Your SlideShare is downloading. ×
1. ems & disaster response
Upcoming SlideShare
Loading in...5

Thanks for flagging this SlideShare!

Oops! An error has occurred.

Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

1. ems & disaster response


Published on

1 Like
  • Be the first to comment

No Downloads
Total Views
On Slideshare
From Embeds
Number of Embeds
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

No notes for slide
  • Emergency medical technician: EMT
  • prearrival instructions On-line vs off-line protocol
  • Type of ambulance
  • Facilities:สิ่งอำนวยความสะดวก
  • mutual aid:ฃ่วยเหลือซึ่งกันและกันJurisdictions: เขตอำนาจศาล
  • Transcript

    • 1. Paleerat Jariyakanjana, MDFaculty of MedicineNaresuan UniversityEmergency Medical Services &Disaster Response
    • 3. EMS is the extension of emergency medicalcare into the prehospital setting.
    • 4. History1 &23
    • 5. Key elements
    • 6. Manpower
    • 7. Traininginitial provider trainingcontinuing education
    • 8. Communications1. collect the necessary information from thecaller, dispatch appropriate medicalresources, and offer first aid information orprearrival instructions2. Ambulance personnel should also be ableto communicate with the destination hospital3. online medical control
    • 9. TransportationBLS ambulancescarry equipment appropriate for personneltrained at the EMT-B level oxygen, bag-mask ventilation devices,immobilization and splinting devices, anddressings for wound care and hemorrhage controldo not carry medication and cannot transportpatients requiring IVs or cardiac monitoring,although some may carry AEDs
    • 10. BLS ambulances
    • 11. TransportationALS ambulancesequipped for EMT-Ps or other advancedhealth care personnel IV supplies, IV medication, intubation devices,cardiac monitoring and defibrillation, andequipment for other specialized techniquesunique to specific areas, such as hypothermiaapplication after cardiac resuscitation
    • 12. ALS ambulances
    • 13. Transportation
    • 14. Air transport
    • 15. Facilities and Critical-Care Unitsclosest appropriate hospital or to the hospitalof the patients choicedivert patients to other hospitals ED overcrowding
    • 16. Public Safety Agenciesstrong ties with police and fire departments1. providing scene security2. provide first responder services
    • 17. Consumer Participationencourage representation of the generalpublic on the membership of regional EMScouncilspublic can participate by volunteering forlocal EMS agencies
    • 18. Access to Careno barriers or disincentives preventing timelyaccess to the system
    • 19. Patient Transferall patients must receive a medical screeningexam and be stabilized before transfer toanother facilityexplicit acceptance of the transfer by thereceiving hospital
    • 20. Coordinated Patient Record KeepingStandardization of EMS medical records
    • 21. Public Information and Educationtrain the public how to access them whenneeded and how to use them appropriatelyconvey to the public is the importance oflearning CPR, first aid, and basic disasterpreparedness principles
    • 22. Review and Evaluationradio communications, response times,scene times, and patient care recordsOutcome: cardiac arrest, stroke, and traumaEMS research
    • 23. Disaster Planwritten policies and proceduresstockpiling suppliesparticipating in regional disaster drills withother emergency response agencies andhospitals
    • 24. Mutual Aidmutual aid agreements with neighboringjurisdictions so that uninterrupted emergencycare is available when local agencies areoverwhelmed or unable to provide services
    • 25. Phases of EMS response
    • 27. DefinitionMajor Incidents: any incident where thenumber, severity, type or location of livecasualties requires extraordinary resourcesDisaster: need > resourceMass casualty incident: Healthcare need >resource
    • 28. Disaster Management Cycle
    • 29. Major Incident Medical Managementand Support (MIMMS)major incidenttraining coursesystematic, allhazards approachto the principles ofpre-hospital,multiple-casualtyincident medicalmanagement
    • 30. Management and Support PrinciplesCommandSafetyCommunicationAssessmentTriageTreatmentTransport
    • 31. CommandCSCATTT
    • 32. SafetyThe 1-2-3 of Safety1. Staff2. Situation3. SurvivorsCSCATTT
    • 33. CommunicationCSCATTT
    • 34. AssessmentMy call sign/Major incident declaredExact location: Grid ref.Type of incidentHazards: Present/PotentialAccess: Roads, Landing areaNumber of casualties: Type, SeverityEmergency services: Present and RequiredCSCATTT
    • 35. TriageCSCATTT
    • 36. Triage sieveCSCATTT
    • 37. Triage sortCSCATTT
    • 38. Triage sortCSCATTT
    • 39. TreatmentAim: “do the most for the most”CSCATTT
    • 40. TransportAim: get the right casualty to the right placein the right timeCasualties should be dispersed to differenthospitals, most appropriate to their need.Mechanism of injuryInjury found or suspectedSigns (vital signs)Treatment givenCSCATTT
    • 41. Take home messageEMS is the extension of emergency medicalcare into the prehospital setting.Disaster response: CSCATTT
    • 42. ReferenceTintinallis Emergency Medicine, 7th edition
    • 43. ANY QUESTIONS?