W1~ chapter 1: EMS systems

Examples of appropriate EMS attitudes are:

Compassion and Professionalism

The NREMT certification functions to allow

The bare minimum of duties that an EMT should be competent to perform

EMR duties include

basic emergency care; they manage the initial scene under direction.

EMT duties include

additional depth from an EMR; with specialized training in transport and care

AEMT duties include

advanced assessment techniques, they can perform emergency interventions

Paramedic duties include

The greatest EMS depth; ALS, Diagosing, treatment, heart rhythm and airway control

Scene size up refers to

gain perspective of situation to determine the safety

Patient assessment refers to

using assesement to identify the patients immediate threats and concerns.

Treatment refers to

identification and prioritize care to calm the patient

What is most important

To care for yourself first

When did EMS start

WW1 volunteer ambulance, 60-70s firefighters and police new basic help

In the 60’s - 70’s they called out for the lack of proper ____ care

pre hospital

When was the first EMT guidline released

60s-70s D.O.T release the Emergency Care and Transport book

EMTs are authorized to…

do nasal airways, CPAP, pulse oximetry, oxygen humidifiers, Mechanical CPR, Telemetry Monitoring and medication via oral and sublingual.

The advantage of the rise of EMS is..

growth of ED’s and the overall awareness of basic care for prehospital

EMS is a “people centered system” what are 5 key notes?

1. Comprehensive, quality care

2. Evidence based clinical care

3. Efficient, well rounded care

4. Preventative care

5. Comprehensive and Easily Accessible Care.

Treatment is best effective when it is, early or late?

Early!!!

A crucial piece that makes EMS care possible is…

access to the public; 911 dispatch is a Public Safety Access Point

a Medical Director/ control

authorizes control of EMTs medical care ; d- quality control

CQI calls for

continuous quality management (plan-do-study-act)

To avoid errors, what is most important?

setting clear communication and protocol

Be aware of your environment to minimize errors, what is the best rule of thumb?

Constantly check environment, be aware of environmental + conditions.

As an EMT, why should you remember your why?

to ensure you are making thoughtful decisions.

Why is documentation important?

it can be used legally or financially, it tells your story

What is the best thing you should continue doing?

Learning and being made aware of new developments.

Primary vs Secondary Prevention

Primary: warning, followed by education

Secondary: future prevention

Having the best interest of your patients in mind enforces…

non-judgement