Chapter 1-Intro To Ems Systems Flashcards
Emergency care
The prehospital assessment and basic care for the ill or injured patient
Emergency medical services (EMS) System
The chain of Human Resources and services linked together to provide continuous emergency care at the scene and during transport to a medical facility
Medical Director
A physician who assumes the ultimate responsibility for medical oversight of the patient care aspects of the EMS system
Medical Oversight
The supervision related to patient care provided for an EMS system or one of its components by a licensed physician
Scope of Practice Model
A national model that defines the scope of care for the four nationally recognized levels of EMS provider
National EMS Education Standard
The education and training standards developed by the national highway traffic safety administration (NHTSA) for the four nationally recognized levels of EMS training
Emergency Medical Responder (EMR)
A member of the EMS system who has been trained to render first-aid care for a patient and to assist higher-level providers at the emergency scene
Scope of Practice
The care that an emergency medical responder, an emergency medical technician, or paramedic is allowed and supposed to provide according to local, state, or regional regulations or statues. Also called scope of care
Emergency medical technician (EMT)
A member of the EMS system whose training emphasizes assessment, care, and transportation of the ill or injured patient. Depending on the level of training, emergency care may include starting iv, inserting certain advanced air ways, and administrating some medications
Advanced emergency medical technician (AEMT)
A member of the EMS system whose training includes basic-level EMT training plus responsibility for minimal level of advanced life support. Additional skills included starting iv, inserting certain advanced airways, and administering certain medications
Paramedic
A member of the EMS system whose training includes advanced life support care, such as inserting advanced airways and starting iv lines. Paramedics also administer medications, interpret electrocardiograms, monitor cardiac rhythms, and perform cardiac defibrillation
Public safety answering point (PSAP)
A designated 911 emergency dispatch center
Emergency medical dispatcher
A member of the EMS system who provides presto all instructions to callers, thereby helping initiate lifesaving care before EMS personnel arrive
Speciality hospital
A hospital that is capable of providing specialized services such as trauma care, pediatric care, cardiac care, stroke care, or burn care
Protocols
Written guidelines that direct the care of EMS personnel provide for patients
Standing orders
The medical directors specific instructions for specific medical conditions or injuries
Off-line medical directions
An EMS systems written standing orders and protocols, which authorize personnel to perform particular skills in certain situations without actually speaking to the medical director or her designated agent. Also called indirect medical direction
On-line medical direction
Orders to perform a skill or administer care from the on-duty physician, given to the rescuer in person by radio nor by phone. Also called direct medical direction
Emergency medical responder
Trained to reach patients, find out what is wrong, and provide emergency care while on scene. Trained to move patients when necessary with out causing further injury. First medically trained personnel to reach the patient
Personal protective equipment (PPE)
Primary concern as a EMR is personal safety. Personal protective equipment (PPE) includes: Disposable gloves Barrier devices (face masks) Protective eyewear Specialized face masks (HEPA and N95) Gowns or aprons
Six main patient-related duties to carry out at the emergency scene
Size up the scene
Determine he patients chief complaint
Lift, move or reposition the patient only when necessary
Transfer the patient and patient information
Protect the patients privacy and maintain confidentiality
Be the patients advocate
Continuous quality improvements (CQI)
A continuous improvement in the quality of the product or service being delivered
Public health system
Local resources dedicated to promoting optimal health and quality of life for the people and communities they serve
Disaster medical assistance team (DMAT)
Specialized teams designed to provide medical care following disasters
Research
The systematic investigation to establish facts