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1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
1)Intro To Ems
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1)Intro To Ems

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  • 1. Emergency Medical Services
  • 2. Intro to EMS What Is EMS? <ul><li>“ Planned configuration of community resources and personnel necessary to provide immediate care to patients with sudden/unexpected injury/illness.” </li></ul>
  • 3. Intro to EMS Where did EMS come from? <ul><li>War </li></ul><ul><ul><li>1 st Ambulances </li></ul></ul><ul><ul><ul><li>Napoleonic War </li></ul></ul></ul><ul><ul><ul><li>Baron Dominique Jean Larrey - 1793 </li></ul></ul></ul><ul><ul><li>“ Flying Field Hospitals” </li></ul></ul><ul><ul><ul><li>Troops taken off battlefield for treatment </li></ul></ul></ul>
  • 4. Intro to EMS Where did EMS come from? <ul><li>Civil War </li></ul><ul><ul><li>Horse Drawn Ambulances </li></ul></ul><ul><li>WWI </li></ul><ul><ul><li>Motorized Ambulance </li></ul></ul><ul><ul><li>Splinting fractures </li></ul></ul><ul><li>Korean War </li></ul><ul><ul><li>Helicopter evacuation to MASH units </li></ul></ul><ul><li>Vietnam </li></ul><ul><ul><li>Reinforced helicopter evacuation </li></ul></ul><ul><ul><li>Field medics </li></ul></ul>
  • 5. Intro to EMS Where did EMS come from? <ul><li>Civilians </li></ul><ul><ul><li>Rural </li></ul></ul><ul><ul><ul><li>Undertakers </li></ul></ul></ul><ul><ul><li>Urban </li></ul></ul><ul><ul><ul><li>Hospitals/FD/Police/Private companies </li></ul></ul></ul>
  • 6.  
  • 7. Intro to EMS Where did EMS come from? <ul><li>Trauma </li></ul><ul><ul><li># 1 COD 1-45 y/o </li></ul></ul><ul><ul><li>MVA= ½ of all traumatic deaths </li></ul></ul><ul><ul><li>Battle physicians saw need </li></ul></ul><ul><ul><li>On scene care= increased survivability </li></ul></ul>
  • 8. Intro to EMS Where did EMS come from? <ul><li>The “White Paper”- 1966 </li></ul><ul><ul><li>“ Accidental Death and Disability: The Neglected Disease of Modern Society” </li></ul></ul><ul><ul><ul><li>National Academy of Science </li></ul></ul></ul><ul><ul><li>Prompted federal grants </li></ul></ul><ul><ul><ul><li>“ Safe Transport and Handling of ill/injured people” </li></ul></ul></ul><ul><li>National Highway Safety Act - 1966 </li></ul><ul><ul><li>Established National Highway Safety Administration (NHSTA) under U.S. D.O.T. </li></ul></ul><ul><ul><ul><li>Improve EMS education/est. EMS system </li></ul></ul></ul>
  • 9. Intro to EMS Where did EMS come from? <ul><li>Wedworth-Townsend Paramedic Act -1970 </li></ul><ul><ul><li>Senator James Q. Wedworth </li></ul></ul><ul><ul><li>Assemblyman Larry Townsend </li></ul></ul><ul><ul><li>Pilot Paramedic program </li></ul></ul><ul><ul><ul><li>Los Angeles County </li></ul></ul></ul><ul><ul><ul><li>Function without doctor/nurse </li></ul></ul></ul>
  • 10. Overview of the EMS System… <ul><li>911 </li></ul><ul><ul><li>Access to ALL components of EMS </li></ul></ul><ul><li>Enhanced 911 </li></ul><ul><ul><li>Exact location of caller </li></ul></ul><ul><li>Emergency Medical Dispatch </li></ul><ul><ul><li>Dispatchers provide basic 1 st aid instructors </li></ul></ul><ul><ul><li>U.S. D.O.T. Curriculum </li></ul></ul><ul><li>Non 911 systems </li></ul><ul><ul><li>Separate numbers separate services </li></ul></ul>
  • 11. Overview of the EMS system… <ul><li>Levels of training </li></ul><ul><ul><li>First responder </li></ul></ul><ul><ul><li>EMT-Basic </li></ul></ul><ul><ul><li>EMT-Enhanced </li></ul></ul><ul><ul><li>EMT-Intermediate </li></ul></ul><ul><ul><li>EMT-Paramedic </li></ul></ul>
  • 12. The Healthcare System <ul><li>Emergency Department/Medicine </li></ul><ul><ul><li>Intersection of prehopsital/hospital care </li></ul></ul><ul><ul><li>Young specialty </li></ul></ul><ul><ul><ul><li>AMA recognition 1975 </li></ul></ul></ul><ul><li>Specialty Centers </li></ul><ul><ul><li>Trauma Centers </li></ul></ul><ul><ul><li>Burn Centers </li></ul></ul><ul><ul><li>Pediatric Centers </li></ul></ul><ul><ul><li>Poison Centers </li></ul></ul>
