Adrenal Address

Adrenal Address
HB 1661 Administration of medications to treat adrenal crisis.
House Patrons: Thomas A Greason (Republican) District 32 and Cosponsor J Randell Minchew
(Republican) District 10
Bill Summary: The bill is to amend and reenact §§ 8.01–225 and 54.1–3408 of the Code of Virginia,
relating to administration of medications to treat adrenal crisis.
Overview:
HB 1661 lets an individual render emergency assistance to any injured or ill person who is the
victim of an accident fire or any other life–threatening emergency. It also covers if the individual is
en route to any hospital, medical clinic, or doctor's office. Emergency care or assistance includes
shall not be liable for any civil damages for acts or omissions resulting from the rendering of ...
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School nurses school board employees, an employee of a local governing body, or an employee of a
local health department shall not be liable if a student is having a anaphylactic reaction. These
employees will also not be held liable if they prescribe, dispense or administer naloxone if it is a life
threatening situation.HB 1661 also deems you not to be liable if you are engaging in any rescue or
recovery work in a mine. If you are operating a motor vehicle then you will not be provided
immunity from liability. HB 1661 discuses how under the immediate and direct supervision of a
registered nurse. A prescriber acting on behalf of and in accordance with established protocols of the
Department of Health may authorize the administration of vaccines to any person by a pharmacist,
nurse, or designated emergency medical services provider who holds an advanced life support
certificate under the direction of an operational medical director when the prescriber is not
physically present. They also require to provide vaccine documentation to the Virginia
Immunization Information System. Dentists are allowed to administer topical oral fluorides, topical
oral anesthetics, topical and directly applied
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The Emergency Department For Healthcare Organizations
The Emergency Department for most healthcare organizations has been referred to by many as the
gateway to the entire hospital. This is largely in part due to the observation that the Emergency
Department is often the most frequently visited department of the acute care hospital that many
patients will ever receive care from (Falcone, 2013). The Emergency Departments function by its
design is to fulfill a healthcare organizations obligation of providing care during episodes of acute,
severe injuries or illnesses. This function at times can be one that requires a unique workflow to be
present within the department. Adding to the required tasks needed to fulfill this obligation, is also a
large patient population who utilizes the emergency departments resources for non–acute and/or
chronic medical conditions that are best classified as non–emergent in nature. Nonetheless, the
Emergency Departments of healthcare organizations who are participant's in Medicare and
Medicaid, must balance the allocation and utilization of their resources to accommodate both these
acute and non–acute patients within the guidelines that have been set forth by the Center for
Medicare and Medicaid Services or CMS. In addition to this requirement, other regulations such as
the Emergency Medical Treatment and Active Labor Act (EMTALA) stipulate that under certain
pre–defined "medical conditions", Emergency Departments are required to provide a standard of
care which can include ensuring that an

The Techniques Used By Emergency Medical Services
Introduction
The topic proposed for research is to discuss and compare the techniques used by emergency
medical services to fully immobilise a patient with suspected spinal injuries with two highly
debatable methods, Spine Immobilisation and Spinal Motion Restriction (SMR). The research
collected will determine the safest and most practical technique, comparing the advantages and
disadvantages of the two.
Discussion
Spinal Immobilisation involves the use of a number of devices to stabilize the spine after injury,
which will consequently prevent further damage to the spine, spinal cord, surrounding tissue and
vital organs. Spinal motion restriction on the other hand, can be described as being the preferred
practice amongst emergency medical practitioners. Spinal motion restriction aims to maintain the
spine in anatomic alignment and reduce the amount of movement as much as possible. (Physicians,
2015)
Spinal immobilisation is considered for utilization for two specific patient groups: (1) unconscious
injury victims and (2) any patient with a motion injury. These two specific groups lead to the
perception that these patients have a possible spinal injury and immobilisation is required.
(M.J.Sanders, 2010) Applying clear, clinical guidelines for evaluating a possible spinal injury in a
patient can support the accuracy of pre–hospital assessment. The following signs and symptoms
may assist in the decision of full spinal immobilisation:
Altered level of consciousness –

Evaluating Emergency Medical Services
Emergency Medical Services
Emergency medical services provide prehospital medical care to out–of–hospital cardiac arrest
patients on scene and while transporting the patient to the hospital. In rural areas, the responding
emergency medical services' scope of practice varies from basic life support capabilities, which may
be limited to effective chest compressions and use of a bag–mask device, to advanced life support
capabilities encompassing a set of interventions and medication treatments intended to support
airway, breathing, and circulation.
Evaluation
The evaluation of the emergency medical services cardiac subsystem of care includes:
1) Mapping of the emergency medical services' response processes to out–of–hospital cardiac arrest

Emtala
Background
EMTALA is the Emergency Medical Treatment and Labor Act that was developed in 1985 as part of
the Title IX of the Consolidated Omnibus Budget Reconciliation Act that went into effect in the year
1986 (Sara Rosenbaum, 2012). EMTALA was developed after an article was published in 1986 that
documented how Cook County Hospital in Chicago was receiving patients that were "dumped"
there that were unemployed, minorities, and lacked health insurance (Singer, 2014). This problem
also occurred in 1983 in Dallas where over 200 patients were transferred between hospitals that
were not stable (Singer, 2014). EMTALA is under the direction of the Department of Health and
Human Services and was developed to address the needs of Americans ... Show more content on
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The filing of the complaint must be completed within 72 hours of the transfer (Sally Austin, 2011).
As a result of this, it has been difficult to see whether or not EMTALA has truly been successfully
implemented and effective (Sara Rosenbaum, 2012). Another disadvantage is that EMTALA only
requires hospitals to treat "true emergencies", which are subjective in nature. The last revisions in
2003 for EMTALA by policymakers and CMS limited EMTALA to only patients that arrived to the
emergency department, not to other areas of the hospital, such as a doctor's office appointment or
outpatient surgery (Sara Rosenbaum, 2012). Another negative consequence of EMTALA that is not
addressed by the law is that emergency department physicians can still be held liable and face
malpractice issues by uninsured patients (Singer, 2014). There have been legislative proposals by
members of Congress that are working to change this to include physicians as members of the
Public Health Services, which would address these concerns (Singer, 2014). These hesitations by
physicians has forced some hospitals to close their emergency departments in California to avoid
these financial consequences of lawsuits (Friedman, 2011). As a policymaker, EMTALA was

