Ch. 1: Emergency Medical Care Systems, Research, and Public Health

What are the four levels of EMS?

1. Emergency Medical Responder

2. Emergency Medical Technician

3. Advanced EMT

4. Paramedic

Different types of EMS services.

1. Fire department EMS

2. Municipal EMS

3. Private EMS

4. Hospital-based EMS

5. Law enforcement EMS

6. Public safety officer (PD, FD, and EMS person)

Roles and responsibilities of EMS.

1. Safety (yours and others)

2. Patient assessment, treatment, and transport

3. Transfer of care

4. Record keeping and data collection

5. Patient advocacy and confidentiality

What are some ways that the EMS system enables quality improvement?

1. Documentation

2. Reviews and audits

3. Feedback

4. Continuing education

5. Preventative and regular skill maintenance

Online medical direction

talking to MD on phone/radio

Offline medical direction

protocols or standing orders

Evidence-based medicine

scientific method

Community paramedic

for frequent users of EMS; having a rotating schedule of house visits in a community so ambulances are saved for urgent calls

EMR training

airway, O2, VS, CPR, AED

EMT training

ambulance equipment, meds

AEMT training

advanced airway, IV, more meds

Paramedic

highest level of pre-hospital care