1)Intro To Ems
Upcoming SlideShare
Loading in...5
×
 

Like this? Share it with your network

Share

1)Intro To Ems

on

  • 1,908 views

 

Statistics

Views

Total Views
1,908
Views on SlideShare
1,904
Embed Views
4

Actions

Likes
3
Downloads
72
Comments
0

2 Embeds 4

http://www.slideshare.net 3
http://riohondo.blackboard.com 1

Accessibility

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

1)Intro To Ems Presentation Transcript

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