The well being of the emt b
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The Well-Being of the EMT-B. Origins of EMS. Accidental Death & Disability: The Neglected Disease of Modern Society Department of Transportation (DOT) Highway Safety Act of 1966 Department of Health and Human Services (DHHS) Emergency Medical Act of 1973. National Standard Curriculum.

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The Well-Being of the EMT-B

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The well being of the emt b

The Well-Being of the EMT-B


Origins of ems

Origins of EMS

  • Accidental Death & Disability: The Neglected Disease of Modern Society

  • Department of Transportation (DOT)

    • Highway Safety Act of 1966

  • Department of Health and Human Services (DHHS)

    • Emergency Medical Act of 1973


National standard curriculum

National Standard Curriculum

  • Developed by DOT

    • First developed in early 1970’s

    • Current - 1994

  • Purpose

    • Standardization of Training Programs

    • Standardization of Levels of Certification

    • Standardization of Patient Care


What is the star of life

What is the Star of Life??


Ems system

EMS System

The complete human and physical resources that provides patient care in cases of sudden illness or injury


Levels of ems training

Levels of EMS Training

  • First Responder

  • EMT – Basic

  • EMT – Intermediate

  • EMT – Critical Care

  • EMT – Paramedic


Components of an ems system

Components of an EMS System

  • Advisory Council

  • Medical Direction (Scope of Practice)

    • The process used by the Medical community to assure quality and accountability in the delivery of pre-hospital care

    • On-line

    • Off-line

      • Protocols

      • Quality Improvement


Components of an ems system1

Components of an EMS System

Specialty Facilities

  • Trauma Center

  • Burn Center

  • Pediatric Center

  • Stroke Centers

  • Other specialty centers


Components of an ems system2

Components of an EMS System

  • EMT Training

    • Initial – 180 hours

    • Continuing Education

  • Instructor Training


Components of an ems system3

Components of an EMS System

  • Communications Systems

    • System Communication

      • Radio

      • Cellular

    • System Access

      • 911

      • Other easily remembered numbers


Components of an ems system4

Components of an EMS System

  • Dispatch Center

    • Well Designed

    • Well Equipped

    • Well Staffed & Trained

    • Policies & Procedures


Components of an ems system5

Components of an EMS System

  • Ambulance Service

    • Well Designed

    • Well Equipped

    • Well Maintained

    • Well Trained Staff


Components of an ems system6

Components of an EMS System

  • Rapport with other healthcare professionals

  • Reports & Records

  • System Evaluation

    • Quality Improvement – CQI

      • Protocol Review/Update

      • Run Review

      • Remedial or Continuing Education


Components of an ems system7

Components of an EMS System

  • Disaster Plans

    • Major Incident Response

      • Designed by EMS

      • Designed to Integrate with Other Agencies


The well being of the emt b

EMT

A professional provider of emergency care


Scope of practice

Scope of Practice

  • Defined by NYS Public Health Law

  • Established by Medical Director

    • Medical Practice Act

      • Allows Physicians to delegate procedures to EMS personnel

    • Off-Line Medical Direction (Protocols)

      • Standing orders issued by the Medical Director that allow EMT’s to give certain medications and perform certain procedures without speaking to a physician

    • On-Line Medical Direction

      • Orders from an on-duty physician given directly to the EMT in the field by radio or telephone


Roles responsibilities

Roles & Responsibilities

  • Safety

    • Priorities

      • Yourself

      • Partner

      • By-standers

      • Patient

      • Survey Scene

        • Look for Hazards

        • Listen to Others


The well being of the emt b

Safety

  • Stay aware of danger

  • PLAN

    • Support personnel

    • Proper clothing

    • Radio

  • OBSERVE

    • Violence

    • Pets

    • Crime Scene

    • Weapons

  • REACT

    • RetreatB. RadioC. Reevaluate

  • E. Hazards-power lines

  • F. Alcohol/Drugs

  • G. Bystanders


Scene safety

Scene Safety

  • Body Substance Isolation

    • Hand washing

    • Eye protection

      • Prescription eye glasses with side shields OR goggles

    • Gloves

      • Needed for contact with bodily fluids

      • Change between contact with different patients

    • Gowns

      • Needed for large splash situations

    • Masks

      • Surgical for blood splatter

      • High Efficency Particulate Air (HEPA) respirator with suspected tuberculosis (TB)


Scene safety1

Scene Safety

  • Hazardous Materials

    • Identify possible hazards

    • Protective clothing

    • Haz-Mat scenes are controlled by Haz-Mat teams

    • EMT patient care starts when the scene is safe and the patient has been decontaminated


