1: Introduction to Emergency Medical Care

Cognitive Objectives (1 of 2)
1-1.1 Define Emergency Medical Services (EMS) systems. 1-1.2 Differentiate t e roles and res!onsi"ilities of t e EM#-$asic from ot er !re os!ital care !roviders. 1-1.% Descri"e t e roles and res!onsi"ilities related to !ersonal safety. 1-1.& Discuss t e roles and res!onsi"ilities of t e EM#$asic to'ards t e safety of t e cre'( t e !atient( and "ystanders.

Cognitive Objectives (2 of 2)
1-1.) Define *uality im!rovement and discuss t e EM#$asic+s role in t e !rocess. 1-1., Define medical direction and discuss t e EM#$asic+s role in t e !rocess. 1-1.- State t e s!ecific statutes and regulations in your state regarding t e EMS system.

Affective Objectives
1-1.. /ssess areas of !ersonal attitude and conduct of t e EM#-$asic. 1-1.0 C aracteri1e t e various met ods used to access t e EMS system in your community. 2 # ere are no !syc omotor o"3ectives for t is c a!ter.

History of Emergency Medical Services (1 of 3)

2 Emergency care develo!ed during 'arfare at t e "eginning of t e 24t century. 2 $y t e 10,4s( domestic emergency care lagged "e ind. 2 Staffed emergency de!artments 'ere often limited to large ur"an areas.

History of Emergency Medical Services (2 of 3)

2 Accidental eat! and isability" #!e $eglected isease of Modern Society (100,) 2 5ecommended: 6 Develo!ment of training 6 Develo!ment of federal guidelines and !olicies 6 7rovide emergency care and trans!ort 6 Esta"lis staffed emergency de!artments

History of Emergency Medical Services (3 of 3)

2 8ig 'ay Safety /ct and t e Emergency Medical /ct created funding 2 D9# develo!ed t e first :ational Standard Curriculum for training EM#s in t e early 10-4s 2 EMS esta"lis ed in most of t e ;nited States "y 10.4

%evels of #raining
2 <ay 5escuer 2 =irst 5es!onder 2 EM#-$asic 2 EM#-Intermediate 2 EM#-7aramedic

Com&onents of t!e EMS System (1 of ')

2 /ccess 6 Easy access in an emergency is essential. 2 /dministration and 7olicy 6 7olicies and !rocedures are essential.

Com&onents of t!e EMS System (2 of ')

2 Medical Direction and Control 6 Eac EMS system must ave a medical director. 6 Medical control may ta>e !lace online or off-line. 2 ?uality Control and Im!rovement 6 7rocess used to ensure !atient care meets standards.

Com&onents of t!e EMS System (3 of ')

2 9t er ! ysician in!ut 6 <ocal( state( and national s!ecialists !rovide guidance. 2 State-s!ecific statutes and regulations 6 /ll EMS systems are su"3ect to state regulations. 2 E*ui!ment 6 7ro!erly maintained e*ui!ment is essential.

Com&onents of t!e EMS System (( of ')

2 /m"ulance 6 EM#-$s must "e familiar 'it t e am"ulance and its functions. 2 S!ecialty Centers 6 =ocusing on care for certain ty!es of !atients 2 Interfacility #rans!orts 6 #rans!ortation of !atients from one care facility to anot er

Com&onents of t!e EMS System (' of ')

2 8os!ital Staff 6 EMS is !art of t e ' ole continuum of care. 2 @or>ing 'it 7u"lic Safety /gencies 6 EM#-$s s ould understand t e role of eac agency. 2 #raining 6 ?uality of care de!ends on training.

)roviding a Coordinated Contin**m of Care

2 1st 7 aseAaccess to EMS system 2 2nd 7 aseAout of os!ital care 2 %rd 7 aseAemergency de!artment care 2 &t 7 aseAdefinitive care

+oles and +es&onsibilities of t!e EM#,- (1 of 2)

2 7ersonal safety 6 Safety of cre'( !atient( and "ystanders 2 7atient assessment 6 7atient care "ased on assessment findings

+oles and +es&onsibilities of t!e EM#,- (2 of 2)

2 <ifting and moving !atients safely 2 #rans!ort and transfer of care 2 5ecord >ee!ingBdata collection 2 7atient advocacyBconfidentiality

)rofessional Attrib*tes of t!e EM#,2 7uts !atientCs needs as a !riority 'it out endangering self 2 Maintains !rofessional a!!earance and manner 2 7erforms under !ressure 2 #reats !atients and families 'it understanding( res!ect( and com!assion 2 5es!ects !atient confidentiality

)rofessional A&&earance

# e EM#-$ s ould maintain a !rofessional a!!earance and manner.

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Contin*ing Ed*cation
2 Continuing education re*uired to rene' certification 2 Dee! u!-to-date on ne' !rocedures and issues on local( state( and national levels 2 Maintain >no'ledge and s>ills