Alternatives For Overcrowding Emergency Departments
ALTERNATIVES FOR OVERCROWDING EMERGENCY DEPARTMENTS
Meeting the Challenge and Filling the Gaps in America's Healthcare System
Executive Summary: Many visits to the Emergency Department are made for non–emergent needs.
This causes congestion in the healthcare system and makes it harder for those who truly need
emergent medical attention receive the care they need. Aging populations, under or non–insured
patients, Medicaid expansions, and Psychiatric/Behavioral Health problems directly impact
overcrowding in the Emergency Department. Providing alternative facilities and services, and
utilizing Community Paramedicine programs will alleviate the strain overcrowding Emergency
Departments face on a regular basis.
Introduction: Overcrowding in ... Show more content on Helpwriting.net ...
Federal Mandates: Annual visits to the Emergency Department in the United States grew by 40%
between 1998 and 2013 while the number of hospitals with an Emergency Department available
declined by 14% (Newhook, 2014). Emergency Medicine is the only specialty within the "House of
Medicine" that carries mandates from the federal government to provide care to anyone who
requests it. One such federal mandate is The Emergency Medical Treatment and Active Labor Act
(EMTALA). The EMTALA requires hospitals and ambulance services to provide care and treatment
to anyone needing or requesting it, regardless of their ability to pay, legal status, and citizenship
(Barish, Mcgauly, & Arnold, 2012). A survey conducted by the American Hospital Association
(2010) revealed that more than half of America's urban hospital emergency departments were at or
over capacity 130 out of 168 hours in a given week. The surveyed showed non–emergent visits
tripled the emergent visits.
Behavioral Health: Instance of Psychiatric/Behavioral Health Problems have significantly increased
over the last few decades. While many of the causes are unknown, Behavioral problems negatively
impact overcrowding in the emergency department. David Judge (2013) reports Mental Health
related ED visits have increased 75% between 2002– 2014. The issues is not the fact there is an

Australia's Emergency Medical Services
Like many countries, Australia's emergency medical services started out as just people transporting
sick and injured patients to the hospital. This service evolved along with technology and time. In the
1960's, the defibrillator made its way onto the ambulance, and the CPR technique was developed
(Tintinalli, Cameron, & Holliman, 2010). This new cardiac care soon spread all over the world and
is perhaps the beginning of what we recognize now as emergency medical services. Soon ambulance
personnel was required to learn more than just basic first aid. This personnel was responding to
emergency calls and providing medical treatments as well as transportation to the hospital. The EMS
service has continually evolved with new technology and the ... Show more content on
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The paramedic will interpret the EKG and other vitals to make a determination of the appropriate
intervention based on a set of predetermined criteria to reduce the pain and minimize the chance of
the condition worsening. The emphasis for the paramedic is to treat the current symptoms and not
concern themselves with the underlying issue as to why the patient may have developed chest pain.
The website About.com defines clinician as "Anyone who has patient care responsibilities. It usually
means a physician, but there are other healthcare professionals who can also be considered
clinicians, such as nurse practitioners and physician assistants." Unlike the paramedic that must
operate under predetermined protocols, a clinician has the knowledge to use judgment to look at the
factors that have influenced a patient's illness or injury. Instead of just giving nitro to treat the chest
pain, the clinician has the duty to recommend a course of preventative measures such as diet,
exercise, and perhaps prescribe a daily dose of aspirin.
Currently, in Australia, paramedics are required to have a bachelor's degree to work as paramedics.
This degree changes them from technicians to clinicians. This new requirement required a change in
both education and culture. To change the culture, the importance of education had to occur within
the field of paramedicine (Escott, 2016). To change the culture around the profession, respect for the
job, knowledge, and

Medical Director For Snohomish County Emergency Medical...
Dr. Eric Cooper is the medical director for Snohomish County Emergency Medical Services
(SCEMS). SCEMS is made up of numerous Fire Departments and Private Ambulance providers to
serve the citizens of the county (E. Cooper, personal communication, May 23, 2016). All of the Fire
Department services are on the same instance of Electronic Health Record (EHR). Implementation
of the EHR began in 2010, with Advanced Life Support entities. In 2013 the EHR vendor added a
feature called Health Data Exchange (HDE) as an option. This feature allows bi–directional flow of
information from the pre–hospital EHR to the hospital EHR. For the first time, pre–hospital
providers can get outcomes on the patients they treat, and hospitals can have the ... Show more
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One reason that Providence won this award is the fact that they have a single instance of Epic
installed system wide. It should be noted that Providence and Swedish, although merged, do operate
on two different instances of Epic EHR. In order to transition to a single instance of Epic the cost
would be $30 million, compared to a $500,000 interface that connects the two systems (E. Cooper,
personal communication, May 23, 2016).
Proposal
McDonald (1997) points out that health care data is siloed in multiple areas that are inaccessible to
others. This kind of management of patient data does not serve the patient well. It is for this reason
that SCEMS approached Providence and Swedish hospitals to propose implementation of HDE.
Moreover, as stated in the McDonald article a feasible way to integrate data from disparate sources
is through the use of interfaces such as the HDE. In addition, a problem that exists in the integration
of these two data sources is the fact that the hospital system communicates via the standard HL7
language, while the pre–hospital system communicates via XML. Fortunately, the HDE structure
accounts for this difference by translating back and forth between the two different languages. With
this in mind, SCEMS requested a meeting with members of the Providence and Swedish teams in
order to propose implementation of HDE (E. Cooper, personal communication, May 23,

Fremont County Emergency Medical Services Case Study
Fremont County Emergency Medical Services (EMS) is comprised of three units, Island
Park, Ashton, and Saint Anthony. Island Park has eleven unit members who are volunteer/paid call.
The unit is comprised of one EMR–2011, four EMT–2011's, and six AEMT–2011's. One AEMT–
2011 does not reside in the county. One AEMT–2011 and one EMR–2011 do not reside in the
county during the winter months. Two ambulances, three snowmobiles, one encapsulated sled on
skis, one enclosed trailer, one open trailer, one scene light trailer and one side–by–side are located in
Island Park. Ashton has ten unit members who are volunteer/paid call. The unit is comprised of
seven EMT 2011's and three AEMT–2011's. One AEMT–2011's and two EMT–2011's do not reside
in the county. ... Show more content on Helpwriting.net ...
The Emergency Management Coordinator volunteered his services to find and apply for grants to
fund the equipment needed for Search and Rescue and the fire departments. Further discussion
resulted in the development of responsibilities for the Emergency Management Coordinator specific
to mass casualty incidents. The EMS Department showed great enthusiasm and desire to develop a
rescue task force, in addition to working and training with the various other emergency services
departments. Sustainable medical training for EMS and other first responders was analyzed,
selected, scheduled, and carried out. Requirements for RTF and support positions were developed
and approved as part of the project development. Numerous appendices were created to aid in
planning, training, and response to high–risk incidents. Contact lists, maps, 3D tours, equipment
lists, triage and treatment guidelines, and a transport log are included in the appendices. These
appendices are key to ensuring that incident/unified command have access to necessary and accurate
information regarding personnel, apparatus, building layouts, and equipment in a timely

