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Prepartory EMS Safety: Intro

Level 4

Intro to EMS Systems EMT Refresher Course EMSNeeds.com Continuing Education

Overview | Assessment | Treatment | Roles

Objectives

EMS Systems EMT Refresher Course

In this Introduction to EMS Systems course you will earn 1 CE hour. This course is accredited for all levels since all EMS personnel are technically First Responders.

At the end of this course you will be able to:

  • Define the components of Emergency Medical Services (EMS) systems.
  • Differentiate the roles and responsibilities of the First Responder from other out-of-hospital care providers.
  • Define medical oversight and discuss the First Responder's role in the process of hospital emergency medical care provided in a community.
  • Identify the types of medical oversight that may affect the medical care of a First Responder.
  • State the specific statutes and regulations in your state regarding the EMS system.
  • Accept and uphold the responsibilities of a First Responder in accordance with the standards of an EMS professional.
  • Explain the rationale for maintaining a professional appearance when on duty or when responding to calls.
  • Describe why it is inappropriate to judge a patient based on a cultural, gender, age, or socioeconomic model, and to vary the standard of care rendered as a result of that judgment.

References for content used by permission are on the left side under "EMS Resources."

There are four sections: Overview, Assessment, Treatment, and Roles. Take the section tests in order by clicking the Take Test button. Your results are saved if you are interrupted. Then do the next section—no lost time or effort with mini-test sections!

EMS Course Levels
Overview

The field of out-of-hospital emergency medical care is an evolving profession in which the reality of life and death is confronted at a moment's notice. EMS has developed from the days when the local funeral home served as the ambulance provider to a far more sophisticated system today.

First Responders work within the EMS system to help deliver professional out-of-hospital emergency medical care. This course is designed to help the new First Responder gain the knowledge, skills, and attitudes necessary to be a competent, productive, and valuable member of the emergency medical services team.

The Emergency Medical Services system is a network of resources to provide emergency care and transport to victims of sudden illness and injury. It involves:

  • Prevention of injury
  • Occurrence of the event
  • Recognition of the event and activation of the system
  • Bystander care/dispatch instructions
  • Arrival of First Responders
    (1 Fire/Rescue Personnel
    (2 Law enforcement
    (3 Industrial response teams
  • Arrival of additional EMS resources
  • Emergency medical care at the scene
  • Transport to receiving facility
  • Transfer to in-hospital care system

Ten Classic Components of an EMS System

  1. Regulation and policy
  2. Resource management
  3. Human resources and training
  4. Transportation
  5. Facilities
  6. Communications
  7. Public information and education
  8. Medical oversight
  9. Trauma systems
  10. Evaluation
Blood Pressure

Access to the Emergency Medical Services System

  • 9-1-1
    1. Basic
    2. Enhanced 9-1-1
  • Non 9-1-1
    Levels of Training
    1. First Responder
    2. EMT-Basic
    3. EMT-Intermediate
    4. EMT-Paramedic

The In-Hospital Care System

  • Emergency departments
  • Specialty facilities
    1. Trauma Centers
    2. Burn Centers
    3. Pediatric Centers
    4. Perinatal Centers
    5. Poison Centers
  • Hospital personnel
    1. Physicians
    2. Nurses
    3. Other allied health professionals

 

911

Definitions

  • AED - automatic external defillabrator
  • Perinatal - occurring just before or just after birth.
  • Pediatric - having to do with children.
  • Trauma -  injury to the body, or an event that causes long-lasting mental or emotional damage.
Emergency Stop

Assessment

"You can't judge a book by its cover." Changing care based on cultural, gender, age, or socioeconomic model, and to vary the standard of care rendered as a result of that judgment is inappropriate. All people are to be considered in assessment. Like the Red Cross standards—regardless of political affiliation or nationality—a person is to be treated without discrimination.

Assessment involves several key areas:

  • Personal, crew, patient, and bystander safety
  • Gaining access to the patient
  • First Responder patient assessment to identify life threatening conditions
  • Continuation of care through additional EMS resources
  • Initial patient care based on assessment findings
  • Assisting with the additional care
  • Participation in record keeping/data collection as per local/state requirements
  • Liaison with other public safety workers
    a. Local law enforcement
    b. State and federal law enforcement
    c. Fire departments

EMS Providers Medical Oversight definition: A formal relationship between the EMS providers and the physician responsible for the out-of-hospital emergency medical care provided in a community. This physician is often referred to as the system medical director. Every EMS System must have medical oversight.

patient assessment

Treatment
Knowing the best treatment requires awareness of the types of medical oversight, direct and indirect. Direct medical control (also called "on-line," "base station," "immediate," or "concurrent") includes:
  • Simultaneous physician direction of a field provider.
  • Communication may be via radio, telephone, or actual contact with a physician on-scene.
Indirect medical control (also called "off-line," "retrospective," or "prospective") includes everything that is not direct medical control. System elements under medical oversight include:
  • system design
  • protocol development
  • education
  • quality management

The First Responder may be a designated agent of the physician and care rendered may be considered an extension of the medical director's authority. Specific statutes and regulations may vary regarding EMS in your state.

Throughout the United States, important issues are the same. However, training and objectives may vary. For example, some states have :Good Samaritan Laws: that protect those who assist in emergencies. In every state, patients may refuse treatment even though their life is threatened.

beacon


Roles and Responsibilities

Know Your Limits

Training varies for the First Responder level. All are taught to control bleeding. Comared to EMT-B, EMT-I, and Paramedic levels, a First Responder may not administer IV fluids or use :AEDs:.

  • Be personally healthy and watch for your own safety first. You cannot give what you do not first have.
  • Maintain caring attitude: Reassure and comfort patient, family, and bystanders while awaiting additional EMS resources.
  • Maintain composure.
  • Cultivate a neat, clean, and professional appearance. People tend to trust you more in uniform. People in crisis are looking to you for professional help.
  • Maintain up-to-date knowledge and skills.
    a. Continuing education
    b. Refresher courses
  • Put patient's needs as a priority without endangering yourself.
  • Maintain current knowledge of local, state, and national issues affecting EMS.
SUMMARY You will use this information throughout the course to enhance your understanding and provide direction for your relationship to the individual components of the EMS system. The lesson provides you with a road map for learning the skill and knowledge domains of the First Responder.












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