Chapter 1 Emergency Medical Service Systems, Research and Public Health Flashcards
First concern of EMT must always be
Personal Safety
Policy set by an EMS Medical Director that allows EMTs to administer glucose in special circumstances without speaking to a physician
Standing Order
Order from EMS System’s on duty physician given by radio or phone
On-line Medical Direction
Level of EMS that involves provision of emergency care by those who are usually first on the scene
Emergency Medical Responder (EMR)
Most EMS courses today are based on models developed by
National Highway Traffic Safety Administration
System of external and internal reviews and audits for all aspects of an emergency Medical system
Quality Improvement
The aspect of EMTs job that involves protecting patient’s rights
Advocacy
911 system that gets phone # and cell site or base station transmitting the call
Phase I Enhanced 911
911 system has exact location latitude and longitude. Must be accurate within 50-300 Meters
Phase II enhanced 911
Wireless service provider must transmit all 911 calls to 911 regardless of callers provider service
Basic 911
All personnel staffing an ambulance must be
EMT or higher
Routine duties and responsibilities associated with daily operations of EMS Systems.
Makes up majority of Directors responsibility
Indirect Medical Direction
Real time oversight or medical Direction provided by physician to an EMS provider seeking immediate feedback or direction
Direct Medical Oversight
EMS and Medical Director communicate by phone, radio or video
On-line Medical Direction
Medical Oversight either online or on scene
Direct Medical oversight
Feedback and medical Direction delivered by physician on the scene
On-scene Medical Direction
Guidelines that define entire scope of medical care
Protocols
Pre-determined written guidelines
Standing orders
Indirect Medical oversight
Provided through standing orders
Off-Line medical direction
1966 “Accidental Death and Disability: The Neglected Disease of Modern Society” This became known as
The White Paper
Identified severe deficiencies in pre-hospital care
The White Paper
levels of EMS
EMR
EMT
AEMT
Paramedic
The beginning of EMS system
1960s
First priority of EMT at the scene
Scene safety
