Intro to Emergency Care
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each of the black spaces below before clicking
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| Regulation and Policy | Each state EMS system must have enabling legislation, lead ems agency, funding, policies, and procedures
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| Resource Mgmt. | Centralized coordination of resources so that all victims have equal access to care
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| Human Resources and Training | All EMS personnel trained to EMT level using National EMS Standards
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| Communications | There must be effective 911, distpatch-Amb, Amb-Amb,Amb-Hospital, Hos-Hos communication
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| Medical Direction | Must be a physician as a Medical Director accountable for activities of EMS personnel in that system. MD delegates to non-physician workers such as EMTs
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| Evaluation | Each statIe must have program of evaluation + improving EMS system, known as QI, QA, TQM
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| Trauma Systems | Each state needs enabling legislation for one or more trauma centers
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| EMR | Emergency Medical Responder (firefighter, police, industrial health personel) provides care prior to arrival of Ambulance
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| EMT | provides basic level medical and trauma care and transportation to a medical facility
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| AEMT | Everything EMT plus using advanced airway devices, administering some medications, and monitoring blood glucose levels
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| Paramedic | EMT+AEMT+advanced-level skills
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| EMD | Emergency Medical Dispatcher can provide information on CPR, artificial ventilation, bleeding control and more
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| QI | Quality Improvement is consistent self-review with the purpose of identifying aspects of the the system that require improvement
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| QI 5 things | 1) Carefully written documentation
2) Becoming involved in QI process
3) Obtaining feedback from patients and hospital staff
4) Maintaining Equipment
5) Continuing Education
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| Medical Director | Physician who assumes ultimate responsibility of medical direction, and oversees training, develops protocols and huge part of QI
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| Designated Agent | EMT, AEMT who provides medication and emergency care as an extension of the MD's license to practice medicine
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| Standing Orders | Policy or protocol that authorizes EMTs to perform particular skills in certain situation
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| Offline-Medical Direction | Perfoming a standing order without speaking to MD or other physician
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| Online-Medical Direction | Orders given by physician over radio/phone
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| Protocols | List of steps such as assessments and interventions, to be taken in different situations
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| EMS Role in Public Health | 1) Injury prevention for geriatric patients
2) Injury prevention for youth
3) Public Vaccination Programs
4) Disease Serveillance
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| Impact of Research | Patient outcomes and evidence-based techniques
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| Evidence Based Process | Forming Hypothesis, Reviewing Literature, Evaluating Evidence, Adopting the practice if evidence supports it
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| Methods of Reducing Bias | -Prospective vs. Retrospective (new vs old)
-Randomization - High quality studies, single- blinded (researcher knows which therapy) Double-blinded (neither)
- Control Groups group of patients receiving therapy of the commonly known +used
- Study Groups
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| Types of Medical Research | - Case studies/reports always a retrospective report of patient(s)
- Cohort/Concurrent Control/Case-Control Studies
-RCTs randomized control trials
- Systematic Review
- Meta-Analysis p19
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Created by:
jon.kowalski
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