Improving Rural Emergency Services
Improving Rural Emergency Services
"Wyandot East EMS Wyandot East EMS 27 run 27 run to 416 west center street 416 west center
street for a 60 year old male complaining of chest pain. Time paged 1345." The emergency services
here I am from use the code "27" to signify that it is an emergency run. Five minutes later...
"Wyandot East EMS Wyandot East EMS 27 run 27 run to 416 west center street 416 west center
street for a 60 year old male complaining of chest pain 2nd page time 1350". another five minutes
go by... "Upper EMS Upper EMS 27 run 27 run to 416 west center street 416 west center street in
Nevada for a 60 year old male complaining of chest pain time paged 1400". Fifteen minutes later ...
Upper EMS shows up at the house and is doing CPR on ... Show more content on Helpwriting.net ...
The emergency medical services are proven to be slower in small rural areas than in a bigger city,
because most of the small town rural areas emergency response services are volunteer. While
judging the amount of coverage an emergency response station covers, government officials look at
the amount of people in a given area, not the mileage that area may cover. My hometown is mostly
farmland, with a population of seven hundred and fifty people, the farmland covers twenty five to
thirty miles in each direction. This may not sound like much land to cover, but when it comes to
saving lives, time is of the essence.
When coming up with what land the emergency services in the area covers, government officials
calculate the land in a area and how much taxes the land have in a given year and whether or not
they can afford emergency medical services. If a small town can not afford the cost of a full time
medical service, the government then puts the small town in the hands of the neighboring
community that can afford the emergency medical services. Sometimes the neighboring emergency
medical services will establish a volunteer EMT station in the small town to try and get as many
emergency calls answered as quickly as possible."Emergency medical systems are evaluated
according to how they respond to and treat out–of–hospital cardiac arrest patients" (Sunarin,
Mayorga,and Mclay 134). The rural and small town areas are not able to respond in time do to lack
of resources,

Helicopter Emergency Medical Service
Helicopter Emergency Medical Service Air medical transport has only been used for the past 70
years. The first true air ambulance flight was during the Great War. A Serbian officer was
transported from the battlefield to the hospital by plane. Air ambulance was being tested by different
military organizations during the First World War. Schaefer Air services was the first United States
air ambulance service, created in 1947. The Korean War was the big turning point for EMS
helicopters. In 1950, the military was given authorization to use helicopters for medical purposes.
These helicopters were used to evacuate injured patients from the battlefield during combat. The
small helicopters were equipped with basket stretchers that were ... Show more content on
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Each helicopter has its own transport team. The transport team may consist of a pilot, registered
nurse or paramedic, and can include EMT's and EMT–I's. Some flight crews include a physician.
Physicians on fight crews have posed a lot of controversy as to whether a physician as a crew
member improves the outcome of the patient. Each crew member must undergo many education
courses as well as hands on training before being employed by HEMS. Safety is the most important
aspect to HEMS. Emergency medical helicopters have an alarming history of crashes. The National
Transportation Safety Board conducted a study to determine the major causes of helicopter crashes.
Important areas of flight risk are the pilots, the mechanics of the aircraft, crew training,
maintenance, weather conditions, time of day, and landing sites. The study showed that poor
weather conditions posed the greatest risk for helicopter crashes. Since, the study many
improvements have been made to improve the crash rate. It has been said that the sole decision is set
on the pilot as to whether it is safe enough to take the flight or not. The pilot must consider the
weather conditions, aircraft maintainence, and crew readiness. Medical personnel cannot make the
decision to take the call. Medical personnel should not tell the pilot the nature of the call, because
this may deter the pilot's judgment. Currently the Federal Aviation Administration is looking

Case Study : Home Care Service
Executive Summary
Our in–home care service caters to those aged 65 and older to provide assistance with personal care,
private, accessible transportation, homemaker and companion services along with emergency
medical ID bracelets in partnership with MedicAlert. We provide non–medical in–home services
such as personal care, homemaker and companion services along with private accessible
transportation. Includes Private accessible transportation for clients who require reliable and safe
rides 24/7. Additional to that services, clients can purchase emergency medical ID bracelets at a
reduced price from our partners, MedicAlert. These life–saving bracelets are helpful during an
emergency. Clients will have access to us through the website and phone during any emergency
situations. Our working team will consist of 8 PSW employees, 1 Driver and 3 partnership people
who invest and will also handle the business and office work too. Where we plan to work for one of
the partner 's home and buying 1 van also offering EE phone plans. The expenses, including salary
cost us $227,880 for our ICare Inc. In–Home Care Services. Whereas we are expected to earn a total
capital and revenue of $228,000 for the year.
Service Information
We provide non–medical in–home services such as personal care, homemaker and companion
services along with private accessible transportation. Personal care, homemaker and companion
services include assisting clients with daily routines such as personal hygiene,

King County EMS System: A Case Study
Opportunities
There are several opportunities that improve the operations of the medical services and address the
weaknesses described above. As the region grows and the population increases , there are challenges
to the county's EMS division due to a straining of resources. Clearly, increasing the number of EMS
staff would facilitate medical operations and emergency responses. Hiring and training more EMS
personnel would mean that emergency medical resources would stay readily available. As the
population grows, the number of providers must be increased. Moreover, agencies in partnership
with EMS, such as fire departments, can share limited resources in order to increase service
provision. (Pritchard, 2015)
Expanding the scope of education ... Show more content on Helpwriting.net ...
This would enable it to efficiently utilize its facilities and resources and consequently, reduce the
cost incurred to acquire emergency medical services (Eisenberg, Bergner & Hallstrom, 1979). This
would enable the facility cater the needs of patients adequately as well as make competitive. This
competitiveness would hand the facility a competitive edge over its competitors in the industry and
maintain its global position as the best emergency medical services provider. Cost competitiveness
of the King County will allow it to offer an enhanced range of services because many clients would
be able to get the services. Hence, the EMS would not only be able to reach out many people but
improve the standards of services

The Effects Of Social Media On Working Hours At Emergency...
Abstract
The paper examines the use of social media during working hours at Emergency Health Service
(EHS) by the staff. Social media is a real addiction these days where everyone is so involved. The
use of social media during working hours can sometimes be so deadly and the consequences of this
irresponsible behavior can be so severe in emergency health care. The medical staff should be aware
of the dos and don'ts of their duty for which an awareness program and a proper check is a must.
Along with that the EHS staff should also take proper responsibility as it a matter of human lives.
The data collection is done by the observation of the Emergency Medical services physicians so as
to examine the usage of social media websites in working ... Show more content on Helpwriting.net
...
Sometimes, a health worker does not give importance to the patient because the interest of social
media. Health worker keeps on using social media websites while discussing the problem of a
problem. The usage of social media websites for private purposes through working hours at
emergency health services can have a negative impact on well–being and work performance of
employees.
Hypothesis
The use of social networks during working hours at EMS can be deadly and might put the lives of
the people at high risk.
Research Questions
1. "Is the usage of social media websites during working hours at EMS increasing sharply?"
2. "Is it professional to use social media during working hours at emergency health sector or does it
lead to irreparable harm to the patient's health?"
Literature Review
University of Bergen (UIB) demonstrates that the usage of social media for private purposes in
working hours could have a harmful consequence on work performance. This study can be
implemented in the case of emergency health care sector.
Ensor & Cooper (2004) found that with the wide spread of social networks during working hours
has become an everyday part of life, including published messages related to work in the private
offices. There are significant studies that show the negative impact of social works during working
hours at emergency health services.
Dynes (1970) depicted both hypothetical and commonsense parts of a composed reaction, including
staffing, technique,

