Unit 1 Flashcards
Clara Barton
Helped the wounded like an EMT during the CIVIL WAR and later established the american red cross.
1970s
French started transporting wounded soldiers away from battle for care
Earliest documented emergency medical service
WW1
Volunteer ambulance corps
Korea/Vietnam
-medical teams produced advances in field care
-battlefield advances led to civilian advances like specialized emergency medical centers for trauma
Early 1900s USA
-nonmilitary ambulance services started
-only minimum emergency care
-didnt develop in smaller communities till 1940s
-operated by local undertaker or fire service
-need to organize systems for emergency prehospital care and train personnel recognized
1966
Department of Transport charged with developing EMS standards
1970s
Founding of the National Registry of EMT’s (NREMT)
1973
National Emergency Medical Service Systems Act passed by congress
(NHTSA) 1) Regulation and policy
Each state established laws, a lead EMS agency, a funding mechanism, policies, procedures, and regulations.
NHTSA stands for
National Highway Traffic Safety Administration
(NHTSA) 2) Resource management
Centralized coordination of emergency treatment and transport resources.
(NHTSA) 3) Human resources and training
Assure EMS personnel are trained and certified to minimum standards
(NHTSA) 4) Transportation
Provide safe, reliable transportation
(NHTSA) 5) Facilities
Transport to closest appropriate facility
(NHTSA) 6) Communications
-universal system access number (911)
-dispatch-to-ambulance, ambulance-to-ambulance, ambulance-to-hospital, and hospital-to-hospital communications
(NHTSA) 7) Public information and education
-educate public about their role in EMS, access to EMS, prevention of injury
(NHTSA) 8) Medical direction
-medical director is accountable for EMS personnel within system
-Medical director= boss
(NHTSA) 9) trauma systems
-develop trauma triage, transport, and treatment protocols
Trauma triage
who’s the most sick or injured priority
(NHTSA) 10) Evaluation
Establish program for evaluating and improving effectiveness (Q1, QA, TQM)
they basically make sure everyone and everything is correct and in line so they don’t get sued.
Emergency medical dispatchers
activation of EMS in response to a patient emergency
EMS responders
emergency medical responders and EMTs
Emergency department/ hospital
doctors, nurses, allied health personnel
Specialized care facilities
-trauma centers
-burn centers
-pediatric centers
-cardiac centers
-stroke centers
What is the #1 Burn center in US
Parkland Hospital
What medical services are available in your community
Keller fire department
EMS System
patient accident > A citizen calls 911 > emergency medical dispatcher> emergency medical responders> EMTS> emergency department staff> allied health staff
emergency medical dispatchers job
-can provide instructions to callers on how to provide emergency care until EMS personnel arrive
-research has consistently pointed to the importance of early access and prompt initiation of emergency care and CPR
Critical decision making
-gather info from scene, patient assessment, and other sources
-synthesize information to make decisions regarding treatment and transport options
Q- should u take ur patient to the closest hospital or to a more distant specialty hospital?
Take to close hospital to stabilize patient, then take to more specialized
Levels of EMS training
1) emergency medical responder
2) emergency medical technician
3) advanced emergency medical technician
4) paramedic
Patient abandonment
transfer care over to someone higher level or same level
physical traits of a good emt
1) ability to carry 125 pounds
2) good eyesight
3) awareness of any problems with color vision
4) good communication skills
Personal traits of a good emt
1) pleasant
2) sincere
3) cooperative
4) resourceful
What should you do if you suspect elder abuse while treating a patient
report the suspected abuse to the appropriate authorities and document all observations in detail
