CH01 - EMS System Flashcards
An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called:
Paramedic
As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on:
medical director approval
According to National EMS Scope of Practice Model, an EMT would require special permission from the medical director and the state EMS office to:
Insert a peripheral intravenous catheter
The person who is responsible fro authorizing EMTs to perform emergency medical care in the field is
medical director
T/F (Levels of training)
An EMT’s scope of practice may be expaned by the medical director after proper training and state approval.
True
T/F (Levels of training)
An EMT’s scope of practice is exclusively regulated by the state EMS office, not the EMS medical director.
False
EMRs such as firefighters, law enforcement officers, and park rangers are an integral part of the EMS system because:
They often arrive at the scene before the ambulance and EMTs
Which skill or intervention is included at every level of prehospital emergency training?
Automatic external defibrillation
The determination that promp surgical care in the hospiral is more important than performing time-comsuming procedures in the field on a major trauma patient is base mostly on:
EMS research
The continuous quality improvement (CQI) process is designed to
identify areas of improvement and provide remedial training if needed
T/F
The NREMT provides a national standard for EMS testing
True
A criteria required to become licensed and employed as an EMT
Proof of immunization against certain communicable diseases
Continuing education in EMS serves to
maintain, update, and expand the EMT’s knowledge and skills
According to the National EMS Scope of Practice Model, and EMT should be able to
assist a patient with certain prescribed medications
Which type of medication do standing orders and protocols desribe?
Offline
Definition
Standing order
a written medical protocol that allows emergency medical technicians (EMTs) to perform certain procedures or give certain medications without speaking to a physician. The medical director determines the medical criteria that must be met before administering controlled substances.
Give example
Online and Off-line medical control in EMS
- Offline (indirect): standing order, training, supervision
- Online (direct): physician directions given over the phone or radio
EMT certification exam is designed to
Ensure that EMTs are competent and have the same level of knowledge and skills.
EMS as we know today had its origins in 1966 with the publication of
Accidental Death and Disability: The Neglected Disease of Modern Society
Obtaining continuing medical education is the responsibility of the
individual EMT
Define emergency medical service
A team of health care professionals who are responsible for providing emergency are and transportation to the sick and injured.
Example of a knowledge-based failure
An EMT administeres the wrong drug to a patient beacause she did not know the pertinent information about the drug
Define and give example
Primary preventation strategy
- prevent the event from ever happening
- Example: educating the community on pool safety and car seat installation.
Define and give example
Secondary preventation strategy
- occurs after the event has already happened. How can we decrease the effects of event?
- Example: use of helmets and seat belts
A call center, staffed by trained personnel who are responsible for managing requests for police, fire, and ambulance services.
Public safety access point
An established process to determine the qualifications necessary to be allowed to practice a particular profession, or to function as an organization.
Credentialing
Oversight by the medical director to ensure the appropriate medical care standards are met by EMTs on each call.
quality control
A multidisciplinary system that represents the combined efforts of several professionals and agencies to provide prehospital emergency care to the sick and injured.
Emergency medical services
The branch of medicine that is focused on examining the health needs of entire populations with the goal of preventing health problems.
public health
A method of delivering health care that involves providing health care within the community rather than at a physician’s office or hospital.
mobile integrated health care
Comprehensive legislation that is designed to protect people with disabilities against discrimination.
Americans With Disabilities Act
A document created by the National Highway Traffic Safety Administration (NHTSA) that outlines the skills performed by various EMS providers.
National EMS Scope of Practice Model
A system that assists dispatchers in selecting appropriate units to respond to a particular call for assistance and provides callers with vital instructions until the arrival of EMS crews.
emergency medical dispatch
The designated area in which the EMS agency is responsible for the provision of prehospital emergency care and transportation to the hospital.
primary service area
The process whereby a competent authority, usually the state, allows people to perform a regulated act.
licensure
A trained professional, such as police officer, firefighter, lifeguard, or other rescuer, who may arrive first at the scene of an emergency to provide initial medical assistance.
emergency medical responder
A system of internal and external reviews and audits of all aspects of an EMS system aimed at improving outcomes.
continuous quality improvement
An individual who has training in basic life support, including automated external defibrillation, use of a definitive airway adjunct, and assisting patients with certain medications.
emergency medical technician (EMT)
An individual who has extensive training in advanced life support, including endotracheal intubation, emergency pharmacology, cardiac monitoring, and other advanced assessment and treatment skills.
paramedic
Federal legislation passed in 1996. Its main effect in EMS is in limiting availability of patients’ health care information and penalizing violations of patient privacy.
Health Insurance Portability and Accountability Act (HIPAA)
The physician who authorizes or delegates to the EMT the authority to provide medical care in the field.
medical director
Efforts to limit the effects of an injury or illness that you cannot completely prevent.
Secondary prevention
The delivery of medication directly into a vein.
intravenous therapy
An individual who has training in specific aspects of advanced life support, such as intravenous therapy, and the administration of certain emergency medications.
advanced EMT
A health care model in which experienced paramedics receive advanced training to equip them to provide additional services in the prehospital environment, such as health evaluations, monitoring of chronic illnesses or conditions, and patient advocacy.
community paramedicine
Physician instructions given directly by radio or cell phone (online/direct) or indirectly by protocol/guidelines (off-line/indirect), as authorized by the medical director of the service program.
medical control
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.
certification
Advanced life-saving procedures, some of which are now being provided by the EMT.
advance life support
A device that detects treatable life-threatening cardiac arrhythmias (ventricular fibrillation and ventricular tachycardia) and delivers the appropriate electrical shock to the patient.
Automated External Defibrillator (AED)
An approach to medicine where decisions are based on well-conducted research, classifying recommendations based on the strength of the scientific evidence; also called science-based medicine.
evidence-based medicine
The standards for prehospital emergency care and the individuals who provide it are typically regulated by the
state office of EMS
EMT training in nearly every state meets or exceeds the guidelines recommended by the
National Highway Traffic Safety Administration (NHTSA)
The __________________ deals with the well being of EMT, carreer progression, and EMT compensation.
human resouce department
Examples of Mobile Integrated Healthcare (MIH) model
- Performing health evaluations
- Monitoring chronic illnesses or conditions
- Obtaining laboratory samples
- Administering immunizations
Which skill would a layperson (first responder) most likely be trained to perform before the arrival of EMS?
Bleeding control using a tourniquet.
Why are prehospital emergency care guidelines updated on a regular basis?
Additional information and evidence indicate that the effectiveness of certain interventions has changed.
Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills are functions of the
paramedic