The Problem Of The Hospital Emergency
The world hospital comes from Latin word hopes, which means a visitor or host who receives a
visitor. That is why in the early century, the primary goal of the hospital was to serve the poor.
Torrens (1993) states, "In the early 20 the century, with the establishment of consistent medical
education, hospitals became more accepted across socioeconomic classes and became the symbol of
medicine." Since hospitals now requires more training and specialization for workers, furthermore,
need sophisticated material to delivery services, hospitals passed the poorhouses to the symbol of
the institutionalizations of health care said Niles (1994). Hospitals almost lost the duty to provide
care to people in emergency because they turned patients away who cannot pay or indigents. That is
why many people are afraid to dial 911 now even though they have an important emergency to go to
the hospital emergency because of fear to turn way. This situation if not remedy can cause people to
die when they could be saved if they would admit to the hospital emergency.
Today, admitting to the hospital is so expensive that makes it very difficult to those who do not have
insurance to get in when there are sick. This issue becomes so common that retains the concerns of
many. For that, the government intervenes by creating institutions such as the Emergency Medical
Treatment and Labor Act (EMTALA) and the Consolidated Omnibus reconciliation Act (COBRA)
created and passed by the US congress in 1986 to

Ethical Dilemmas In Emergency Medical Services And Fire...
The career field I am in Is Emergency medical services and fire service. One of the major ethical
issues I've come across is the refusal of care. Depending on the person's injury and they have the
right to refuse the help we have to offer. The factors that go along with this is, the person must be
legally competent to make their own choices, meaning their not under the influence of drugs or
alcohol, or have an injury that impairs there capabilities. They have to be 18 years of age, if they are
not 18, they must either be a parent themselves or emancipated. Along with those they must also
understand the risks of refusal which is provided to them. For example, an elderly man who is
having chest pain. His family called 9–1–1 because they were

Taylor Ambulance Companies: Government Funding For...
Funding for Emergency Operations
Jenalyn L. Brock
EMC/330
March 19, 2013
Robert E. Wynne
Funding for Emergency Operations Government funding for emergency medical services (EMS)
operations and training comes from many different resources. Government also oversees contract
options for funding Medicaid, Medicare, insurance, and private providers. The Taylor Ambulance
Company in the University of Phoenix scenario has its own contract with the City of Kelsey. This
contract should meet some meet some general contract principles. Emergency managers need to
understand the effect that legislation has on funding and operations.
Government Options for Funding EMS operations and training receive funding from the public and
... Show more content on Helpwriting.net ...
Each of these government funding choices has its own implications and comes with restraints, as in
restricting the way the money is used.
Contract Options for Funding
EMS organizations also have their contract options for funding. According to the Centers for
Medicare and Medicaid Services (2013), they developed a fee schedule for ambulance services, in
order to contain costs. This schedule is written into a contract. Many patients that are transported by
ambulance are Medicare beneficiaries. The government will only reimburse the companies for
services rendered during transport, unless contraindicated by the patient's medical condition. There
are codes associated with treatment that either replace or supplement ICD–9 codes. The fee schedule
also corresponds with BLS and ALS levels of care, rating treatment from routine to complex
(Brennan, 2012). Private insurance companies like Blue Cross Blue Shield include ambulance
services for their patients when other transportation would otherwise harm the patient. Cities and
hospitals create contract agreements with private ambulance companies for services.
Taylor Ambulance Company Service Contracts Generally in contract writing, there are six basic
contract elements (The Law Handbook, 2010). The first is that both parties must have the capacity
to enter a contract. There must be an offer and then acceptance. There needs to be

Mitigation : The Challenge For Emergency Medical Services
Mitigation is about reducing vulnerability and therefore improving the resiliency of a community
and nation. Although CBRNE events commonly involve multiple patients and thus, on the surface,
might resemble multi–casualty incidents, the unique hazards of CBRN events require specific
education and training. The addition of a potential CBRN agent to any situation significantly
changes the flavor of that situation and therefore the reactions of personnel at the scene.
The challenge for emergency medical services (EMS), comprised of paramedics and fire first–
responders, is a combination of the following: recognizing that a chemical, biological, radiological
and nuclear (CBRN) event has occurred; providing resuscitative care in or near a ... Show more
If a first responder is not able to safely respond, the expected loss of life rises.
The Hazardous Material Identification System conveys the information that directly influences how
first responders should approach the attack. The Hazardous Materials Identification System (HMIS)
is a numerical hazard rating that incorporates the use of labels with color–coded bars as well as
training materials (CT2Learn). The utilization of the hazardous materials identification system
ensures the appropriate materials are categorized and proper handling and care are clearly stated.
For their safety, it is imperative first responders take in large amounts of information very quickly
when they arrive on scene. Responders need to make judgment calls that will impact not only
themselves, but also those they are assisting. Should a location that handles hazardous materials be
the target of a terrorist attack the first responders need to quickly assess what protective safety
measures are required. First responders require training in how to respond to the risks presented with
the presence of the hazardous materials. Each hazardous material brings unique characteristics to the
event. The response protocols for an event involving jet fuel is vastly different form an event
involving bio–hazardous materials or even a nuclear event.
Response
Response is about saving lives and meeting basic human needs after an emergency. Ill–prepared,
heroic rescue

Emergency Medical Dispatch (EMD)
Our mission is to advance and support the emergency medical dispatch professional ensuring that
the public's need of health related emergencies are coordinated quickly, effectively and safely with
the most appropriate medical response.
The communication industry is changing more rapidly than most agencies can keep up with, and
Emergency Medical Dispatch is the most effective and economically feasible advancement for the
services response.
Emergency Medical Dispatch (EMD) is a system structured around the use of medical dispatching
priority cards using key questions, giving pre–arrival instructions, and implementing dispatch
priorities. Dispatchers are trained to ask specific questions such as patient's age, level of
consciousness, breathing ... Show more content on Helpwriting.net ...
During this course, the students will gain the knowledge to properly prioritize the EMS calls
received, as well as convey proper pre–arrival instructions to the callers as needed.
During the course, students will study topics such as structured information gathering, journalistic
investigative approach, response allocation and response prioritization, systems of the body,
pediatric considerations, legal and liability issues, anatomy and physiology, stress management, and
quality assurance and recertification.
The initial cost of the certification is $395.00 per person, which also includes the guide cards, and
all books or manuals required. Training can be held here at our facility so there would be no travel
costs, but scheduling would need to be worked to allow the necessary training, which may, in some
instances, occur overtime.
Another option to holding a course, is to allow the employees to participate in an online course
which includes a one hour long web based simulation and a one and a half hour practical practice
conference call. The final practical is completed on a conference call with a one–on–one

Emergency Medical Services ( Emergency Care )
As you may know, it does not matter where you are in the United States of America, you have the
opportunity to call 911 and receive emergency medical care. Depending on where you are when you
make that call may have an effect on how long it takes for someone to get to you. So, what defines
the word emergency? Is it a life threading situation, or just an everyday illness? Community
Paramedicine has many benefits, from helping cut down on people being re admitted to the hospital,
to helping people not misuse the emergency 911 system even if they do not realize they are doing
so. Some people may not realize that different emergency medical services run anywhere from one
thousand calls a year to one million calls a year. Community Paramedicine can help the so called "
frequent flyers" to where they do not call as much and they are more independent thus freeing up
time, money, and resources. For paramedics to respond to those life–threating emergencies.
Emergency medical services has 4 levels of certification. Emergency medical responder, emergency
medical technician, advanced emergency medical technician, and paramedic. Progressing at each
level you gain more skills, responsibility, and knowledge, but all of which are within emergency and
urgent care. Some people get tired and burned out faster than others. Putting Community
Paramedicine into the mix adds another level as well as provides opportunity for paramedics that
have twenty plus years under their belt to slow down and

