CHAPTER 1: EMS SYSTEMS Flashcards
FATHER OF PARAMEDICINE
DR. EUGEN NAGEL
WHAT WERE MICU’S
AMBULANCES
WHAT DID THE WHITE PAPERS DO
HIGHLIGHTED WHAT EMS WAS LACKING AND LISTED 10 CRITICAL THINGS TO ESTABLISH A SYSTEM, GAVE EMS FUNDING
LICENSURE VS. CERTIFICATION
CERTIFICATION: ENSURES PROVIDERS HAVE SAME BASIC KNOWLEDGE
LICENSURE: PERMISSION FROM STATE TO PRACTICE
CREDENTIALING
MED DIRECTOR DECIDES WHAT SKILLS EMS CAN PROVIDE
RECIPROCITY
GRANTING CERTIFICATION TO PROVIDER FROM ANOTHER AGENCY
5 MAIN TYPES OF EMS SERVICES
FIRE-BASED
THIRD-SERVICE
PRIVATE EMS
HOSPITAL-BASED
HYBRID
CRITIAL POINTS OF EMS
BYSTANDER CARE
DISPATCH
RESPONSE
EMS
TRANSPORTATION
ED CARE
DEFINITIVE CARE
REHABILITATION
AEMT USED TO BE CALLED ___
INTERMEDIATE
FIRST POINT OF CONTACT FOR PATIENT IN FIELD
DISPATCHER
TYPES OF TRANSPORT (3)
ED, SPECIALTY CENTERS, INTERFACILITY
MEDIC ROLES AND RESPONSIBILITIES (8)
PREPARATION
RESPONSE
SCENE MANAGEMENT
PATIENT ASSESSMENT/CARE
MANAGEMENT/DISPOSITION
PATIENT TRANSFER AND REPORT
DOCUMENTATION
RETURN TO SERVICE
ONLINE VS OFFLINE MED CONTROL
ONLINE: REAL TIME WITH PROVIDER
OFFLINE: STANDING PROTOCOLS/STANDARDS
CONTINUOUS QUALITY IMPROVEMENT PROCESS
ASSESS CURRENT PRACTICE AND LOOK FOR WAYS TO IMPROVE
RESEARCH AGENDA
QUESTIONS TO BE ANSWERED AND METHODS HOW STUDY WILL BE CARRIED OUT
RESEARCH DOMAIN
RESEARCH AREA TO BE ADDRESSED
RESEARCH CONSORTIUM
GROUP OF AGENCIES WORKING TOGETHER TO STUDY A TOPIC
INSTITUTIONAL REVIEW BOARD
ENSURES RIGHTS OF STUDY SUBJECTS ARE PROTECTED
QUALITATIVE RESEARCH
DESCRIPTIVE RESEARCH STATISTIC THAT DOES NOT USE NUMERICS
QUANTITATIVE RESEARCH
NUMBER DATA
EXPERIMENTAL RESEARCH
RESEARCHER CONTROLS, MANIPULATES AND MEASURES VARIABLES TO SEE ITS AFFECT
NONEXPERIMENTAL RESEARCH
USING DATA WITHOUT MANIPULATING VARIABLES TO DRAW CONCLUSION
SURVEY RESEARCH
CONCLUSIONS BASED ON SURVEY RESULTS
RETROSPECTIVE RESEARCH
USES AVAILABLE DATA FROM PAST RECORDS
PROSPECTIVE RESEARCH
GATHERS INFO AS EVENTS OCCUR
COHORT RESEARCH
EXAMINS PATTERNS, SEQUENCES, OR TRENDS WITHIN A POPULATION OF SUBJECTS
CASE STUDY RESEARCH
STUDIES SINGLE CASE OVER TIME
CROSS-SECTIONAL DESIGN
“SNAPSHOT”, COLLECTS ALL DATA AT ONE POINT IN TIME
LONGITUDINAL DESIGN
COLLECTS INFO AT VARIOUS SET TIME INTERVALS
LITERATURE REVIEW
EXISTING LITERATURE IS REVIEWED AND USED TO DRAW CONCLUSION
SYSTEMATIC SAMPLING
COMPUTER-GENERATED LIST OF SUBJECTS
ALTERNATIVE TIME SAMPLING
TIME FRAME PERAMETERS ARE SET
CONVENIENCE SAMPLING
SUBJECTS ARE MANUALLY ASSIGNED
PARAMETERS
TYPE OF PEOPLE APPROPRIATE FOR THE STUDY
BLINDING VS UNBLINDED STUDY
BLINDING: PATIENT/RESEARCHER DONT KNOW IF PARTICIPANT IS GETTING PLACEBO OR INTERVENTION
UNBLINDED: PARTICIPANTS KNOW ALL ASPECTS OF THE PROJECT
PEER REVIEW
ENSURES QUALITY AND VALIDITY OF JOURNALS BY SENDING WORK TO EXPERTS
FIRST DEPT TO START TELEMETRY
MIAMI
LICENSED THROUGH ____, CERTIFIED THROUGH ____
STATE, FEDERAL
ROLE OF NATIONAL EMS SCOPE
GUIDELINES WHAT SKILLS EACH LEVEL OF EMS PROVIDER SHOULD BE ABLE TO PERFORM
NATIONAL EMS EDUCATION STANDARDS
NATIONAL STANDARD CIRRICULUM FOR EMS PROVIDERS
HAPPENED IN 2009 AFTER HURRICANE KATRINA
