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EMS 1010/1020 > chapter 1 > Flashcards

chapter 1 Flashcards

1
Q

what is the seven step process of accessing the EMS system?

A 
patient
a citizen calls 911
Emergency medical dispatcher
Emergency medical responders
EMTs
Emergency departments staff
Allied health staff
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2
Q

when did the development of modern EMS system begin?

A

1960’s

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3
Q

when did the national highway safety act charge the US Department of transport with developing EMS standards and assisting the states to upgrade the quality of their prehospital emergency care?

A

1966

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4
Q

when was the NREMT founded?

A

1970

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5
Q

T or F. in 1973 the National Emergency Medical System Services Act was passed

A

True

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6
Q

Regulation and policy

A

each state EMS system must have in place enabling legislation (laws that allow the system to exist), a lead EMS agency, a funding mechanism, regulations, policies and procedures

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7
Q

Resource management

A

there must be centralized coordination of resources so that all victims of trauma or medical emergencies have equal access to basic emergency care and transport by certified personnel and a licensed and equipped ambulance to an appropriate facility

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8
Q

Human resources and training

A

at a minimum all those transporting prehospital personnel should be trained to the EMT level using national EMS education standards there are taught by qualified instructors

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9
Q

Transportation

A

safe reliable ambulance transportation is a critical component. most patients can be effectively transported by ground ambulances. other patients require rapid transportation or transportation from remote areas by helicopter or airplane

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10
Q

Facilities

A

The seriously ill or injured patient must be delivered in a timely manner to the closest appropriate facility

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11
Q

Communications

A

There must be an effective communication system that encompasses the universal system access number ( 911) and dispatch to ambulance, ambulance to ambulance, ambulance to hospital,l and hospital to hospital communications

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12
Q

Public information and education

A

EMS personnel may participate in efforts to educate the public about their role in the system, their ability to access the system, and prevention of injuries

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13
Q

Medical direction

A

each EMS system must have a physician as a medical director who is accountable for the activities of EMS personnel within that system. the medical director must be involved in all aspects of the patient care system including protocol development training and quality improvement

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14
Q

Trauma systems

A

in each state enabling legislation must exist to develop a trauma system including one or more trauma centers, triage and transfer guidelines for trauma patients, rehabilitation programs, data collection, mandatory autopsies, and means for managing and ensuring the quality of the system.

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15
Q

Evaluation.

A

each state must have a program for evaluating and improving the effectiveness effectiveness of the EMS system, Known as a quality improvement (QI) program, a quality assurance (QA) program, or total quality management (TQM).

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16
Q

When does care begin from the patients view?

A

For the patient care begins with the initial phone call to the EMD

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17
Q

what is a specialty hospital and what does it do?

A

One specialty hospital is the trauma center. in a trauma center surgery teams capable of comprehensive treatment of trauma patients are available 24 hours a day

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18
Q

4 different kinds of specialized centers/hospitals

A

Burn centers, pediatric centers, cardiac centers, and stroke centers

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19
Q

Who are the many others that make up the hospital portion of the EMS system? (important)

A

they include physicians, nurses, physicians assistants, respiratory and physical therapists, technicians, aides and others

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20
Q

What are the four general levels of EMS training and certification?

A

Emergency medical responder (EMR), emergency medical condition technician (EMT), advanced emergency medical technician (AEMT), paramedic

21
Q

Critical decision making

A
  • Gather information from scene, patient assessment, and other sources.
  • Synthesize (interpret) information to make decisions regarding treatment and transport options.
22
Q

What are 8 roles and responsibilities for an EMT? (Important)

A 
Personal safety
Safety of crew, patient, and bystanders
Working with other public safety professionals
Patient assessment and care
Lifting and moving
Transport
Transfer of care
Patient advocacy
23
Q

What always comes before emergency care?

A

assessment

24
Q

What are 4 good physical traits for EMT?

