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chapter 1-4 Advanced Emergency Care and Transport of sick and Injured

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Term
Definition
Advanced Emergency Medical Technician   An emergency medical provider who has training in specific aspects of advanced life support, such as IV therapy and administration of certain medications  
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Advanced life support   Advanced life saving procedure, some of which are now being provided by AEMT  
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Americans With Disabilities Act   Comprehensive legislation that s designed to protect people with disables against discrimination  
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Automated External Defibrillator   a device that detect triable life-threatening cardiac arrhythmias (ventricular fibrillation and ventricular tachycardia) and delivers the appropriate electrical shock to the patient  
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certification   a process in which a person, an institution, or a program is evaluated and recognized as meeting certain predetermined standards to provide safe and ethical care  
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Continuous quality improvement   a system of internal and external reviews and audits of all aspect of an EMS system  
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Emergency medical dispatch   a system that assist dispatchers inn selecting appropriate units to respond to a particular call for assistance and in providing callers with vital instructions until the arrival of EMS crews  
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Emergency Medical Services   a multidisciplinary system that represents the combined efforts of several professionals and agencies to provide prehospital emergency care to sick and injured people.  
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Emergency Medical Responder   the first trained person, such as a police officer, firefighter, or other rescuer to arrive at the scene of an emergency to provide initial medical treatment  
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Emergency Medical Technician   an emergency medical provider who has training in basic emergency care skills, including automative external defibrillation, use of definitive airway adjuncts, and assisting patients with certain medications  
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Health information portability and accountability act (HIPAA)   the legislation enacted in 1996 providing for criminal sanctions and for civil penalties for releasing a patient's protected health information in a way not to authorized by the patient  
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licensure   the process whereby a state allows qualified people to perform a regulated act  
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medical control   physician instruction that are given directly by radio (online of r=direct) or indirectly by protocols or guidelines (offline or indirect) s authorized by the medical director of the service program  
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Medical Director   the physician who authorizes or delegates tot he provider authority to perform health care in field  
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National EMS Scope of Practice Model   a document created by the national highway traffic safety safety administration that outlines the skills performed by various ems providers  
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Paramedic   an emergency medical provide who has extensive training in advance life support, including intravenous therapy, pharmacology, cardiac monitoring, and other advanced assessment and treatment skills.  
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Primary prevention   effort to prevent an injury or illness from ever occurring  
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primary service aera   the designated area in whih an ems service is responsible for the provision of prehospital emergency care and transportation to hospital  
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Public Health   focused on examining the health needs of entire populations with the goal of preventing health problems  
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Public safety access point   a call center staffed by trained personnel who are responsible for managing request for police, fire, and ambulance services  
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Quality control   the responsibility of the medical director to ensure that the appropriate medical care standard are met by AEMT's on each call  
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Reciprocity   the recognition by one state og another states licensure, allowing a health care professional from another state to practice in the new state  
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Secondary prevention   efforts to limit the effects of an injury to illness that you cannot completely prevent  
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Vector-borne Transmission   the use of an animal to spread a organism from one person or place to another  
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tuberculosis   a chronic bacterial disease cause by Mycobacterium tuberculosis that usually affect the lungs by also can affect other organs such as brain or kidney  
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transmission   the way in which an infection agent is spread: contact, airborne, by vehicle (food of needles) or by vectors  
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Standard precautions   Protective measures that have traditionally been developed by CDC for use in dealing with objects. blood, body fluids, or other potential exposure risk of communicable diseased  
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Post traumatic Stress disorder (PTSD)   a delayed stress reaction to a pervious incident. this delayed reaction is the results of one or more unresolved issues concerning the incident  
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personal Protective Equipment (PPE)   protective equipment that OSHA requires to be made available to EMS providers. In the case of infection risk, PPE blocks entry if an organism into the body  
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pathogen   a microorganism that is capable of causing disease in a susceptible host  
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Occupation Safety and Health Administration (OSHA)   the federal regulatory compliance agency that develops, publishes, and enforces guidelines concerning safety in the workplace  
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Morbidity   the number of non-fatally injured or disabled people. usually expressed as a rare, meaning the number of nonfatal injuries in a certain population in a given time periods divided by the size of the population  
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Infectious Disease   a disease that is caused by infection or one that is capable of being transmitted with or without direct contact  
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Infection Control   Procedures to reduce transmission of infection among patient and health care personnel.  
