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35 Cards in this Set

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  • Back
What is EMS or Emergency Medical Services?
Team of health care pro's who provide emergency care & transportation to sick & injured
Who are EMT's?
Those who provide the care, who must be trained and state certified.
The three categories of EMT-B training
1. Care of potentially life-threatening conditions.
2. Protocols that prevent further harm for non-life threatening cases.
3. Other important skills.
What was the first time ambulances were really seen?
During World War I. The military provided care in the field & brought casualties to aid stations.
What was the report that started regulated EMS in the U.S.?
Accidental Death and Disability: The Neglected Disease of Modern Society in 1966 - revealed inadequacies of prehospital emergency care & transportation. Nicknamed the "White Paper".
What did EMS look like in the States before 1966?
Some places had squads & ambulances. Others had ambulances provided by hospitals, and others had hearses or station wagons with a cot. Staffed emergency departments were limited to large urban areas.
What did the report in '66 call for?
Development of :
- national courses of instruction
- national textbooks
- guidelines for design of ambulances & equipment
- policies by state
- creation of jurisdiction financial responsibility
- establishments of ER's.
What were the two main agencies created after the report of '66?
1. The National Highway Traffic Safety Administration (NHTSA) of the DOT
2. Department of Health & Human Services (DOHHS)

and they created funding!
Who put out the report of '66?
Jointly by the Committees on Trauma and Shock of the National Academy of Sciences/National Research Council
What is the first EMT textbook?
Emergency Care and Transportation of the Sick and Injured, put out in 1971, by the American Academy of Orthopaedic Surgeons, in conjunction with the National Standard Curriculum put out by the DOT in 1970.
By 1980, EMS had been established throughout the nation. The system was based on two key changes:
- Introduction of legislation that made it the responsibilities of townships or counties to provide prehospital care & transportation
- establishment of recognized standards for training and equipment
The ten ways the NHTSA can evaluate EMS systems:
1. Regulation and policy
2. Resource management
3. Human resources and training
4. Transportation equipment and system
5. Medical and support facilities
6. Communications sytem
7. Public information and education
8. Medical direction
9. Trauma system and development
10.Evaluation
Department chief of an EMS service
administrative tasks and daily operations of ambulances and crews
an EMS physician
physician who can be reached by phone or radio during a call. a type of online medical control - the physician can confirm or modify proposed treatment plan.
Emergency care in Four Phases:
1. Recognition of emergency & initiation of EMS system. Initial care provided by dispatch. (access to EMS)
2. Assessment, initial prehospital care, packaging, transport. (out of hospital care)
3. patient receives continued assessment & stabilization in ER. (emergency department care)
4. Patient receives necessary care. (definitive care)
What is ALS?
Advanced Life Support
What is the ADA?
Americans With Disabilities Act - legislation designed to protect individuals with disabilities against discrimination.
What is an AED?
An automated external defibrillator - device that detects cardiac arrhythmias and delivers the appropriate electrical shock to the patient.
What is CQI?
Continuous quality improvement - system of internal and external reviews and audits of all aspects of EMS sytem
What is an EMT - I?
EMT with training in intravenous therapy, interpretation of cardiac rhythms and defibrillation, and orotracheal intubation.
What is an EMT-B?
EMT who has training in aed use, use of a definitive airway adjunct, and assisting patients with certain meds.
Paramedic
training in IV therapy, pharmacology, cardiac monitoring, and other advanced skills.
First Responder
the first trained individual to arrive on the scene of an emergency to provide initial care
What is HIPAA?
Health Insurance Portability and Accountability Act 1996.
• Safeguards patient confidentiality.
• Limits EMS providers from obtaining follow-up
information.
• Releases health information only with patient’s permission.

Its main effect in EMS is limiting availability of patients' health care and penalizing violations of patient privacy, even if it relates to diseases that the EMT may have been exposed to.
Intravenous therapy
the delivery of medication directly into a vein.
Medical control
physician instructions that are given by radio/cell (online) or indirectly by protocol (offline)
Medical Director
the physician who authorizes or delegates to the EMT the authority to provide medical care in the field.
What is a PSA?
The designated area in which the EMS service is responsible for the provision of prehospital care and transportation to the hospital
Quality control
the responsibility of the medical director to ensure the appropriate medical care standards are met on calls.
What is the oldest living EMT 's id number?
# 7. and the one after that is # 13.
What are the most frequent kind of transports?
More inter-facility transports than 911.
Professional Attributes of the EMT-B
• Puts patient’s needs as a priority without endangering self
• Maintains professional appearance and manner
• Performs under pressure • Treats patients and families with understanding,
respect, and compassion
• Respects patient confidentiality
Roles and Responsibilities of the EMT-B
• Lifting and moving patients safely
• Transport and transfer of care
• Record keeping/data collection
• Patient advocacy/confidentiality
• Personal safety – Safety of crew, patient, and bystanders
• Patient assessment – Patient care based on assessment findings
Components of the EMS System
• Access – Easy access in an emergency is essential.
• Administration and Policy – Policies and procedures are essential.
• Medical Direction and Control – Each EMS system must have a medical director. – Medical control may take place online or off-line.
• Quality Control and Improvement – Process used to ensure patient care meets standards.
• Other physician input – Local, state, and national specialists provide guidance.
• State-specific statutes and regulations – All EMS systems are subject to state regulations.
• Equipment – Properly maintained equipment is essential.
• Ambulance – EMT-Bs must be familiar with the ambulance and its functions.
• Specialty Centers – Focusing on care for certain types of patients
• Interfacility Transports – Transportation of patients from one care facility to another
• Hospital Staff – EMS is part of the whole continuum of care.
• Working with Public Safety Agencies – EMT-Bs should understand the role of each agency.
• Training – Quality of care depends on training.
The EMS System
Incident Recognition > Access 911 > Dispatch > First Responder > BLS > ALS > Transport > ER > Specialty Care > Patient Rehab > Prevention Awareness > Public Education >