Mod1: EMT

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Author:
rebellious
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40884
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Mod1: EMT
Updated:
2010-10-09 16:26:57
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EMT
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NOTES: Chapter 1
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  1. Overview of the EMS System:

    French began transporting wounded soldiers away from the scene of the battle to physicians
    1790s
  2. Overview of the EMS System:

    non military ambulance services began
    1900s
  3. Overview of the EMS System:

    Smaller communities developed ambulance services
    1940s
  4. Overview of the EMS System:

    EMS (Emergence Medical Services) began
    1960s
  5. Overview of the EMS System:

    The National Highway Safety Act charged DOT ( The United States Department of Transportation) with developing EMS standards and assisting the states to upgrade the quality of their prehospital emergency care.
    1966
  6. Overview of the EMS System:

    National Registry of Emergency Medical Technicians was founded to establish professional standarda
    1970
  7. Overview of the EMS System:

    Congress passed the National EMergency Medical Services Act as the cornerstone of a federal effort to implement and improve EMS systems across the United States.
    1973
  8. NHTSA Set Standards:

    NHTSA (National Highway Traffic Safety Administration) initiates an EMS Technical Assessment Program based on 10 key components of EMS with a set of standards for EMS systems.
    • Regulation and policy
    • Resource management
    • Human resources and training
    • Transportation
    • Facilities
    • Communications
    • Public information and education
    • Medical direction
    • Trauma systems
    • Evaluation
  9. NHTSA Set Standards:

    Regulation and Policy
    • Each states' EMS System must have in place:
    • enabling legislation (laws allowing the system to exist)
    • a lead EMS agency
    • a funding mechanism
    • regulations
    • policies
    • procedures
  10. NHTSA set standards:

    Resource management
    • there must be centralizes coordination resources so that all victims of trauma or medical emergencies have equal access to:
    • basic emergency care and transport by certified personnel
    • a licensed and equipped ambulance
    • an appropriate facility
  11. NHTSA set standards:

    Human resources and training
    At a minimum, all transporting prehospital personnel (those who ride the ambulances) should be trained to the EMT-B level using a standardized curriculum taught by qualifies instructors.
  12. NHTSA set standards:

    Tramsportation
    • Safe, reliable ambulance transportation is a critical component
    • Most patients can be effectively transported by ground ambulances
    • Some patients require rapid transportation. or transportation from remote areas, by helicopter or airplane.
  13. NHTSA set standards:

    Facilities
    The seriously ill or injured patient must be delivered in a timely manner to the closest appropriate facility
  14. NHTSA set standards:

    Communications
    • There must be an effective communications system, beginning with:
    • the universal system access number (911),
    • dispatch-to-ambulance
    • ambulance-to-ambulance
    • ambulance-to-hospital
    • hospital-to-hospital
  15. NHTSA set standards:

    Public information and education
    • EMS personnel may participate in efforts to educate the public about:
    • their role in the system
    • their ability too access the system
    • prevention of injuries
  16. NHTSA set standards:

    Medical direction
    • Each EMS system must have have a physician as medical director accountable for the activities of EMS personnel within that system.
    • The Medical Director delegates medical practice to non-physician providers and must be involved in all aspects of the patient care system
  17. NHTSA set standards:

    Trauma systems
    • in each state, enabling legislation must exist to develop a trauma system including:
    • one or more trauma centers
    • triage and transfer guidelines for trauma patients
    • rehabilitation programs
    • data collection
    • mandatory autopsies (examination of bodies to determine cause of death)
    • means for managing and assuring the quality of the system
  18. NHTSA set standards:

    Evaluation
    • Each state must have a program for:
    • evaluating and improving the effectiveness of the EMS system, known as a quality improvement (QI) program
    • a quality assurance (QA) program
    • or total quality management (TQM)
  19. Components of the EMS System:

    Pre-hospital care
    • First responders
    • EMT-B
    • EMT-I
    • EMT-P
  20. Components of the EMS System:

    Emergency departments
    • Patient care technicians
    • Nurses
    • Physicians
  21. Components of the EMS System:

    Speciality Facilities
    • Cardiac Centers
    • Stroke Centers
    • Trauma Centers
    • Burn Centers
    • Pediatric Centers
    • Poison Control Centers
  22. Accessing the EMS System:

    911
    • A system for telephone access to report emergencies.
    • A dispatcher takes the information and alerts EMS or the fire or police departments as needed
    • Toll-free number
  23. Accessing the EMS System:

    Enhanced 911
    Has the capability to automatically identify the caller's phone number and location
  24. Accessing the EMS System:

    Communities without 911
    Standard seven-digit number to reach EMS
  25. Accessing the EMS System:

    Chain of the EMS human resources
    • Patient
    • Citizen calls 911
    • 911 dispatcher
    • First responders
    • EMTs
    • Emergency department staff
    • Allied health staff
  26. Roles and Responsibilities:
    • Personal safety
    • Safety of the crew, patient, and bystanders
    • Patient assessment
    • Lifting and moving
    • Transport
    • Transfer of care
    • Patient advocacy
  27. Roles and Responsibilities:

    Role of the EMT:
    • Careful documentation
    • Becoming involved in the QI process
    • Obtaining hospital feedback from hospital staff
    • Maintaining equipment
    • Continuing education
    • Maintaining skills
  28. Traits of a Good EMT:

    Professional Attributes and Traits

    • Maintains a presentable appearance
    • Keeps knowledge and skills up-to-date
    • Makes patients' needs a priority without endangering self or others
    • Maintains current knowledge of local, state, and national issues affecting EMS
  29. Definitions:

    Quality Improvement
    A process of continuous self-review with the purpose of identifying and correcting aspects of the system that require improvement
  30. Definitions:

    Medical Director
  31. Definitions:

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