The Development of Civilian Emergency Medical Services in...
The Development of Civilian Emergency Medical Services in the United States Civilian Emergency
Medical Services (EMS) is the most widely used system for emergency services provided in the
United States. The United States development of Civilian EMS has evolved and changed since the
19th century. The actual foundation for EMS originated during the Civil War in America and served
as the model for future civilian EMS development. During the Civil War Dr. Jonathan Letterman
created a system of ambulances due to the disorganization that existed in medical services during the
Battle of Bull Run. Surgeon General William Hammond appointed Jonathan Letterman as the
Military Medical Director and assigned him with the task of organizing military ... Show more
The most noticeable improvement was the use of helicopters as a mode of medical evacuation to
quickly remove injured soldiers from the battlefield. During the Vietnam War modifications were
made for helicopters used to transport wounded soldiers. The helicopters were known as HU–1 or
Huey. The Huey contained a large compartment that allowed emergency care while still in the air.
Civilian EMS originated with the first civilian manufactured ambulance produced in 1890 and built
by the Hess–Eisenhardt Company in Cincinnati. The ambulance was a horse drawn wagon
specifically designed to move injured patients. The first electric motorized ambulance was made in
Chicago in 1899 and donated to the Michael Reese Hospital by local businessmen. The St. Vincent
Hospital of New York began operating an electric motorized ambulance in 1900. James
Cunningham, Son & Company created the first gasoline powered ambulance in 1909; the company
was located in Rochester New York. The gasoline powered ambulance had a thirty two horsepower
four cylinder internal engine, electric lights, and a side mounted gong to alert other vehicles that an
ambulance was on the road. Throughout the 1920s and 1930s numerous civilian emergency medical
service volunteer groups were created to serve local municipalities. By 1936 the American Red
Cross (ARC) had established 900 dedicated Emergency First Aid Stations along the country's
highways to aid

Examining the Existing Role of the Emergency Medical...
Introduction
Health care is rapidly transforming to meet the demands of rising health care cost; aging Baby
boomers; and the shift from acute care settings to the community and primary care centers.
However, with the threat of the nursing shortage health care providers are positioning themselves to
develop innovative ways to meet the demand for health care. The Center for Medicare and Medicaid
Services (CMS) is offering billions of dollars in innovative grants to health care providers to find
projects that test healthcare payment and delivery health care models to meet the goal of the "Triple
Aim; lowered cost, improved patient experience, and improved outcomes." ( CMS .org) One of the
latest initiatives is the expansion of the role of the Emergency Medical Service (EMS) provider to
the new role of the Community Paramedic (CP). The purpose of this paper is examine the existing
role of the EMS provider, the evolution of Community Paramedic, the overlapping roles and
responsibilities the RN and the CP, and the regulatory framework needed to support creation of the
CP's to ensure patient safety.
Background
Existing Role
Historically, EMS has focused on providing emergency treatment for persons suffering acute
medical problems in community settings, while transporting such persons to a hospital emergency
department (ED), and when needed, in the ED until care is taken over by hospital staff. EMS
personnel also have been utilized to transport ill or injured persons between

Positive Women In Emergency Medical Services
Positive Female Influences in Emergency Medical Services
Throughout History
Shelby Lollar
Coming into the emergency medical service world as a woman you can face many difficulties. It
takes a strong individual and committed woman to enter into emergency medical services. Women
are the minority in this field so there can be many twists and turns having a career in EMS. Women
got their feet into the EMS career world by becoming firefighters first. The first woman firefighter
was in 1815 a woman by the name of Molly Williams who was a slave in New York City. This
woman was a very courageous woman for coming from being a slave to the first woman firefighter.
She is mentioned in history and her legend ... Show more content on Helpwriting.net ...
Women and men together make a great team for emergency medical services because, it is such a
wide variety of things we encounter. On some calls men are much better at communicating with the
patient and at other times women are. Entering into the EMS field, I knew there would be things to
overcome such as harassment, hostile situations and many other challenges to get through. You have
to love what you do to make it through daily life in your job. It is very difficult to be first responders
and you never know what type of situation you are going to enter into. Also, I am sure some patients
and family members may think when they see a small woman like me; is she capable to move me,
lift that heavy equipment, and so on. I put my all in everything I do and have a true passion from the
heart in helping others. I know if you are a woman and want to be in this field you can as long as
you put your mind to it and stay dedicated. In some situations it is more difficult on women than it is
men to deal with current things but, that also applies to men as well. I set a goal of becoming a
Paramedic and in the future going above and beyond that. Being a Paramedic student I know how
much hard work and dedication it takes to have a career that is satisfying. Not that being a
Paramedic is all enjoyable, but it takes a

Emergency Medical Services Research Paper
Overtime, Emergency Medical Services has evolved. In order to keep the Emergency Medical
Services evolving certain key areas will have to be improved. Key areas that need to be enhanced
are things such as; adaptability ,preparedness, and emergency responses. In the Emergency Medical
Services , I believe that the ability to adapt to different conditions and environments is substantial.I
think preparedness will be a key factor in the future for Emergency Medical Services. The
emergency response play vital role to the future of Emergency Medical Services. The Emergency
Medical Services is advancing, but for this continue changes need to be made for the future. In the
next 2o years Emergency Medical Services will have to adapt to any

The Affordable Care Act And Emergency Medical Services
The Affordable Care Act and Emergency Medical Services
Each year in the United States approximately 114 million people visit their local Emergency
Department (ED), and 16 million of these patients arrive by Emergency Medical Services (EMS).
(Board et al.) Health care in America has moved from an individual, fee–for–service health care
system, towards a more integrated healthcare system i.e., The Affordable Care Act (ACA), which is
a government controlled healthcare system, and is set up to be a value–based payment system. The
ACA will expand and transform the roles of EMS within the healthcare system. EMS's ability to
survive and thrive in this new era of healthcare, will revolve, in part, on its ability to articulate its
value to healthcare providers, healthcare organizations, hospital systems, and payers, as well as
patients and family members. (Smith) EMS can thrive in the future, if it embraces change. John F.
Kennedy had this to say about change, "Change is the law of life. And those who look only to the
past or present are certain to miss the future." (BrainyQuote) In order for EMS to thrive in the
changes that the future is bringing, it must: focus on mobile integrated healthcare, be data driven in
their clinical practices. There are three other areas that will be discussed at length, EMS agencies
should be actively pursuing a community paramedicine program, EMS using remote telemedicine
and EMS moving towards a value–based payment system.
Many of the elements of