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Infection   the invasion of a host or host tissue by organism such as bacteria, viruses, or parasites, with or with signs or symptoms of disease  
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indirect contact   exposure ir transmission of disease form one person to another by contact with a contaminated object  
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immunity   the body's ability to protect itself from acquiring a disease  
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human immunodeficiency virus   Acquired immunodeficiency syndrome is cause by HIV, which damages the cells in the body's immune system so that the body is unable to fight infection of certain cancers  
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host   the organism or person attacked by the infecting agent  
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Hepatitis   inflammation of live, usually caused by a virus, that causes loss of appetite, fever, jaundiced, fatigue, and altered liver function.  
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general adaptation syndrome   the body's three stage response to stress. first stress causes the body to trigger an alarm response. followed by stage of reaction and resistance. and lastly recovery or if the stress is prolonged, exhaustion  
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food borne transmission   the contamination of food or water with an organism that can cause disease  
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exposure   a situation in which a person has had contact with blood, body fluids, tissues, or airbourne particles that increase the risk of disease transmission  
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direct contact   exposure to or transmission of a communicable disease from one person to another by physical contact  
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designation officer   the person in the department who is charged with the responsibility of managing exposure and infection control issue  
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delayed stress reaction   reaction to stress that occurs alter a stressful situation  
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cumulative stress reaction   prolonged or excessive stress  
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critical incident stress management (CISM)   a process that confronts responses to critical incidents and defuses them  
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cover   tactical use of an impenetrable barrier to conceal EMS personnel and protect them from projectiles ( ex. bullets, bottles, and rocks  
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contamination   the presence of infectious organisms on or in objects such as dressings, water, food, needles, wounds, or a patient's body  
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communicable disease   any disease that can be spread from person to person or from animal to person  
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Center for disease control and prevention   the primary federal agency that conducts and supports public health activities in the united states. the CDC is part of the US department of Health and HUman services.  
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Bloodborne pathogens   Pathogenic microorganism that are present in human blood and can cause disease in humans. these pathogens include, but are not limited to, hepatitis B virus and human immunodeficiency virus  
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airborne transmission   the spread of an organism in aerosol form  
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Acute Stress Reaction   reaction to stress that occurs during a stressful situation  
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Specialty Centers   Trauma center, burn center, poisoning, psychiatric  
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Protocols   Are described in a comprehensive guide delineating the scope of practice for emts  
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Standing orders   are part of protocols and designed what an AEMT is required to do for a specific complaint or condition  
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Online(direct) Medical control   consists of f direction given over the phone or radio directly from the medical director or designated physician  
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Offline (indirect) Medical control   consist of standing orders, training, and supervision authorized by medical director.  
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Profession attributes of an EMT   Integrity, Empathy, Self-motivation, appearance, hygiene, self confidence, time management, communication, teamwork and diplomacy, respect, patient advocacy, careful delivery of care.  
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Acute Stress Reaction   reaction to stress that occurs during a stressful situation  
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Airborne Transmission   a spread of an organism in aerosol form  
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Bloodborne pathogen   pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include, but are not limited to, hepatitis B virus and human immunodeficiency  
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Center for Disease Control and Prevention (CDC)   the primary federal agency that conducts and supports public health activities in the United States. The CDC is part of the US department of health and human services  
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Communicable disease   any disease that can be spread from person to person or from an animal to person  
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Concealment   the use of object such as shrubs or bushes to limit a person's visibility of you.  
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Contamination   the presence of infectious organism on or in objects such as dressings, water, food, needles, wounds, or a patient's body  
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cover   the tactical use of an impenetrable barrier to conceal EMS personnel and protect them from projectiles  
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Critical Incident stress management (CISM)   A process that confronts responses to critical incidents and defuses them.  
