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advanced emergency medical technician (AEMT)
An individual who has training in specific aspects of advanced life support, such as intravenous therapy and the administration of certain emergency medications
advanced life support (ALS)
Advanced lifesaving procedures, such as advanced airway management, intravenous access, and medication administration
Americans With Disabilities Act (ADA)
Comprehensive legislation that is designed to protect people with disabilities against discrimination
automated external defibrillators (AEDs)
Devices that detect treatable life-threatening cardiac dysrhythmias (ventricular fibrillation and ventricular tachycardia) and deliver the appropriate electrical shock to the patient
basic life support (BLS)
Noninvasive emergency lifesaving care that is used to treat medical conditions, including airway obstruction, respiratory arrest, and cardiac arrest
certification
A process in which a person, an institution, or a program is evaluated and recognized as meeting certain predetermined standards to provide safe and ethical care
credentialing
An established process to determine the qualifications necessary to be allowed to perform a particular skill or role, or to function as an organization
emergency medical responder (EMR)
A professional, such as police officer, firefighter, lifeguard, or other rescuer, who may arrive first at the scene of an emergency to provide initial medical assistance and ensure access to EMS
emergency medical services (EMS)
A multidisciplinary system to provide out-of-hospital care to the sick and injured within communities
emergency medical technician (EMT)
An individual who has training in basic life support, including automated external defibrillation, use of a definitive airway adjunct, and assisting patients with certain medications
evidence-based medicine (EBM)
An approach to medicine where decisions are based on well-conducted research that is integrated with the expertise of the EMS clinician and the patient’s wishes and needs
health equity
As defined by the World Health Organization, “the absence of unfair and avoidable or remediable differences in health among population groups defined socially, economically, demographically, or geographically.”
Just Culture
An approach to quality management that strives to balance accountability and justice in a system that believes in learning from errors
licensure
The process whereby a competent authority, usually the state, allows people to perform a regulation act
medical director
The physician who authorizes or delegates to the EMT the authority to provide medical care in the field
medical oversight
Supervision of an EMS system or education program that includes instructions given directly by radio or cell phone (online/direct) to those on scene or indirectly by protocol/guidelines (off-line/indirect); also includes credentialing EMS clinicians and overseeing quality improvement activities as authorized by the medical director of the service or program
mobile integrated health care (MIH)
A method of delivering health care that involves providing health care within the community rather that at a physician’s office or hospital
National EMS Education Standards
A set of professional standards published by the National Highway Traffic Safety Administration that define the knowledge and competencies that students should acquire to perform at entry level as an EMS clinician. Four levels are defined: EMR, EMT, AEMT, or paramedic
National EMS Information System (NEMSIS)
A system funded by the National Highway Traffic Safety Administration that is responsible for developing and maintaining the national EMS data standard
National EMS Scope of Practice Model
A document created by the National Highway Traffic Safety Administration that outlines the minimum entry-level skills performed by EMS clinicians at each nationally recognized level
Paramedic
An individual who has extensive training in advanced life support, including endotracheal intubation, emergency pharmacology, cardiac monitoring, and other advanced assessment and treatment skills
Primary prevention
Efforts to prevent an injury or illness from ever occurring
Public health
The branch of medicine that is focused on examining the health needs of entire populations with the goal of preventing health problems
public safety access point (PSAP)
A call center, staffed by trained personnel who are responsible for managing requests for police, fire, and ambulance services
quality assurance (QA)
A reactive process that involves monitoring compliance against a standard to identify problems that have already occurred
quality improvement (QI)
A proactive process that involves making changes to a system to improve performance
secondary prevention
Efforts to limit the effects of an injury or illness that has already occurred
social drivers of health
The conditions in which people live, including the forces and systems shaping their daily lives.
aerosol-generating procedure (AGP)
Treatments that increase the risk for transmission of infections that are spread through the air or by droplets; CPR is an example
airborne transmission
The spread of an organism via droplets or dust
bloodborne pathogens
Pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include, but are not limited to, hepatitis B virus and human immunodeficiency virus (HIV)
burnout
A combination of exhaustion, cynicism, and reduced performance resulting from long-term job stresses in health care and other high-stress professions
Centers for Disease Control and Prevention (CDC)
The primary federal agency that conducts and supports public health activities in the United States. The CDC is part of the US Department of Health and Human Services
communicable disease
A disease that can be spread from one person or species to another
compassion fatigue
A stress disorder characterized by gradual lessening of compassion over time
contamination
The presence of infectious organisms on or in objects such as dressings, water, food, needles, wounds, or a patient’s body
critical incident stress management (CISM)
A process that confronts the responses to critical incidents and defuses them, directing the emergency services personnel toward physical and emotional equilibrium
cultural competence
The ability to deliver care in a way that meets the social, cultural, and linguistic needs of patients
cultural humility
An ongoing process in which a person seeks to learn more about others and continuously reflects on their own viewpoints
designated officer
The individual in the department who is charged with the responsibility of managing exposures and infections control issues
direct contact
Exposure or transmission of a communicable disease from one person to another by physical contact
distress
A negative response to a stressor
exposure
A situation in which a person has had contact with blood, body fluids, tissues, or airborne particles in a manner that suggests disease transmission may occue
foodborne transmission
The contamination of food or water with an organism that can cause disease
hepatitis
Inflammation of the liver, usually caused by a viral infection, that causes fever, loss of appetite, jaundice, fatigue, and altered liver function
host
The organism or individual that is attacked by the infecting agent
human immunodeficiency virus (HIV)
Acquired immunodeficiency syndrome (AIDS) is caused by HIV, which damages the cells in the body’s immune system so that the body is unable to fight infection or certain cancers
immune
The state of being able to resist the adverse effects of an infectious exposure
indirect contact
infection
infection control
infectious disease
Occupational Safetly and Health Administration (OSHA)
pathogen
personal protective equipment (PPE)
posttraumatic stress disorder (PTSD)
potentially psychologically traumatizing event
resilience
standard precautions
transmission
vector-borne transmission
wellness