Chapter 1, 2, 3, and 9 Flashcards
“white paper”
“Accidental Death and Disability: The Neglected Disease of Modern Society”
- detailed # deaths/injuries
- identified issues with prehospital care
- made recommendations for improvements
EMS system
the continuum of patient care that extends from the time of injury or illness until rehabilitation or discharge
National Highway Traffic Safety Administration (NHTSA)
- part of the Department of Transportation
- leader in developing emergency services
- 2005 National EMS Core Content
- 2006 The National EMS Scope of Practice
Technical Assistance Program Assessment Standards (10)
- Regulation and Policy
- Resource management
- Human resources and training
- Transportation
- Facilities
- Communications
- Public information and education
- Medical direction
- Trauma systems
- Evaluation
Enhanced 911 System (E-911)
provides automatic number ID (ANI) and automatic location ID (ALI)
PSAP (public service answering point)
public service answering point:
- receive all 911 calls
- records call info
- alerts responding service
EMD
emergency medical dispatcher
- staff PSAP
- provide instructions for emergency care over the phone
Basic 911
wireless service providers must transmit cals to a PSAP regardless of subscription status
Phase I Enhanced 911
wireless service provider must provide PSAP with phone number and transmitting tower of caller
Phase II Enhanced 911
wireless service provider must provide latitude and longitude of caller
National EMS Scope of Practice Model
- released by NHTSA in 2005
- national standards
Identifies 4 levels of EMS practitioners:
1. Emergency Medical Responder (EMR)
2. Emergency Medical Technician (EMT)
3. Advanced EMT (AEMT)
4. Paramedic
EMR scope of practice
x
EMT Scope of Practice
x
AEMT Scope of Practice
x
Paramedic Scope of Practice
x
Hyperbaric Center
treatment of certain toxic exposures, diving emergencies, and other conditions
Obstetrical Center
for treatment of high-risk obstetric (birth) patients
State EMS Agency Role
- Overall planning of the statewide EMS system
- Coordination of the system
- Regulation of the system
- Licensing local EMS agencies and personnel
Medical Director
physician who is legally responsible for the clinical and patient care aspects of the EMS system
Medical Direction
Develop and establish protocols
Protocols
guidelines under which the EMS personnel function
Off-line medical direction
set of predetermined, written guidelines that allow EMTs to use their judgement to administer care without having to contact a physician
Standing Orders
subset of protocols that do not require real-time physician input (type of offline medical direction)
Medical Oversight
all of clinical and administrative functions and activities performed by the medical director
Continuous Quality Improvement (CQI)
system of internal and external reviews and audits of all aspects of an emergency medical system
Evidence-based Medicine
focuses on research to provide clear evidence that certain procedures, medications and equipment improve the patient’s outcome
- Formulate a question
- Search medical literature
- Appraise the evidence
- Change protocols and implement the change as needed
5 Emotional Stages (DABDA)
- Denial
- Anger
- Bargaining
- Depression
- Acceptance
Acute Stress Reaction
results from exposure to a high-stress situation