Important

A

Ability to lift and carry equipment and patients up to 125 pounds
Good eyesight (distance and reading)
Awareness of any problems with color vision
Good communication skills (oral and written)

25
Q

what are 13 personality and character traits for a good EMT? (Important)

A 
Pleasant
Sincere
Cooperative
Resourceful
Self-starter
Emotionally stable
Able to lead
Neat and clean
Of good moral character and respectful of others
In control of personal habits
Controlled in conversation and able to communicate properly
Able to listen to others
Nonjudgmental and fair
26
Q

How to maintain up to date skills (Important)

A

Refresher courses
Continuing education courses
Conferences, seminars, and lectures

27
Q

Where Will You Become a Provider?

A 
Ambulance services
Fire departments
Rural/wilderness teams
Urban/industrial settings
Volunteering
28
Q

National Registry of Emergency Medical Technicians

A

Registration for EMRs, EMTs, AEMTs, and paramedics who successfully complete NREMT examinations
May help in reciprocity (transferring to another state or region)
Beneficial when applying for employment

29
Q

There are several ways you can work towards quality care these include

A

carefully preparing written documentation, becoming involved in the Qi process, obtaining feedback from patients and the hospital staff,
maintaining your equipment,
continuing your education

30
Q

All patient care performed under direction of Medical Director: (5 things)

A 
Ultimate responsibility for patient care
Oversees training
Develops treatment protocols
Issues off-line medical direction (standing orders)
Provides on-line medical direction
31
Q

what reverses affects of opioids?

A

Naloxone

32
Q

Definition of public health

A

the system by which the medical community overseas the basic health of a population

33
Q

EMS Role in public health (4 things)

A

Injury prevention for geriatric patients
Injury prevention for youth
Public vaccination programs
Disease surveillance

34
Q

Two ways research affects EMS

A

Focus on improving patient outcomes

Through evidence-based techniques

35
Q

Evidence-based process (4 steps)

A

Forming a hypothesis
Reviewing literature
Evaluating the evidence
Adopting the practice if evidence supports it

36
Q

why does the Dynamic nature of treatment make research difficult? (2 things)

A

Not all research is created equal.

Embrace best practices of conducting and evaluating research

37
Q

Rely on the scientific method which is…

2 steps

A

General observations turned into hypothesis

Predictions tested to prove or disprove hypothesis

38
Q 
what are the types of medical research
Peer-reviewed research in medical journals
Articles in E M S magazines
Not original research
Not peer reviewed
A
  • Peer-reviewed research in medical journals
  • Articles in EMS magazines
    • Not original research
    • Not peer reviewed
39
Q

T or F The Americans with Disabilities Act (A D A) has set strict guidelines preserving the rights of Americans with disabilities.

A

True

40
Q

what is included in The EMS system? (8)

A

911 or another emergency access system, dispatchers, E M Ts, hospital emergency department, physicians, nurses, physician’s assistants, and other health professionals

41
Q

REMEMBER

A
  • E M S dates back to Napoleonic times.

- Modern E M S standards come from 1960s–1970s and National Emergency Medical Service Systems Act (N E M S S A).

42
Q

REMEMBER (four levels of EMS providers

A

Emergency Medical Responder, Emergency Medical Technician,

Advanced EMT, Paramedic

43
Q

Requesting orders from a physician by radio is an example of what kind of medical control?

A

on-line

44
Q

What innovation was introduced in the Korean and Vietnam wars that is now common in many E M S systems?

A

Specialized emergency medical centers devoted to the treatment of trauma

45
Q

techniques or practices that are supported by scientific evidence of their safety and efficacy, rather than merely on supposition and tradition.

A

evidence-based techniques

46
Q

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

A

Medical Director

47
Q

Medical Direction:

A

oversight of the patient-care aspects of an EMS system by the Medical Director. Direction can be either off-line or on-line.

48
Q

standing orders

A

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

EMS 1010/1020 (13 decks)

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