Chapter 1 - Emergency Medical Care Systems, Research, and Public Health Flashcards
Emergency medical treatment given to patients before they are transported to a hospital or other facility.
Prehospital care
Protects individuals who have a documented disability from being denied initial or continued employment based on their disability.
Americans With Disabilities Act (1990)
Physician who is legally responsible for the clinical and patient care aspects of the EMS system.
Medical director
Developing and establishing the guidelines under which emergency medical service personnel function.
Medical direction
Comprise a full set of guidelines that define the entire scope of medical care (triage, treatment, transport, destination.)
Protocols
Provided through a set of predetermined, written guidelines that allow EMTs to use their judgement to administer emergency medical care according to the written guidelines without having to contact a physician.
Off-line medical direction
Requires that the EMT squire permission from a physician via cell, telephone, or radio communication prior to administering specific emergency care.
On-line medical direction
A subset of protocols that do not require real time physician input. In some systems, the term is synonymous with offline medical direction.
Standing orders
The emerging term that more comprehensively describes the EMS system medical directors responsibilities.
Medical oversight
A system of internal and external reviews and audits of all aspects of an emergency medical system.
Quality improvement
Focuses on research to provide clear evidence that certain procedures, medications, and equipment improve the patients outcome.
Evidence based medicine
Permits patient care to begin at the scene of the injury or illness, and EMS is part of a continuum of patient care that extends from the time of injury or illness until rehabilitation or discharge.
EMS system