Spinal Imobilization In Emergency Medical Services
Spinal immobilization has been a common practice in Emergency Medical Services. The act of
spinal immobilization is normally used when a patient has suffered a significant trauma. Spinal
immobilization consists of securing the body to a rigid, long spinal board, securing the neck with a
cervical collar, and then lastly, securing the head to the board between towels or wedges. Initially
starting with the effectiveness of backboarding, continuing into the vital functions that backbaording
can impede and finalizing with the vacuum mattress versus the traditional backboard. Ultimately,
spinal immobilization of all trauma patients can do more harm than good, and all cases should not
be fully immobilized. Backboarding is currently still being used in EMS, however is it as effective
as it is believed to be? Recent studies have argued that backboarding is not as effective as previously
conceived. Nevertheless, there are steps that can be taken to increase the effectiveness of spinal
immobilization, however, those come with concerns as well. Padding the voids, or the spaces that
are commonly found behind the knees, lower back and the head and neck, is ... Show more content
on Helpwriting.net ...
Vacuum mattresses have been found to work just as well at spinal immobilization, if not better.
According to DeMond, "the Vacu–Mattress provides an excellent spine protection surface. It can be
contoured to hold the head in place, and it often can be contoured or have forehead tape added to
block flexion, no c–collar needed. And you have the added benefit of being able to visualize the
neck." (DeMond.) This device protects the spine and can prevent flexion, extension and lateral
movements of the neck. In addition to doing the same job of a long, spine board, the vacuum
mattresses are much faster in their application than a traditional long board and cervical collar. They
are much more comfortable for the patients, as

Gender Discrimination in Emergency Medical Services Essay
Gender Discrimination in Emergency Medical Services
*No Works Cited The tones go off, there is a scramble for shirts, ties, and boots. Dispatch announces
a motor vehicle accident five blocks away. EMTs and Paramedics climb into ambulances. Police are
reporting multiple personal injuries. There is a rush of adrenaline through all those involved. The
street comes alive with flashing red and white lights and screaming sirens. Ambulances tear down
the street to the accident scene. They arrive to find four cars involved in a high–speed collision.
There are seven people involved in this particular accident. Additional trucks are requested and the
original scene repeats itself as three more teams join the first two at the scene. ... Show more content
on Helpwriting.net ...
They speculate about the condition of their patient, the other patients at the scene, and their co–
workers. Things are beginning to return to the calmness that exists between calls.
Having been exposed to a typical accident scene that most emergency medical personnel are used to
working can be somewhat shocking. There are many questions, which arise after working a call like
that just described. The one I would like to focus on is what were the names of the EMTs and
Paramedics involved in the accident scene depicted? Jeff, Will, and John? Or could they possibly
have been Charlene, Lee, and Tracy?
Even in today's world of political correctness, there is still a very large gender bias when it comes to
certain things, such as Emergency Medical Services (EMS). The number of men in the field is much
higher than the number of women. Women, for the most part, are looked at as not being as capable
of performing what is required of an Emergency Medical Technician (EMT) or a Paramedic as men
are. EMTs and Paramedics are required to make split second, possibly life saving decisions, lift
large amounts of weight, and work long hours in all conditions. Since most women are physically
smaller than most men are, they are viewed as not being strong enough to lift patients or equipment
in many situations.
A personal example that proves this point happened to

Paramedic Research Paper
A paramedic is an allied health professional whose primary purpose is to provide advanced
emergency medical care for critical and emergent patients who access the emergency medical
system. As medical providers, paramedics perform interventions with basic as well as advanced
equipment under medical oversight. At a national level, the National Highway Traffic Safety
Administration (NHTSA) defines the various titles given to pre–hospital medical workers within the
United States based on the level of care they provide and the level of education they receive prior to
licensure. (National EMS Scope) A paramedic's education and skill set can vary from state to state.
At a minimum, most paramedic education and certifying programs require that ... Show more
(Morrisy, Tactical EMS) Requirements vary from jurisdiction to jurisdiction, but most programs
require tactical emergency personnel to be affiliated with law enforcement and be able to carry a
gun. Tactical medical providers must also be either Basic Life Support (BLS) or ALS certified and
have successfully completed a nationally recognized tactical provider course. Other training
includes hostage survival, team wellness, ballistic wound analysis, pediatric trauma, forensic
evidence gathering, and some veterinarian training to be able to take care of the unit's canines.
Tactical medics are also trained to "treat and release" law enforcement personnel with minor wounds
allowing them to be treated on scene and return to duty. (Morrisy, Tactical EMS) In response to
incidents, tactical medics are part of the front line, providing trauma–level care and unit wellness
checks along with maintaining the health and well–being of everyone present at the

King County Emergency Medical System Case Analysis
Education System King County has an integrated education system that equips society with
necessary knowledge, particularly the first aid cautionaries. Its inclusion in the curriculum of high
school students of the King County ensures that the community at large is informed about how to
respond to emergency situations (Eisenberg, Bergner & Hallstrom, 1979). With the knowledge
gained from such training, the students became aware of what is expected of them in regards to
offering first aid care to an emergency. This knowledge is passed to rest of community when
students interact with them. This helps to reduce the number of deaths occurring from certain
preventable incidences. It has also enabled EMS to achieve its mandate through the contribution ...
Show more content on Helpwriting.net ...
Population concerns remain a challenge to the efficiency of the King County EMS. The King
County region is growing and its population increasing. Considering its 8,164 people per square
mile already accounts for the highest population living in the state of Washington (King County,
2016), the system is already under strain to provide timely and equal services across the region. This
means that the system has had to increase their facilities, staff, as well as the quickness of response.
Consequently, the system continually needs more financial resources and more research endeavors
to negotiate changing population

Case Study Of Dr. Drones
Dr. Drone Case Study
Name
Institution
Dr. Drone Case Study
The use of drones in the medical industry is raising causing the world and businesses to shift to the
many opportunities presented by the use of drones. However, the use of drones is being limited by
the aviation laws governing different territories, which make it hard for the drones to fly freely. The
need for drones in the medical field has been necessitated by the need to give access to all people
the emergency medical services. The use of a drone is currently common I the rural areas of
developing countries. The use of drones in London has not picked due to it being an urban place and
relatively well served with ambulance service. However, with an increase in the population intensity
in the city and an ... Show more content on Helpwriting.net ...
(2017). Business. Dronesfordevelopment.org. Retrieved 15 December 2017, from
https://www.dronesfordevelopment.org/business–model
Farr, C. (2017). Delivering medical supplies into the remote Amazon is a big challenge, but drones
could help. CNBC. Retrieved 15 December 2017, from
https://www.cnbc.com/2017/11/13/werobotics–testing–drone–medical–supply–delivery–in–
amazon–rain–forest.html
FSD. (2017). Drones in Humanitarian Action » Case Study No. 2: Delivery – Using Drones for
Medical Payload Delivery in Papua New Guinea. Drones.fsd.ch. Retrieved 15 December 2017, from
http://drones.fsd.ch/en/using–drones–for–medical–payload–delivery–in–papua–new–guinea–case–
study/
Mayo Clinic. (2017). For Medical Professionals – Medical drones poised to take off. Mayo Clinic.
Retrieved 15 December 2017, from https://www.mayoclinic.org/medical–professionals/clinical–
updates/trauma/medical–drones–poised–to–take–off
Rosen, J. (2017). Blood from the sky: an ambitious medical drone delivery system hits Rwanda.
MIT Technology Review. Retrieved 15 December 2017, from

