Chapter 2- Volume 1 Flashcards
(42 cards)
Accidental Death and Disability: the The neglected disease of modern society
Published by: The national Academy of Sciences, national research council in 1966.
“White paper” that spelled out the deficiencies in prehospital emergency care and suggested guidelines for training, better ambos, and better equipment
•lack of uniform laws and standards, •poorly equipped ambos, •poor quality ambos, •lack of communication between EMS and hospitals, •inadequate training, •inadequate hospital staff
Highway safety act
Created in 1966
Promogulated initial EMS guidelines for the US
EMERGENCY MEDICAL SERVICES SYSTEMS ACT
1973 by Congress
Provided funding for a series of projects related to the delivery of trauma care.
Consolidated Omnibus Budget Reconciliation Act (COBRA)
1981
Wiped out federal funding for EMS
The small amount that remained went to state preventive-health and health-services block grants.
Statewide EMS Technical Assessment Program
1988 by NHTSA
Defines elements necessary to all EMS systems
Regulation and policy, resources management, Human Resources and training, transportation, facilities, communications, trauma systems, public information and education, medical direction, evaluation (QI)
Quality Improvement
An evaluation program that emphasizes service and uses customer satisfaction as the ultimate indicator of system performance.
Emergency Medical Services for Children
1993 by the institute of medicine
Pointed out deficiencies in pediatric emergency care in the United States.
Trauma Care Systems and Development Act
1990 by Congress
Provided funding to states for trauma system planning, development, implantation, and evaluation.
Ontario Prehospital Advanced Life Support (OPALS) study
A study conducted of prehospital practices and outcomes
National Highway Traffic Safety Administration (NHTSA)
An agency of the US Government established by the Highway safety act of 1970 to carry out safety programs to improve motor vehicle and highway safety, particularly to prevent vehicular crashes
EMS Agenda for the Future
1996 by NHTSA
Examined what had been been learned during the prior three decades of EMS and endeavored to create a vision for the future of EMS in the United States.
Attributes:
Integration of health services, EMS research, legislation and regulation, system finance, Human Resources, medical direction, education systems, public education, prevention, public access, communication systems, clinical care, information systems, evaluation
National Incident Management Systems (NIMS)
A system administered by the US Secretary of Homeland Security to provide a consistent approach to disaster management by all local, state, and federal employees who respond to such incidents
EMS: at the crossroads
2006 by national academies institute of medicine
Study that found that there were significant problems at the federal level: government leadership in emergency care was found to be fragmented and inconsistent.
Insufficient coordination, coordination of transport within regions is limited, disparities in response times, uncertain quality of care, lack of readiness for disasters, divided professional identity, and limited evidence base.
The national report care on the state of emergency medicine: evaluating the environment of emergency care systems state by state
2006 by American college of emergency physicians (ACEP)
Pointed out the significant problem that existed in all aspects of emergency care. Overall, emergency services are so overstressed that the quality of care has been compromised.
Causes: inadequate funding, patient overcrowding, lack of alternate care facilities, problems with medical liability, the effect of illegal immigration.
National Transportation Safety Board (NTSB)
An independent US government investigative agency responsible for civil transportation accident investigation, including investigation of aviation accidents and incidents, certain types of highway crashes, ship and marine accidents, pipeline incidents, and railroad accidents.
Service types of EMS
Fire based, third service, private (profit or nonprofit), hospital-based, volunteer, hybrid (combination of any of these)
Chain of survival
As defined by the American Heart Association, the five most important factors affecting survival of a cardiac arrest patient: immediate recognition and activation of EMS, early CPR, rapid defibrillation, effective advanced life support, integrated post cardiac arrest care.
PSAP
Public service access points
PPCI
Primary Percutaneous coronary intervention
National EMS education instructional guidelines
Developed in 2009
Replaced the various curricula that had been previously published to guide EMS education.
National EMS core content
Published by NHTSA in 2005
Defined the body of knowledge, skills, and abilities desired and EMS personnel.
The national EMS scope of practice
Published in 2005
Consensus document that supported a system of EMS personnel licensure that was common in other allied health professions and was designed to serve as a guide for states and territories in developing their scope of practice legislation, rules, and regulations.
Scope of practice
The range of duties and skills paramedics and other levels of EMS certification are allowed and expected to perform
Medical director’s roles in an EMS system are?
Educate and train personnel, participate in personnel and equipment selection, develop clinical protocols and corporation with expert personnel, participate in quality improvement and problem resolution, provide direct input into patient care, interface between the EMS system and other healthcare agencies, advocate within the medical community, Serve as the medical conscience of the EMS system, including advocating for quality patient care.