Scene safety2

Scene Safety

  • Rescue

    • Identify and reduce potential life threats

      • Electricity

      • Fire

      • Explosion

      • Hazardous materials

    • Protective clothing

      • Turnout gear

      • Puncture-proof gloves

      • Helmet

      • Eyewear


Scene safety3

Scene Safety

  • Violence

    • Scene should always be controlled by law enforcement before providing care


Roles responsibilities1

Roles & Responsibilities

  • Patient Care

    • Patient Assessment

    • Basic Life Support

    • Mechanical Aids to Breathing

    • Pulse-Oximetry

    • Semi-Automatic External Defibrillator

    • Pneumatic Anti-Shock Garment (PASG or MAST)


Roles responsibilities2

Roles & Responsibilities

  • Patient Care (cont.)

    • Hand-held Metered Dose Nebulizers

    • Epinephrine Auto-injectors (Epi pens)

    • Nitroglycerin

    • Aspirin

    • Charcoal


Roles responsibilities3

Roles & Responsibilities

  • Patient Care (cont.)

    • Oral Glucose

    • Bandaging & Splinting / Traction Splinting

    • Emergency Childbirth

    • Spinal Immobilization


Roles responsibilities4

Roles & Responsibilities

  • Extrication & Rescue

  • Transport

  • Transfer of Care

  • Communications

  • Records & Reports


Roles responsibilities5

Roles & Responsibilities

  • Patient Advocacy

  • Maintenance

    • Vehicle Maintenance

    • Equipment Maintenance

    • Self


Emt traits

EMT Traits

  • Physical Traits

    • Hygiene

    • Good physical health

    • Eyesight

  • Attitude

  • Resourceful

  • Sincerity/Compassion/Empathy

Temple College EMS Professions


Emt traits1

EMT Traits

  • A leader/self-starter

  • Emotional stability

  • Good moral character

  • Adaptability

  • Effective communicator

    • Verbal

    • Written

  • Ongoing Education

Temple College EMS Professions


The well being of the emt

The Well-Being of the EMT

  • Personal health, safety, and well-being are vital to an EMS operation.

  • You must learn to recognize and protect yourself from hazards.

  • You must cope with mental and physical stress.


Medical examiner cases

Medical Examiner Cases

  • DOA – no Primary MD

  • Unknown cause of death

  • Suicide

  • Violent death

  • Poisoning

  • Accidents

  • Criminal act

Keep notes of any care provided.


The well being of the emt b

Temple College EMS Professions


The well being of the emt b

Temple College EMS Professions


Death and dying

Death and Dying

  • Death is something you will have to face.

  • Coming to grips with death is part of delivering care.


Stages of grieving

Stages of Grieving

  • Denial – refusal to accept

  • Anger – blaming others

    • Be tolerant

    • Do not become defensive

  • Bargaining – promise to change

    • “Ok, but first let me”

  • Depression – open expression of grief, sadness/despair

  • Acceptance

    • “Ok, I’m not afraid”

What you are

feeling is

normal


Dealing with the dying patient and family members

Dealing with the dying patient and family members

  • Patient needs include dignity, respect and communication

  • Act in a calm manner

  • Listen empathetically

  • Family members may express rage, anger and despair

  • Show concern about privacy

  • Do not create false hope or falsely reassure


Stress warning signs and the work environment

Stress Warning Signs and the Work Environment


Definition of stress

Definition of Stress

Any response, physical, emotional or behavioral, we have to the things that happen in our lives, on and off the job

Causes:

Boss

Deadlines

Job

Finances

Home life

Social life


Examples of stressful situations

Examples of Stressful Situations

Mass casualty situations

Infant and child trauma

Amputations

Infant/child/elder/spouse abuse

Death/injury of a family member, co-worker or other public safety personnel


What can you do to help deal with stress

What can you do to help deal with stress?

Change your diet

Reduce sugar, caffeine, and alcohol intake

Avoid fatty foods

Increase carbohydrates

Exercise

Practice relaxation techniques

Deep breathing – inhale through your nose deeply, hold breath for 3 seconds and then forcefully exhale through your mouth

Talk about your worries, fears, concerns


Components of cism system

CISD – Critical Incident Stress Debriefing

A team of peer counselors and mental health professionals who help emergency care workers deal with critical incident stress

Meeting is held 24 to 72 hours after a major incident

Open discussion of feelings, fears and reactions

Not an investigation or interrogation

All information is confidential

Components of CISM System

41


What can you do to help deal with stress1

What can you do to help deal with stress?


The well being of the emt b

Temple College EMS Professions


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