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EMT-I Foundations

Intermediate Emergency Care Principles and Practice

What level of care is the EMT-I? Second Highest
EMT-I's are members of what profession? Allied Health Professions ancillary health care professions, apart from physicians and nurses.
You must always be an advocate for your patient and make sure the patient receives the best possible care. TRUE
EMT-I's are accountable to whom? To their Medical Director, their employer, the public, and to their peers.
EMT-I's are to be able to function how? Independently at a optimum level in a non-structured, consistantly changing enviroment.
An essential aspect of a healthcare professional is: Acceptance and adherance to a code of professional ethics and etiquette.
EMERGENCY MEDICAL SERVICES SYSTEM (EMSS) A network of personnel, equipment and resources established for the purpose of delivering aid and emergency medical care to the community.
BASIC LIFE SUPPORT (BLS) Refers to basic life-saving procedures such as: artificial ventilation and cardiopulmonary resuscitation (CPR)
ADVANCED LIFE SUPPORT (ALS) Refers to advanced life-saving procedures such as: intravenous therapy, drug therapy and intubation.
The in-hospital components of EMS include: (4) (1) Emergency Nurses(2) Emergency Physicians & Specialty Physicians(3) Ancillary Services,, such as: Trauma Surgeons and Cardiologist(4) Rehabilitation Services
Triage is? A method of sorting patients by the severity of their injuries.
Trauma is? A physical injury or wound caused by external forces or violence.
The U.S. Congress passed the National Highway Safety Act, which established the U.S. DOT a cabinet level department in what year? 1966
In what year was the Emergency Medical Technician-Ambulance program made public? 1969
In 1973 the U.S. Congress passed the? Emergency Medical Services System Act.
What are the (15) components of the EMS System? (1-5) Manpower, Training, Communications, Transportation, Emergency Facilities.
What are the (15) components of the EMS System? (6-10) Critical Care Facilities, Public Safety Agencies, Consumer Participation, Access to Care, Patient Transfer.
What are the (15) components of the EMS System? (11-15) Standardized Record Keeping, Public Information and Education, System Review and Evaluation. Disaster Management, Mutual Aid.
Medical Direction is? Medical ploicies, procedures and practices that are available to providers either on-line or off-line.
1988 NHTSA: 10 System Elements (1) 1) Regulation and Policy: Each state must have laws, regulations, policies and procedures that govern its EMS system. It is also required to provide leadership to local jurisdictions.
1988 NHTSA: 10 System Elements (2) 2) Resources management: Each state must have a central control of EMS resources so all patients have equal access to acceptable emergency care.
1988 NHTSA: 10 System Elements (3) 3) Human resources and training: A standardized EMS ciriculum should be taught by qualified instructors, and all personnel transport patients in the prehospital setting should be adequately trained.
1988 NHTSA: 10 System Elements (4) 4) Transportation: Patients must be safely and reliably transported by ground or air ambulance.
1988 NHTSA: 10 System Elements (5) 5) Facilities: Every seriously ill or injured patient must be delivered in a timely manner to an appropriate medical facility.
1988 NHTSA: 10 System Elements (6) 6) Communications: A sytem for public access to the EMS system must be in place. Communication among dispatchers, the ambulance crew, and hospital personnel must also be possible.
1988 NHTSA: 10 System Elements (7) 7) Trauma Systems: Each state should develope o system of specialized care for trauma patients, including one or more trauma centers and rehabilitation programs. It also must develope systems for assigning and transporting those patients to that facility.
1988 NHTSA: 10 System Elements (8) 8) Public information and education: EMS personnel should participate in programs designed to educate the public. The programs are to focus on the prevention of injuries and how to access the EMS system.
1988 NHTSA: 10 System Elements (9) 9) Medical direction: Each EMS system must have a physician as its medical director. This physician delegates all medical practice to non-physician caregivers and oversees all aspects of patient care.
1988 NHTSA: 10 System Elements (10) 10) Evaluation: Each state must have quality improvement system in place for continuing and upgrading of it EMS system.
All prehospital care providers are the medical director's designated agents, regardless of who their employer may be. TRUE
Medical Director A physician who is legally responsible for all of the clinical and patient care aspects of an EMS system. Also referred to as medical direction.
TRIAGE Guidelines that address patient flow through an EMS system, including how systems resources are allocated to meet the needs of patients.
TREATMENT Guidelines that identify procedures to be performed upon direct order from medical direction and procedures that are pre-authorized protocols called STANDING ORDERS
TRANSPORT Guidlines that address the mode of travel (air vs. ground) based on the nature of the patients injury or illness, his condition, the level of care required, and estimated time of transport.
TRANSFER Guidlines that address receiving facilities to ensure that the patient is admitted to the one most appropriate fro definitive care.
On-line Medical Direction is? When a qualified physician gives a direct orders to a prehospital care provider by either by radio or phone.
Intervener Physician is? A licensed physician, professsionally unrelated to patients on scene, who attempts to assist EMS providers with patient care.
Off-line Medical Direction is? Medical Policies, procedures, and practices that medical direction has set up in advance of a call.
Potocols are? The policies and procedures for all componants of an EMS system.
Standing Orders are? Preauthorized treatment procedures; a type of treatment protocol.
Protocols are designed around the four "T's" of emergency care. TRIAGETREATMENTTRANSPORTTRANSFER
COMMUNICATIONS:A coordinated, flexible communications plan should include: Citizen accessSingle control centerOperation communication capabilitiesMedical communication capabilitiesCommunication harwareCommunication software
EMD Emergency Medical Dispatcher
Once the initial education is completed, the EMT - I will become either? Certified or Licenced
Certification is? The process by which an agency grants recognition to an individual who has met its qualifications.
Licensure is? The process of occupational regulation.
Belonging to a professional organization is the best way to keep informed about? The latest technology.
A variety of journals are available to keep the EMT-I aware of the latest changes in this ever changing industry. TRUE
TYPE I AMBULANCE A conventional cab and chassis on which a modulae ambulance body is mounted, with no passageway between drive and patient compartments.
TYPE II AMBULANCE A standard van body, and cab form an intregal unit. Most have a raised roof.
TYPE III AMBULANCE A speciality van with a forward cab, intregal body, and a passageway from driver's compartment to patient compartment.
Created by: CGUERIN