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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 a 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
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 regulated 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 than at a physicians 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: emergency medical responder, emergency medical technician, advanced emergency medical technician, 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 (NHTSA) that outlines the minimum entry-level skills performed by EMS clinicians at 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
National EMS Scope of Practice

Binge Drinking vs. Heavy Drinking
Men: Binge drinking = 5+ drinks in one occasion & Heavy drinking = 15+ drinks per week
Women: Binge drinking = 4+ drinks in one occasion & Heavy drinking = 8+ drinks per week
Immunity to Infectious Disease

aerosol-generating procedure (AGP)
treatments that increase the risk for in transmission of infections that are spread through the air or by droplets; ie CPR
airborne transmission
the spread of an organism via droplets or dust
blood borne 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 continuity reflects on their own viewpoints
designated officer
the individual in the department who is charged with the responsibility of managing exposures and infection 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 occur
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
exposure or transmission of disease from one person to another by contact with a contaminated object
infection
the abnormal invasion of a host or host tissues by organisms such as bacteria, viruses, or parasites, with or without signs or symptoms of disease
infection control
procedures to reduce transmission of infection among patients and health care personnel
infectious disease
a medical condition caused by the growth and spread of small, harmful organisms within the body
occupational safety and health administration (OSHA)
the federal regulatory compliance agency that develops, publishes, and enforces guidelines concerning safety in the workplace.
pathogen
a microorganism that is capable of causing disease in a susceptible host
personal protective equipment (PPE)
protective equipment that blocks exposure to a pathogen or a hazardous material
posttraumatic stress disorder (PTSD)
a delayed stress reaction to a prior incident. often the result of one or more unresolved issues concerning the incident, and may relate to an incident that involved physical harm or the threat of physical harm.
potentially psychologically traumatizing event
any incident that deeply affects the mental and emotional well-being of an EMS clinician. these events have the potential to cause posttraumatic stress disorders and other mental health conditions.
resilience
the capacity of an individual to cope with and recover from distress.
standard precautions
protective measures that have traditionally been developed by the CDC for use in dealing with objects, blood, body fluids, and other potential exposure risks of communicable diseases.
transmission
the way in which an infectious disease is spread: contact, airborne, by vehicles, or by vectors
vector-borne transmission
the use of an animal to spread an organism from one person or place to another
wellness
the active pursuit of a state of good health