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Cumulative Stress reaction   prolonged or excessive stress  
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Delayed Stress Reaction   reaction to stress that occurs after a stressful situation  
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designated officer   the person int he department who is charged with responsibility of managing exposures and infection control issues  
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direct contact   exposure to or transmission of a communicable disease from one person to another by physical contact  
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exposure   a situation in which a person has had contact with blood, body fluids, tissues, or airborne par tiles that increases the risk of disease transmission  
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foodborne transmission   the contamination of water or food with an organism that can cause disease  
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general Adaptation Syndrome   the body's three stage response to stress 1. tigger an alarm response 2. reaction and resistant 3. recovery or exhuastion  
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hepatitis   inflammation of the liver, usually caused by a virus, that causes fever, loss of appetite, jaundiced, fatigue, and altered liver function  
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host   the organism or person attacked by the infecting agent  
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Human immunodeficiency Virus   HIV- acquired immunodeficiency syndrome is cause HIV , which damages the cell in the body's immune system so that the body is unable to fight infection or certain cancers  
🗑
immunity   the body's ability to protect itself from acquiring a disease  
🗑
indirect contact   exposure or transmission of a disease from one person to another with a contaminated object  
🗑
infection   the invasion of a host or host tissue by organisms such as bacteria, virus, or parasites, with or without signs or symptoms of disease  
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infection control   procedures to reduce transmission of infection among patients and health care personnel  
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Infection disease   a disease that is caused by infection or one that is capable of being transmitted with or without direct contact  
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morbidity   the number of non fatally injured or disabled people. usually expressed as a rate, meaning the number of nonfatal injuries in a certain population in a given time period divided by the size of the population  
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Occupational Safety and Health Administration   OSHA- the federal regulatory compliance agency that develops, publishes, and enforces guidelines concerning safety in the workplace  
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Pathogen   a microorganism that is capable of causing disease in a susceptible host  
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Personal Protective Equipment   PPE- protective equipment that OSHA requires to be made available to EMD providers. The the case of infection risk, PPE blocks entry of an organism into the body  
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Post-traumatic Stress Disorder   PTSD- a delayed stress reaction to a previous incident. This delayed reaction is the result of one or more unresolved issues concerning the incident  
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Standard Precautions   Protective measures that have traditionally been developed by the CDC for use in dealing with objects, blood, body fluids, or other potential exposure risk of communicable disease  
🗑
Transmission   the way un which an infectious agent is spread: contact, airborne, by vehicle, or by vectors  
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Tuberculosis   A chronic bacterial disease caused by Mycobacterium tuberculosis that usually affects the lungs but can also affect other organs such as the brain or kidneys  
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Vector-borne transmission   the use of an animal to spread an organism from one person or place to another  
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base station   any radio hardware containing a transmitter and receiver that is located in a fixed place  
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Cellular telephone   a low-power portable radio that communicates through an interconnected series of repeater stations called "cells"  
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Channel   an assigned frequency or frequencies that are used to carry voice and/or data communications  
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Closed-ended questions   questions that can be answered in short or single word responses  
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communication   the transmission of information to another person- verbally or through body language  
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Cultural imposition   when a person imposes his or her beliefs, values, and practices on another because he or she believes his or her ideals are superior  
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dedicated line   a special telephone line that is used for specific point-to-point communications; aslo known as a "hot line"  
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documentation   the written portion of the AEMT's patient interaction; becomes part of the patient's permanent medical record  
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duplex   the ability to transmit and receive simultaneously  
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emergency medical dispatcher   the professional who obtains information about an emergency, directs the appropriate vehicle to the scene, and provides the caller with advice to manage the situation unit help arrives  
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enhanced 911   an emergency response system in which much of the call information, such as the phone number and location of the caller, is recorded automatically and viewed by the dispatcher on a computer screen  
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ethnocentrism   when a person considers his or her cultural values as more important when interacting with people of different culture  
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Federal Communications Commission   FCC- the federal agency that has jurisdiction other interstate and international telephone and telegraph services and satellite communications, all of which may involve EMS activity  
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MED channels   VHF and UHF channels that the FCC has designated exclusively to EMS  
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mobile data terminals   small computers terminals inside ambulances that directly receive data from the dispatch center  
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noise   anything that dampens or obscures the true meaning of a message  
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open-ended questions   Questions for which the patient must provide detail to give a answer  
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paging   the use of a radio signal and a voice or digital message that is transmitted to pagers or desktop monitor radios  
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Patient care reports   a written record of the incident that describes the nature of the patient's injuries or illness at the scene and treatment you provide.  
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pertinent negative findings   findings that warrant no medical care or intervention, but which, by seeking them, show evidence the thoroughness of the patient examination and history  
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pre-arrival instructions   instructions provided by the emergency medical dispatcher to an emergency caller to care for life-threateninf emergencies until help provides  
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proemics   the study of space between people and its effect on communication  
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rapport   a trusting relationship that you build with your patient  
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repeater   a special base station radio that receives messages and signals on one frequency and then automatically retransmits them on a second frequency  
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simplex   single frequency radio, transmissions can occur in either direction but not simultaneously in both; when one party transmits, the other can only receive and the other party that is transmitting is unable to receive  
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scanner   a radio receiver that searches or scans across several frequencies until the message is completed; the process is then repeated  
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standing orders   written documents, signed by the EMS system's medical director, that outline specific directions, permissions, and sometimes prohibition regarding patient care----ALSO CALLED PROTOCOLS  
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telemetry   a process in which electronic signals are converted into coded, audible signals; theses signals can then be transmitted by radio or telephone to a receiver at the hospital with a decoder  
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therapeutic communication   verbal and nonverbal communication techniques that encourage patient to express their feelings and to achieve a positive relationship  
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trunking   sharing radio frequencies by multiple agencies or systems  
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UHF   radio frequencies between 300-3,000 MHz  
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VHF   radio frequencies between 30-300 MHz, further divided by high and low bands  
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