an EMT or other person authorized by a medical director to give medications and provide emergency care. The trasnfer of such authorization to a disnignated agent is an extension of the medical director's license to practice medicine.
evidence-based
description of medical techniques or practices that are supported by scientific evidence of their safety and efficacy, rather than merely by supposition and tradition
medical direction
oversight of the patient-care aspects of an EMS system by the medical director.
off-line medical direction
consists of standing orders issued by the medical director that allow EMTs to give certain medications or perform certain procedures without speaking to the medical director or another physician
on-line medical direction
consists of orders given directly by the on-duty physician to an EMt in the frield by radio or telephone
medical director
a physician who assuems ultimate responsibility for the patient-care aspects of the EMS system
911 system
a system for telephone access to report emergencies. A dispacter takes the information and alerts EMS or the fire or police departments as needed. Enhaced 911 has the additional capability of automatically identifying the caller's phone number and location
patient outcomes
the long-term survival of patients
protocols
lists of steps, sucha s assessments and interventions to be taken in different situations. protocols are developed by the medical director of an EMs system
quality improvement
a process of continuous self-review with the puropose of identifying and correcting aspects of the system that require improvement
standing orders
a policy or protocol issued by a medical director tha authorizes EMTs and others to perform particular skills in certain situations