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105 Chapter 1
Intro to Emergency Care
| Term | Definition |
|---|---|
| Regulation and Policy | Each state EMS system must have enabling legislation, lead ems agency, funding, policies, and procedures |
| Resource Mgmt. | Centralized coordination of resources so that all victims have equal access to care |
| Human Resources and Training | All EMS personnel trained to EMT level using National EMS Standards |
| Communications | There must be effective 911, distpatch-Amb, Amb-Amb,Amb-Hospital, Hos-Hos communication |
| Medical Direction | Must be a physician as a Medical Director accountable for activities of EMS personnel in that system. MD delegates to non-physician workers such as EMTs |
| Evaluation | Each statIe must have program of evaluation + improving EMS system, known as QI, QA, TQM |
| Trauma Systems | Each state needs enabling legislation for one or more trauma centers |
| EMR | Emergency Medical Responder (firefighter, police, industrial health personel) provides care prior to arrival of Ambulance |
| EMT | provides basic level medical and trauma care and transportation to a medical facility |
| AEMT | Everything EMT plus using advanced airway devices, administering some medications, and monitoring blood glucose levels |
| Paramedic | EMT+AEMT+advanced-level skills |
| EMD | Emergency Medical Dispatcher can provide information on CPR, artificial ventilation, bleeding control and more |
| QI | Quality Improvement is consistent self-review with the purpose of identifying aspects of the the system that require improvement |
| QI 5 things | 1) Carefully written documentation 2) Becoming involved in QI process 3) Obtaining feedback from patients and hospital staff 4) Maintaining Equipment 5) Continuing Education |
| Medical Director | Physician who assumes ultimate responsibility of medical direction, and oversees training, develops protocols and huge part of QI |
| Designated Agent | EMT, AEMT who provides medication and emergency care as an extension of the MD's license to practice medicine |
| Standing Orders | Policy or protocol that authorizes EMTs to perform particular skills in certain situation |
| Offline-Medical Direction | Perfoming a standing order without speaking to MD or other physician |
| Online-Medical Direction | Orders given by physician over radio/phone |
| Protocols | List of steps such as assessments and interventions, to be taken in different situations |
| EMS Role in Public Health | 1) Injury prevention for geriatric patients 2) Injury prevention for youth 3) Public Vaccination Programs 4) Disease Serveillance |
| Impact of Research | Patient outcomes and evidence-based techniques |
| Evidence Based Process | Forming Hypothesis, Reviewing Literature, Evaluating Evidence, Adopting the practice if evidence supports it |
| Methods of Reducing Bias | -Prospective vs. Retrospective (new vs old) -Randomization - High quality studies, single- blinded (researcher knows which therapy) Double-blinded (neither) - Control Groups group of patients receiving therapy of the commonly known +used - Study Groups |
| Types of Medical Research | - Case studies/reports always a retrospective report of patient(s) - Cohort/Concurrent Control/Case-Control Studies -RCTs randomized control trials - Systematic Review - Meta-Analysis p19 |
Created by:
jon.kowalski
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