CH 1 Flashcards
History of EMS
1947
- First Ambulance use
- Transport Only
History of EMS
1800
- Prehospital System for triaging
EMS history
1926
- Start of service similar to today, Phoenix Fire*
History of EMS
1940
- FIre and Police based EMS
- No stardards Set
Who developed Mouth to Mouth
Drs. James Elan & Peter Safar
1965 The white paper findings
- No stardards/Laws
- poor equiptment
- lack of communication
- lack of training
- part time staff
Who was Dr Nagel?
- The “father of paramedicine”
- created first Telemtry
- create first paramedic program in Miami 1969
what does registration mean
a recognized board holds record of your education, state and local licensure
what does Licensure mean
- how states control who is allowed to practice as a health care provider
what does credentialing mean
medical director dictates which skills are performed
what is reciprocity?
- granting certification to a provider from another state or agency
Third service EMS (municipalities)
may operate their own ambualnce services from fire, police, and other public safety entities.
hybrid EMS
Employers have hired paramedics to work in areas like oil drills, medical offices, etc.
difference between third-service EMS vs private EMS agency
- Private EMS contract their services to municipalities
- Managing existing service or providing full service
who is usually the first contact for EMS servies?
Dispatcher
who creates the scope of practice for EMS
NHTSA (National HIghway Traffic Safety Administration)
what is a profession
a field that requires specialized set of knowledge, skills, and expertise
define protocol
guideline that is a treatment plan
Example of Rule based failure
A parameic doesn’t have the legal right to give a certain medication
what is a research agenda
it specifies…
1. the questions to be answered
2. aims to be adressed
3. methods on how to gather information
Example of Skill-Based failure
A medic does’t know how to perform a skill
example of knowledge based failure
a paramedic doesn’t know all the pertinent information about a medication
fai
what is research domain
its a reasearch area to be adressed like:
* clinical
* basic science
* systems
* education
example of clincal domain
includes stroke research that performs clincal trials
Example of basic science reasearch
a study of the effectivness of new drug
example of systems domain of EMS
focuses on operations, ex. sleep deprivation affect on patient care
Example of education domain
study on how programs are taught for instance paramedic programs
define research consortium
a group of agencies working together to study a topic
Type of research that Questions within surrounding events and concurrent processes Often used when quantitative research does not provide answers
Qualitive
type of research is based on numeric data
Quantitive
what is Nonexperimental research
its a descriptive research that collects data through interviews and watching vitals signs parameters
what is survey research
conclusions are based on survey results
* findings may not be generalized
type of research that looks back on data to form a conclusion like EMS reports
Retrospective
Type fo research that gathers real time data
Prospective
type of reserach that exames patterns of change, trends over time
Cohort
types of research that collects info a various set time intervals
Longitudinal
type of reseach in which the literature is reviewed
Literature review
A research may pick subjects through a computer-generated system
Systematic Sampling
type of sampling of subjects that parameters are time framed
Alternative Time
the least preferred method is when subjects are manually assigned
Convenience Sampling
this gathered statistic format is when observations are made but not alterations are made
Descriptive
This gathered statistic format is when a hypothesis is used to proved one finding versus another
Inferential
