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Emergency Care 12th

Chap 1 Intro to Emergency Medical Care

How & when did the EMS begin? In 1970's the French began to transport the wounded soldiers away from the scene of battle
Who established the American Red Cross? Clara Barton
When and where did ambulance service begin? In early 1900's in major American cities.
In what year did the modern EMS system begin? During the 1960's
What is DOT? Department Of Transportation
What year was the National Registry of Emergency Medical Technicians founded? 1970
What happened in 1973? Congress passed the National Emergency Medical Services Systems.
What is NHTSA? National Highway Traffic Safety Administration
What are a list of standards set forth by NHTSA? Regulation & Policy Resource Management Human Resources and Training Transportation Facilities Communication Public Information & Education Medical Direction Trauma Systems Evaluation
Which NHTSA standard is this: Each EMS system must have in place enabling legislation (laws that allow the system to exist), a lead EMS agency, a funding mechanism, regulations, policies and procedures. Regulation and policy
Which NHTSA standard is this:There must be centralized coordination of resources so that all victims of trauma or medical emergencies have equal access to basic emergency care and transport by certified personnel, in a licensed and equipped ambulance. Resource Managment
Which NHTSA standard is this:At a minimum all thoses who are transporting prehospital personnel should be trained to the EMT level using a standardized curriculum taught by a qualified instructor. Human Resources & Training
Which NHTSA standard is this:Safe reliable service Transportation
Which NHTSA standard is this:The seriously ill or injured patients must be delivered in a timely manner to the closest appropriate hospital Facility
Which NHTSA standard is this:911 Communication
Which NHTSA standard is this:EMS may practice in efforts to educate the public about their role in the system, their ability to access the system, and prevention of injuries. Public Information & education
Which NHTSA standard is this:Each EMS system must have a medical director. Medical direction
one or more trauma centers, mandatory autopsies, and means for managing and ensuring the quality of the system. Trauma Systems
Which NHTSA standard is this:Improving the effectiveness of the EMS System. Evaluation
What is QI? Quality improvement
What is QA? Quality Asurance
What is TQM? Total Quality management
What is the Chain of human resources making up the EMS system? Patient A citizen calls 911 911 dispatcher first responder EMT Emergency department staff Allied health staff
EMR- Emergency Medical Responder (previously called first responder) many police, firefighters, and industrial health personnel function in this capacity. Provide immediate care, control the scene, prepare for the arrival of the ambulance.
EMT- Emergency Medical Technician (previously referred to as EMT-basic) Minimum level of certification for ambulance personnel.
AEMT- Advanced Emergency Medical Technician (previously called EMT-Intermediate) Provides basic level care and transportation, some advanced level care including use of advanced airway devices, monitoring blood glucose levels, and administration of some medications, which may include intravenous and intraosseous administration.
Paramedic (previously called EMT- Paramedic) Performs all the skills of the EMT and AEMT plus advanced level skills. The paramedic provided the most advanced level of prehospital care.
Should you take your patient to the closest hospital or to a more distant specialty hospitals? Depends on the patient and their symptoms.
What is quality improvement? Process of continuous self-review with the purpose of identifying and correcting aspects of the system that require improvement.
What is a Medical Director A physician who assumes ultimate responsibility for the patient-care aspects of the EMS system
What 2 words explain the following: oversight of the patient-care aspects of an EMS system by the Medical Director. Medical Direction
What is meant by the word protocoles? List of steps, such as assessments and interventions, to be taken in different situations.
Who developes the protocols? The Medical Director or an EMS system.
What is a designated agent? An EMT or other person authorized by a Medical Director to give medication and provide emergency care.
A policy or protocol issued by a MEdical Director that authorizes EMT's and other to perform particular skills in certain situations. Standing Orders
What is Off-line medical direction? Standing orders issued by the medical director that allow EMT's to give certain medication or perform certain procedures without speaking to the medical director or another physician
What is on-line medical direction? Orders given directly by the on-duty physician to an EMT in the field by radio or telephone.
The long term survival of patients is known as what? Patient Outcomes
Evidenced -based means what? It is a description of medical techniques or practices that are supported by scientific evidence of their safety and efficacy, rather thanmerely on supposition and tradition.
The EMS system has been developed to provide what? prehospital care and emergency care.
EMT responsibilities include: Safety patient assessments and care lifting, moving, and transporting patients transfer of care and patient advocacy
Created by: LacyJay87