Protocols In Emergency Medical Services
In the world of emergency medical services (EMS), first responders face many challenges. Most of
these are well known by the general public, such as post–traumatic stress disorder (PTSD) from
difficult calls, meeting financial needs, and working long hours. What is not known by many is that
first responders also face the challenging task of learning and remembering an extensive list of
protocols for the state they work in. I remember starting my emergency medical technician (EMT)
class a little over a year ago and feeling overwhelmed when I discovered I had to learn these on top
of all of the information I was taking in an already hard class. I face this again now, being a
paramedic student at Pennsylvania College of Technology. These ... Show more content on
Helpwriting.net ...
90). For those items that are not required, the state medical director must give the unit permission to
carry them (American College of Emergency Physicians, 2016). Protocols are also updated annually
in order to include, exclude, or reword various parts in which editing is deemed needed. An example
would be PA's 2017 basic life support (BLS) protocol update in which it the BLS scope of practice
was expanded to include the use of glucometers to measure blood glucose levels (Pennsylvania
Department of Health, 2017, p. 59). This is can be vital in determining the seriousness of a patient's
condition. TRANSITION. While protocols are needed and are currently revised every so often, there
are some revisions that should be made that have not been yet. One of the greatest injustices in
today's society is caused by protocols. First responders are taught to maintain a standard of quality
care, which means that all patients are supposed to receive the best care possible no matter what.
This includes disregarding one's personal views on gender, race, and other things. Unfortunately,
this does not occur to the extent that it should. For example, in PA's cardiac arrest protocols outline
the use of mechanical CPR devices, such as the Lund University Cardiac Arrest System (LUCAS)
Device (Pennsylvania Department of Health, 2017, p. 69–72). This device performs compressions
for the care provider and has been proven to increase the survivability of patients in

EMT (Emergency Medical Technician)
EMS services have been around for quite some time, but during the 1960's it had more of an
interest. "The evolution of the emergency medical services system in the United States accelerated
rapidly between 1960 and 1973 as a result of a number of medical, historical, and social forces."
(Manish N. Shah, 414). The field that I am interested in is Health and with in the field of Health I
want to investigate and focus on an EMT (Emergency Medical Technician). The reason for this is
because this is a field I am actively interested in and want to make a career out of in my future.
EMT, paramedic and firefighters are part of a 911 dispatch call that will be there with in minutes and
have the ability to save and better the patients life on the scene ... Show more content on
Helpwriting.net ...
Advantages of doing a survey they will answer sensitive questions more genuinely, cheaper, quicker
and easier to administer. Disadvantages would be that you cannot explain the questions to them and
it is difficult to ask a lot of questions. What I want to know is if EMS is as important to the survival
rate being the same and or as good as it is in a rural setting versus an urban setting. My dependent
variable would be the survival rate; and the independent variable would be the setting (urban and
rural area). Assuming each ambulance gets around 8 to 10 calls per shift. "Recently, the Center for
the Study of Rural Vehicular Trauma at the University of South Alabama reported that increased
emergency medical services (EMS) response time, increased EMS scene time, and increased
distance to the scene were contributing factors to the increased mortality of rural motor vehicular
crashes (MVCs)" (Baker SP, O'Neil B, Ginsburg MJ, 31) This states that they are spending more
time getting to the scene and being able to spend less time on the patient because EMS know that
the drive to a hospital that can take them will be a long drive and each minute counts for any patient
with a trauma incident. "Mortality rates from rural vehicular trauma are twice the rate

Application Of Rfid As Medical Application
Abstract RFID innovation developed a while back however wasn 't utilized that regularly because of
absence of standardization and its high costs. RFID is a standout amongst all the most recent
advances and has most encouraging progressions for the future years and in different commercial
enterprises. We assemble a lot of practical information and verifications to support the new
suggested techniques. Health care industry i is exceedingly esteemed all through the world; applying
the forefront innovation in health awareness industry to enhance understanding human services has
been the regular objective sought after by the hospitals everywhere throughout the world. The
introduction of RFID as medical application is likewise being excitedly ... Show more content on
Helpwriting.net ...
RFID application tests in hospitals have been proposed by many suppliers, such as medicine control,
patients contact history, patient identification, equipment/apparatus tracking, injection management,
doctor request observing, medical malpractice prevention, blood bag quality control, and operation
room work process; all of which concern primarily the wellbeing of the patients. Medical
application of RFID for patient health care enhancement is therefore the focal point of this study.
The emergency room is the most complicate and busiest place in a hospital. A patient goes missing
and leaves registration record but no clinical record is a frequent scenario in an emergency room.
Such patients frequently leaves without reason the hospital while holding up in line, inhibiting
hospital management from tracking the patient head count and location and making patient
scheduling a troublesome undertaking for the hospital personnel.
Hypothesis and Objective
The main objective is to control the accurate information of patients location in real time in a
hospital (emergency room).
In hospitals today, RFID is all the more normally used to track equipment and staff then to track
patients. However the previous likewise enhances the flow by speeding the capacity to locate key
equipment while are used

Ethical Issues In Emergency Medical Services
All patients have the right to life, no matter how severe it may be. Additionally, patient privacy is of
paramount importance too, and thus should be upheld at all cost. Therefore, Emergency Medical
Services (EMS) practitioners do prehospital care under a strict code of conduct. Moreover, there
exist a number of ethical issues that guide EMS services. These include a limitation to resuscitation,
informed consent, the duty of care, and confidentiality. This paper will dwell on the importance of
the ethical matter of confidentiality. Emergency Medical Services are provided in rare circumstances
that caught victim unaware of attention to their body, family, and their homes. Thus, the
administration of EMS can expose patient negatively and affect

Ethical and Legal Concerns for Emergency Room Physicians...
There are unique ethical and legal obligations of the Emergency Room Physician. Commonly faced
issues include patient "dumping", organ donation, and Do–Not Resuscitate orders. These issues have
ethical and legal considerations for the Emergency Room Physician in regards to their
responsibilities and actions.
The ethical right for individuals to have access to health care already has a form of legal binding
within the United States as seen in the Emergency Medical Treatment and Active Labor Act. "In
1986, Congress passed the Emergency Medical Treatment and Active Labor Act (EMTALA), which
forbids Medicare–participating hospitals from "dumping" patients out of emergency departments"
(Pozgar, 2010, p. 221). The act provides that:
In the ... Show more content on Helpwriting.net ...
Because of the EMTALA, therefore, much more than emergency room care is provided regardless of
ability to pay" (Menzel, 2011, p. 84).
"Hospitals are not only required to care for emergency patients, but they also are required to do so in
a timely fashion" (Pozgar, 2010, p. 272). "Hospitals are expected to notify specialty on–call
physicians when their particular skills are required in the emergency department. An on–call
physician who fails to respond to a request to attend a patient can be liable for injuries suffered by
the patient because of his or her failure to respond" (Pozgar, 2010, p. 271). Under the doctrine of
Respondeat Superior, hospitals are also liable for the actions of physicians working or on–call in
their emergency department.
The need for organ donations creates another ethical dilemma for Emergency Room Physicians.
"Obtaining organs from emergency room patients has long been considered off–limits in the United
States because of ethical and logistical concerns" (Stein, 2010). The shortage of organs available for
transplant has caused many patients die while waiting. A pilot project from the federal government
"has begun promoting an alternative that involves surgeons taking organs, within minutes, from
patients whose hearts have stopped beating but who have not been declared brain–dead" (Stein,
2010). "The Uniform Determination of Death Act

