(1)EMS System

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(1)EMS System
2013-10-14 10:36:38
MEDIC 2013

Chapter 1
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  1. Key developments in the history of EMS
    • Vehicles and attendants used to care for injuries on the battlefield
    • 1926 Phx Fire adds service to present day EMS
    • EMS turned over to Fire and Police
  2. 5 Main types of service that provide emergency care.
    • Fire-based
    • Third service(municipalities)
    • Private (profit & non-profit)
    • Hospital based
    • Hybrid or other
  3. 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.
  4. The process whereby a state allows qualified people to perform a regulated act.
  5. The process of granting licensure or certification to a provider from another state or agency
  6. A document that provides overarching guidelines as to what skills each level of EMS provider should be able to accomplish
    National EMS Scope of Practice Model
  7. Critical Points for a functioning EMS system
    • Strategies to ID community health & safety
    • Financial incentives
    • Community prevention
    • National EMS research
  8. Required components of an EMS system
    • Integration of health services
    • EMS research
    • Legislation & regulation
    • System finance
    • HR
    • Medical direction
    • Education & training
  9. EMS system elements
    • Regulation & policy
    • Resource management
    • HR and training
    • Transportation
    • Facilities
  10. The level known as "first responder", usually trained in CPR and/or first aid
    Emergency medical responder
  11. Primary provider level in most EMS systems
    Trained in: Advanced airway intervention
    Limited medication administration
    Intravenous (IV) fluid therapy
  12. Trained in advanced pathophysiology
    IV access
    Administering IV fluids
    Blood glucose monitoring
    Some advanced airway management
    Advanced EMT
  13. The highest level EMS skill level
  14. Types of speciality centers
    • Trauma
    • Burns
    • Poisoning
    • Psychiatric
    • Childrens
  15. Attributes of a health care profesional
    • Conforms to the same standards of other health care professionals
    • Provides quality patient care
    • Instills pride in the profession
    • Strives continuously for high standards
    • Earns respect from others in profession 
    • Meets high societal expectations on or off duty
  16. Attributes of professionalism as a paramedic
    • Integrity
    • Empathy
    • Self-motivation
    • Confidence
    • Communications
    • Teamwork and respect
    • Patient advocacy
    • Injury prevention
    • Careful delivery of service
    • Time management
    • Adminstration
  17. Roles and Responsibilities of a Paramedic
    • Preparation
    • Response
    • Scene Management
    • Patient Assessment & Care
    • Management & Disposition
    • Patient Transfer & Report
    • Documentation
    • Return to Service
  18. A comprehensive CQI program can help prevent problems such as:
    • Medical direction issues
    • Education
    • Communications
    • Prehospital treatment
    • Transportation issues
    • Financial issues
    • Receiving facility review
    • Dispatch
    • Public information
    • Disater planning
    • Mutual aid
  19. The three main sources of errors in the EMS system:
    • Rules-based failure
    • Knowledge-based failure
    • Skills-based failure
  20. The use of practices that have been proven to be effective in improving patient outcomes
    Evidence-based practice
  21. Who has the authority to issue a license?
    State EMS governmental body
  22. The entity that typically coordinates the entire rescue effort is:
  23. The EMT paramedic national standards are regulated by the:
    Department of Transportation (DOT)
  24. Reciprocity allows a paramedic to:
    become certified by another state or agency.
  25. Which of the following is necessary when returning to service? 
    1) Restock your unit. 
    2) Complete all documentation. 
    3) Notify the hospital. 
    4) Assess the situation.
    Restock your unit.
  26. The patient documentation is the responsibility of the: 
    1) officer on scene.
    2) attendant in charge. 
    3) EMT. 
    4) paramedic.
    attendant in charge.
  27. The role of an EMS medical director includes:
    • developing clinical protocols.  
    • providing input into patient care.  
    • participating in equipment selection.
  28. Off-line medical control allows for the development of:
    • standing orders.  
    • protocols.  
    • procedures and training
  29. A tool that is often used to continually evaluate paramedic performance is:
    continuous quality improvement. (CQI)
  30. Research that is based on numerical data is known as
    quantitative research
  31. By definition, retrospective research is: 
    1) research that is observation only.  
    2) when a clinical trial is being performed. 
    3) based on a clearly defined problem.  
    4) based on currently available data.
    based on currently available data.
  32. Off-line medical control can best be described as:
    standing orders or protocols.
  33. What was established after the publication of the “White Paper”? 
    1) National Highway Safety Act  
    2) The first EMT textbook  
    3) Miami Fire paramedic program  
    4) Controlled Substance Act
    National Highway Safety Act
  34. What group is responsible for ensuring that a research study is ethically sound? 
    1) Institutional review board 
    2) Regional ethics committee 
    3) Principal investigator 
    4) Research subjects
    Institutional review board
  35. A treatment plan developed for a specific illness or injury
  36. Critical Points for a functioning EMS system (2)
    • State EMS legislation for innovation & integration
    • Resources for medical direction
    • Systems that link EMS 
    • Cost & benefits
    • Calls have location identifying info
  37. Required components of an EMS system (2)
    • Public access
    • Prevention
    • Transportation
    • Communication system
    • Clinical care facilities
    • PT. info
    • Mutual aidEvaluation
  38. EMS system elements (2)
    • Communication
    • Public info & Education
    • Medical direction
    • Trauma systems
    • Evaluation
  39. Medical direction given in real time to an EMS service or provider
    Online medical control
  40. A research format that uses a hypothesis to prove one finding from another
  41. An early title given to an ambulance-style unit
    Mobile intensive care units (MICUs)
  42. A type of study in which the subjects are advised of all aspects of the study
    Unblinded study
  43. A type of research that gathers information as events occur in real time
    Prospective research
  44. The process used by medical magazines, journals, and other publications to ensure quaility and validity of an article before publishing it, and which involves sending the article to subject matter experts for review of the content and research methods
    Peer review
  45. A type of research in which a single case is investigated and documented over a period of time
    Case study
  46. A type of research that examines patterns of change, a sequence of events, or trends over time within a certain population of study subjects
    Cohert research
  47. Medical direction given through a set of protocols, policies, and/or standards
    Off-line medical control
  48. Direction given to an EMS service or provider by a physician
    Medical direction
  49. The responsibilty of the medical director to ensure that the approriate medical care standards are met by EMS personnel on each call
    Quality control
  50. The collaboration of prehospital and  in-hospital medicine that focuses on optimizing the use of resources and assets of each with a primary goal of reducing ther mortality and morbidity of trauma patients
    Trauma systems