Part 2: Preparing To Become An EMT Flashcards
Where is the origin of modern EMS?
Funeral home ambulances
The White Paper is the nickname for what document?
Accidental death and disability: the neglected disease of modern society (1966)
What is considered the birth of modern EMS?
White paper
Purpose of white paper
Snow inadequacies of prehospital care in US (especially in trauma)
When was The first EMT National standard curriculum developed? By who?
Early 1970s; US dept of transportation (DOT)
When was the first EMT textbook created?
1970s
What EMT advances happened in 1970s
DOT develops first EMT NSC
First EMT Textbook (Orange Book) published
DOT publishes first paramedic NSC
What EMT advances happened in 1980s?
AHA increased focus on CVD prevention, science, education
Additional levels of training added to existing EMT and paramedic education
What EMT advances happened in 1990s?
NREMT advocates for national training curriculum
NHTSA begins work on “EMS agenda for the future” document
Increased public access and layperson AED use/training
Which organization created EMS agenda for The future?
National Highway Transportation Safety Administration (NHTSA)
What new curriculum did the NHTSA develop in the 2000s to replace EMT NSC
National Emergency Medical Services Education Standards (NEMSES)
When were the 4 levels of EMS licensure/certification created?
2000s
Components of EMS system (14)
Public access Clinical care Medical direction Integrated health services Information systems Prevention Research Communications Human Resources Legislation and regulation Evaluation Finance Public education Education systems
Enhanced 911 systems allow for what?
Automatic number and location identification by dispatcher
Emergency Medical responder
Provides basic immediate care, including bleeding control, CPR, AED, and emergency childbirth
Emergency Medical technician
Includes all EMR skills plus: Advanced O2 and ventilation skills, pulse ox, noninvasive bp monitoring, and admin of certain meds
Advanced EMT
Includes all EMT skills plus: advanced airways, IV and IO access, blood glucose monitoring, and admin of add’l meds
Paramedic
Includes all preceding training levels plus: advanced assessment and management skills, various invasive skills, and extensive pharmacology interventions
Highest level of prehospital care
Paramedic
Specialty facilities
Stroke center, cardiac center, trauma center, denavioral center, pediatric center, obstetric center, poison center
EMT activities that are high risk to parent
Transfer of patent care Lifting and moving patients Transporting patient in ambulance spinal precautions Administration of medications
3 error types
Failure to perform Skills adequately
Lack of knowledge leading to poor decision making
Failure to follow established protocols
Medical director
Physician responsible for providing medical oversight
Online medical direction
Direct contact between physician and EMT via phone or radio
Offline medical direction
Written guidelines and protocol
Continuous quality improvement (cqi)
Continuous audit and review of all aspects of EMS system to identify areas of improvement
EMT‘s safety priorities after personal safety
Partner then patient then bystander
components of maintaining scene safety
addressing scene specific hazards
appropriate infection control precautions
safe lifting and moving techniques
types of stress
acute, delayed, and cumulative
acute stress
immediate physiological and psychological reaction to specific event; fight or flight reaction triggered
delayed stress
stress reaction that develops after the stressful event
PTSD is an example of which type of stress
delayed
cumulative stress
the result of exposure to exposure to stressful situations over a prolonged period of time
critical incident stress management (CISM)
a formalized process to help emergency workers deal with stress
defusing session
CISM session held within 4 hours of incident
debriefing session
CISM session held 24 to 72 hours after incident
stages of grief
- denial
- anger
- bargaining
- depression
- acceptance
infectious diseases are caused by…
invading pathogen
which type of infections respond to antibiotics? which are antibiotic-resistant?
bacterial; viral
OSHA
occupational safety and health administration; oversees regulations concerning workplace safety