What Is A Failure In Nursing Care
Failure to treat patients in a timely manner, with an emphasis on the responsibilities of the nurses in
the medical ER Author Name University Name Failure to treat patients in a timely manner, with an
emphasis on the responsibilities of the nurses in the medical ER Purpose of Paper/ topic chosen/
applicable Federal and/or state laws The purpose of the paper is to create awareness among the
nurses of medical emergency so that they can take special care of the patients. The topic I have
chosen for the paper is to discuss the responsibilities of the nurses in the medical ER, as it has been
seen that many a times medical emergency nurses failed to treat patients in a timely manner. There
are certain federal laws that relates to the nurses working in the health care facilities and especially
in the ER. There is an emergency nurses association (ENA) that plays an important role in keeping
the nurses aware of their responsibilities and also bound them legally. ... Show more content on
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I have visited various medical emergencies and at times I found that nurses get confused and lose
their nerves in high stress situations. So I would advise young nurses to practice working in high
stress situation. If some patient comes in medical emergency and on duty nurse doesn't make
accurate assessment then there are chances of malpractice medical treatment or diagnosis. It is the
core responsibility of medical emergency nurse to make accurate assessments in emergency. If a
nurse shows carelessness and there is no accurate assessment of the patient done then there are
several consequences of this and it not only waste patient's time but can also lead towards serious
medical issues. I was a head nurse in Boston's hospital where I get a report in which the patient filed
a complaint against a nurse who had done wrong assessment in medical emergency that lead
towards wrong diagnosis and at the end patient suffered a

Essay On Affordable Care Act
Affordable Care Act and My Career in Emergency Medical Services According to studies as well as
experienced, the "Affordable Care Act" having glitches and fixes. But the problems cut much deeper
than technology problems. According to my deep survey, a majority of respondents tells that despite
website fixes or leadership changes and their faith in the "Affordable Care Act" has not increased as
well. In its recent form, Affordable Care Act simply would not achieve its original missions of
expanding access and making health care more often affordable or improving the quality of care for
patients, and its missing the mark in addressing patients' health requirements.
Affordable Care Act is impacting on the people choice either to select the ... Show more content on
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Provision of affordable and quality care to citizens would be mission of healthcare department of
any country. In United States, approach to healthcare with affordable sources is one of the major
issues. According to my researches, I am in favor to "pro" position for citizens of United States that
they all must have to be insured for their healthcare.
There is lots of reason of working in EMS and specifically in this job like it was my wish to be a
person who can help humanity at the time emergency so that I can serve the humanity on broader
level. Other reason can be varying from time to time; in the start I was happy to get a job in the field
of serving humanity. After some time, I was going to leave this job but I had changed my plan and
decided to go on but my preference was changed with more serving the humanity at any cost.
There are different skilled are required for working in EMS like EMS worker must have the ability
to tackle high stress, anxiety, because it is the job that can be fast paced as well as emotional and
physically demands. EMS needs to be strong because they have to lift patients and lift heavy
equipment from one place to another. On the other side, EMS worker must have better ability of
communication, so that they can teach patients about their disease situation and teach them how to
take medicine on required time.
The Government in United States has already introduced a healthcare plan for their citizens, which
is

A Helicopter Emergency Medical Services ( Hems ) Agency
LifeFlight is a Helicopter Emergency Medical Services (HEMS) agency that is publically traded on
NASDAQ. LifeFlight is located in 8 different states across the country with multiple bases within
those states. Each base is a 24–hour base with 24/7 availability. They are staffed with 4 RN's, 4
Paramedics and 4 Pilots at the minimum. The mission profile is to provide critical care services to
the community via air. Each helicopter is staffed with a Flight RN, Flight Paramedic and the Pilot.
LifeFlight does approximately 60% interfacility transports (IFT) and 40% scene flights. LifeFlight
has a Board of Directors that the Executive Management Team reports to. The Executive
Management Team consists of a CEO, President and multiple Vice Presidents. While the CEO
oversees the entire organization, the President has oversight of the HEMS portion of LifeFlight.
LifeFlight also has a division of tourism helicopters. The VP's are divided among the various
divisions of clinical, aviation and maintenance. Table of Contents 1 Fundamentals of the
Compliance Plan 1.1 Introduction 3 1.2 Policies and Procedures 4 1.3 Duties of the Employee 4 2
Essential Guidelines of the Compliance Plan 2.1 Assuring Quality 5 2.2 Patients' Rights 5 2.3 Anti–
Kickback and Self–Referral Laws 6 2.4 False Claim Act 7 3 Compliance Plan Establishment 3.1
Director of Compliance Role 7 3.2 Education and Training 8 3.3 Ongoing Oversight 8

The Emergency Medical Care Services And Management Of Trauma
!
SCHOOL OF HEALTH SYSTEM STUDIES TATA INSTITUTE OF SOCIAL SCIENCES
MUMBAI 400088
Research Proposal
Submitted as Part of the Assignment of PHP 8
A CASE STUDY ON THE EMERGENCY MEDICAL CARE SERVICES AND MANAGEMENT
OF TRAUMA IN KASARAGOD DISTRICT IN VIEW OF DRAFT HEALTH POLICY 2013 OF
GOVERNMENT OF KERALA
Submitted by Dr Anupama T M2015PHHP001
The Faculty Concerned Dr Mathew George
A CASE STUDY ON THE EMERGENCY MEDICAL CARE SERVICES AND
MANAGEMENT OF TRAUMA IN KASARAGOD DISTRICT IN VIEW OF DRAFT HEALTH
POLICY 2013 OF GOVERNMENT OF KERALA
Introduction
Road Traffic Accidents (RTAs) are becoming an increasing cause of preventable death and
morbidity across the globe including in India. It is estimated that if preventable measures are not
taken ,it will be the fifth leading cause of death by 2030. Ninety percentage of the fatalities related
to RTAs occur in Lower and Middle Income Countries (LMIC) which has only around 48% o
world's vehicles. In India, almost 400,000 RTAs occur in an year resulting in approximately 85,000
deaths and 150,000 severe injuries. Overall,RTAs are predicted to be the third largest contributor of
global burden of disease by 2020.
The trend in the state of Kerala is no different (Fig 1). According to Report on Medical Certification
on Cause of Death 2008,GOI , 81.8% of deaths due to injuries (including injuries sustained in RTAs)
, poisoning and certain other consequences of external causes occur to individuals between the age
group of 15 to 64 years

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