Medical Oversight of EMS systems, Legal issues, Ethics, PSAPs Flashcards
1966 Accidental Death and disability listed what
24 proposed recommendations and became the blueprint for EMS development
Who wrote the white papers
National Academy of Sciences- National research council
What did the highway safety act of 1966 state
Established dept of transportation
$142 million for regional EMS systems
1973 EMS system service act stated
- Grant fund available (300 million)
- EMS regions were to become financially self sufficient
- Emphasized regional systems with trauma orientation (carved up US into regions)
- “15 essential components” that each funded system must address
EMS agenda for the future added what that was missing from 1973 EMS system service act
Role for medical direction
1996 EMS agenda for the future stated
14 attributes of the EMS system
1996 EMS education agenda for the future states
- Core content
- Scope of practice
- EMS education standards
- EMS education program accreditation
- EMS certification
2019 EMS agenda for the future added
Patient centered and people centered focus, added 6 guiding principles
2 main issues with due process
- Did provider get notice
- Did they get a fair hearing
Sovereign immunity limits liability of
Government
Public duty vs special duty
Public duty - fire, police And EMS being ready to respond to emergency
Special duty - duty to an individual
Definition of patient
No uniform definition
Duty attached at request for service
Err on side of patient being patient for test
Refusal important issues
Did we do assessment
Does patient have capacity
Was patient informed
Was it all documented
Sexual harassment def
Creation or perpetuation of a hostile environment
Does not need to be singer overt act
What is Federal Civil rights statute 42
Any individual who impacts another individuals constitutional rights “may be liable”
Beneficence
Obligation to act in the patient’s best interest
Autonomy vs beneficence
Autonomy - patients have the right to make choices
Beneficence - Acting in patent’s best interest. What we think is best for patients
5 Rights of Emergency Medical Dispatch
Resources needed
People needed
Time - how quickly
Way to get there
Things needed
First link in chain of survival
Public safety answering points
4 key components of EMD protocol
- Chief complaint
- Key question interrogation
- Pre-arrival instructions
- Prehospital dispatch coding and response configuration
Failure to provide pre arrival instructions may lead to what
Dispatcher abandonment
Dispatch life support also called
Pre-arrival instructions
Prearrival instructions vs telephone aid
PAI: formal, medically approved, written
Aid: ad lib based on dispatcher experience
Vertical vs Horizontal dispatch
Vertical: Single dispatcher for process
Horizontal: Team approach, call taker and dispatcher different people
A, B, C, D and E response codes
A: BLS Cold
B: BLS hot
C: ALS cold
D: ALS hot
E: Everyone hot
Determinant code vs response assignment
Determinant codes are static, allowing for comparison among locales
Response assignment to code varies based on local model of EMS
Utilization of priority dispatch allows what
Tiered response
