Director
One of the most dramatic recent developments in prehospital emergency care is the use of a...
automated external defibrillator
AED*
Automated External Defibrillator
The main area in which an EMS agency operates?
Primary Service Area
A 9-1-1 dispatch center is called a?
Public Safety Access Point or PSAP
The first trained individual, such as a police officer, fire fighter, lifeguard, or other rescuer, to arrive at the scene of an emergency to provide initial medical assistance.
EMR
Focused on examining the health needs of entire populations with the goal of preventing health problems...
Public Health
A process in which a person, an institution, or program is evaluated and recognized as meeting certain predetermined standards to provide safe and ethical care?
Certification
A multidisciplinary system that represents the combined efforts of several professionals and agencies to provide prehospital emergency care to the sick and injured?
EMS
Federal legislation passed in 1996. Its main effect in EMS is in limiting availability of patients health care information and penalizing violations of patients privacy.
HIPPA
A system that assists dispatchers in selecting appropriate units to respond to a particular call for assistance and in providing callers with vital instructions until the arrival of EMS crews.
Emergency Medical Department
The process whereby a state allows individuals to perform a regulated act...
Licensure
A system of internal and external reviews and audits of all aspects of an EMS system...
CQI
What role has the UD Department of Transportation (DOT) played in the development of EMS?
Develop the series of guidelines, funding resources, and assessment tools designed to develop and improve EMS in the US.
Describe the two basic types of medical direction that help the EMT provide care?
Online - Given over phone or radio.
Off-line - Written protocol.