EMT Chapter 1: Intro to Emergency Medical Care

4 Levels of EMS Training

1. First Responder (police, firefighters, etc) 2. EMT-Basic 3. EMT-Intermediate 4. EMT-Paramedic (advanced life support)

5 Roles of EMT in QI

1. Keeping carefully written documentation 2. Becoming involved in the quality porcess 3. Obtaining feedback from patients and hospital staff 4. Maintaining equiptment 5. Continuing education

National Highway Traffic Safety Admin (NHTSA) sets standards for what categories?

Regulation and Policy Resource Management Human Resources and Training Transportation Facilities Communications Public Information and Education Medical Direction Trauma Systems Evaluation

6 Specialty Hospitals

Trauma Burn Centers Pediatric Centers Cardiac Centers Stroke Centers Poison Control Centers

8 Roles and Responsibilities of the EMT

1. Personal Safety 2. Safety of the Crew, patients, and bystanders 3. Patient Assessment 4. Patient Care 5. Lifting and moving 6. Transport 7. Transfer of Care 8. Patient Advocacy

An EMT or other person authorized by a medical director to give medications and provide care. This is an EXTENSION of the medical directors license to practice medicine.

Designated Agent

System that has the capability to automatically id the caller's phone number and location.

Enhanced 911

Oversight of the patient-care aspects of an EMS system by the Medical Director

Medical Direction

A physician who assumes ultimate responsibility for the patient-care aspects of the EMS system.

Medical Director

Standing orders issued by the medical Director that allow EMTs to give certain medications or perform certain procedures without speaking to the medical director or another physician.

Off-line Medical Direction

Orders from the on-duty physician given directly to an EMT in the field by radio or telephone.

On-line Medical Direction

Lists of steps (i.e., assessments, interventions) to be taken in different situations.

Protocols

A process of continuous self-review witht he purpose of identifying and correcting aspect of the system that require improvement.

Quality Improvement

A policy or protocol issued by a Medical Director that authorizes EMTs and others to perform particular skills in certain situations.

Standing Orders

Emergency Medical Services or EMS is also known as:

prehospital or out-of-hospital care

EMS began in 1966 by

the National Highway Safety Act charging the Department of Transportation (DOT) with developing standards.