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What are the 3 major components of a system?
What does the term "black box" mean?
You may not have understood what each system did inside the box, except that it worked in some way to produce a certain outcome.
What are complex systems made up of?
The components of an EMS system were originally specified in which act?
The Emergency Medical Services Systems (EMSS) Act of 1973
What are some differences between EMS & Public Health
- EMS: Individuals, curative, diagnosis
- Public Health: Community, preventative, assessment
What are the 15 components of an EMS system?
- Training of Personnel
- Critical Care Units
- Use of Public Safe Agencies
- Mutual Aid Agreements
- Accessibility of Care
- Transfer of Patients
- Standard Medical Record Keeping
- Independent Review and Evaluation
- Consumer Info. and Ed.
- Consumer Participation
- Disaster Linkage
When was the EMS Agenda for the Future presented?
What is the purpose of EMS?
To treat the right people, at the right time, at the the right place.
What were 3 major discoveries in the Pre-industrial Era?
- 1. Resuscitation
- 2. Anesthesia
- 3. Transportation
When was the Pre-Industrial Era?
When was penicillin discovered?
Where was hospital care done in the Pre-Industrial Era?
Homes by family, Alms houses, City dispensaries
Who first did mouth-to-mouth, and when?
Tassach in 1732
When was the formation of Dutch rescue societies?
When was the Philadelphia rescue society created?
When was the use of Ether?
When and where was the first General Anesthesia?
1846 in Mass Gen Hospital
Who and when were surgical techniques announced?
1870 by Lister
When was the Industrial Era?
What was the new life expectancy age in the Industrial area?
It went from 38 y/o to 71.
What developed in the Industrial Era?
- Improved communication and transportation
- Government healthcare
- Surgical advances
- Reliant physicians and hospitals
Cause of death went from ______ to _______.
Infection; Cardiovascular disease and Cancer
Where was the first rescue squad?
Roanoke, VA in 1928
What did WWI bring to EMS?
Increased lethality, international Red Cross, motor ambulance
What did the Korean Conflict bring to EMS?
MASH, forward based treatment hospital, helicopter evacuation
What did WWII bring to EMS?
Soldier medics, pain control/fluid replacement, delayed evacuation
What did the Vietnam War bring to EMS?
Use of helicopters, multi-level field hospital system, aircraft transfer to out-of-theater hospital
Who started cardiac care and when?
Peter Safar in 1960
Where was the external cardiac massage started?
Johns Hopkins Hospital
When was Medicare and Medicaid started?
When was the first pre-hospital transport system?
Who was Baron Dominique-Jean Larrey?
- Chief physicians Napoleon's Army
- Started triage
During what era was the Pre-Hospital Transport System started?
What was increasing in the Industrial Era?
What era was First Aid training first starting?
Where was the Red Cross started?
Mining towns of Pennsylvania
When did the Red Cross release it's first textbook?
What was a Resuscitator call?
- They administered oxygen with portable units.
- Known as a resuscitator run
When were uniform traffic codes put in place?
What was the first federal EMS legislation?
National Highway Safety Act of 1966
When was the Modern Era?
1970 - Present