  • 13. Hospital Personnel <ul><li>Physicians </li></ul><ul><ul><li>Overall management of pt care </li></ul></ul><ul><li>Nurses </li></ul><ul><ul><li>Coordinates pt care </li></ul></ul><ul><li>Others </li></ul><ul><ul><li>Radiology, Respiratory, Techs, etc. </li></ul></ul>
  • 14. Other Public Safety Workers <ul><li>Firefighters </li></ul><ul><ul><li>Fire </li></ul></ul><ul><ul><li>Extrication </li></ul></ul><ul><ul><li>AED </li></ul></ul><ul><li>Police </li></ul><ul><ul><li>Crime scenes </li></ul></ul><ul><ul><li>Traffic control </li></ul></ul><ul><ul><li>Violent patients </li></ul></ul><ul><ul><li>Notifies family </li></ul></ul>
  • 15. Roles and Responsibilities of the EMT <ul><li>Safety </li></ul><ul><ul><li>Personal </li></ul></ul><ul><ul><li>Crew </li></ul></ul><ul><ul><li>Bystander </li></ul></ul><ul><ul><li>Pt. </li></ul></ul><ul><li>Pt assessment </li></ul><ul><ul><li>Vital signs, History, Physical assessment </li></ul></ul>
  • 16. Roles and Responsibilities of the EMT <ul><li>Pt care </li></ul><ul><ul><li>Based on assessment findings </li></ul></ul><ul><li>Lifting/moving pt </li></ul><ul><ul><li>Movement based on pt needs </li></ul></ul><ul><li>Transport/transfer of care </li></ul><ul><li>Record keeping </li></ul><ul><ul><li>PPCR= ONLY source of info from the scene </li></ul></ul><ul><ul><li>CYA… </li></ul></ul><ul><li>Pt. Advocacy </li></ul><ul><ul><li>1 st provider at scene= the pt looks to YOU! </li></ul></ul>
  • 17. Professional Attributes <ul><li>Appearance </li></ul><ul><ul><li>Neat </li></ul></ul><ul><ul><li>Clean </li></ul></ul><ul><ul><li>Positive image </li></ul></ul><ul><li>Maintain up to date knowledge/skills </li></ul><ul><ul><li>Continuing Ed (CE) </li></ul></ul><ul><ul><ul><li>Local/state/national conventions </li></ul></ul></ul><ul><ul><ul><li>EMS journals and classes </li></ul></ul></ul><ul><ul><ul><li>Handout on Va EMT CE requirements </li></ul></ul></ul><ul><ul><li>Refresher courses </li></ul></ul>
  • 18. Category 1(Required Topic) Area # Hours Required Patient Assessment 2 3 Airway Management w/Practical 3 3 Trauma Emergencies w/Scenarios 4 4 Medical Emergencies w/Scenarios 5 4 Infection Control 6 2 Medical Legal 7 1 Infants and Children 8 2 Practical Skills 9 3 AED 10 2 TOTAL: 24 Hours Category 2 (Other) . TOTAL: Up to 12 Hours Category 3(Multimedia) . TOTAL: Up to 10 Hours Total Category 2 + Category 3 . TOTAL: 12 Hours TOTAL EMT RECERTIFICTION HOURS . TOTAL: 36 Hours
  • 19. Neat….
  • 20. Not so neat…
  • 21. Quality Improvement <ul><li>“A system of internal/external reviews and audits of all aspects of an EMS system so as to identify those aspects needing improvement to assure the public receives the highest quality of prehospital care.” </li></ul><ul><ul><ul><li>Anyone else think that’s a terribly long definition?? </li></ul></ul></ul>
  • 22. The Role of the EMT in QI <ul><li>Documentation </li></ul><ul><li>Run reviews and audits </li></ul><ul><li>Pt and hospital feedback </li></ul><ul><li>Preventative maintenance </li></ul><ul><li>Counting Ed (CE) </li></ul><ul><li>Skill maintenance </li></ul>
  • 23. Maintain skills so you don’t do this…
  • 24. Medical Direction <ul><li>“A physician responsible for the clinical and pt care aspects of the EMS system” </li></ul><ul><li>EVERY EMS system MUST have one </li></ul><ul><li>We are extensions of the OMD </li></ul>
  • 25. Types of Medical Direction <ul><li>On-Line </li></ul><ul><ul><li>DIRECT communication with physician </li></ul></ul><ul><ul><ul><li>Telephone </li></ul></ul></ul><ul><ul><ul><li>Radio </li></ul></ul></ul><ul><li>Off-Line </li></ul><ul><ul><li>Medical direction without direct communication </li></ul></ul><ul><ul><ul><li>Protocol </li></ul></ul></ul><ul><ul><ul><li>Standing Orders </li></ul></ul></ul>
  • 26. Extra Credit to ANYONE who can tell me who these guys are and why they ROCK!!!
  • 27. That does it. Come back next time for more…

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