EMS Systems - PowerPoint PPT Presentation

Ems systems
1 / 24

  • Uploaded on
  • Presentation posted in: General

EMS Systems. Heather Davis, MS, NREMT-P. About the Case Study. Why is the role of ordinary citizens important in this scenario? How many behind the scenes people can be credited with saving Mr... Chlopek’s life? IF E-911 would not have been in place, what delays might have occurred?.

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.

Download Presentation

EMS Systems

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript

Ems systems

EMS Systems

Heather Davis, MS, NREMT-P

About the case study

About the Case Study

  • Why is the role of ordinary citizens important in this scenario?

  • How many behind the scenes people can be credited with saving Mr... Chlopek’s life?

  • IF E-911 would not have been in place, what delays might have occurred?

Ems system components

EMS System Components

  • Prehospital component

  • Hospital Component

  • Support Personnel

The prehospital component

The Prehospital Component

  • Lay persons trained in CPR

  • First Responders

  • EMTs

  • Paramedics

Hospital component

Hospital Component

  • Emergency nurses

  • Emergency physicians

  • Specialty physicians

  • Surgery

  • Rehab

Support personnel

Support Personnel

  • Emergency Medical Dispatchers

  • Law enforcement

  • Firefighters

  • Public-safety workers

  • Respiratory therapists

  • Other allied health technicians

The systems approach

The Systems Approach

  • System Administration

  • Medical Control

  • Public Information and Education

  • EMS Communications

  • EMD

  • Education and Certification

  • Patient Transportation

The system continued

The System Continued

  • Quality Assurance and Improvement

  • Research

  • Receiving Facilities

  • Mutual Aid/MCI Preparation

  • System Financing

System administration the local ems agency

System Administration:The Local EMS Agency

  • Sets local policies

  • Hires a medical director

  • Manages local resources

  • Assures quality of service

System administration the state ems agency

System Administration:The State EMS Agency

  • Allocates state and federal funding

  • Works for EMS legislation

  • Certifies and licenses personnel

  • Enforces rules and regulations

Medical control medical director qualifications

Medical Control:Medical Director Qualifications

  • Experienced in emergency medicine

  • Completed a training program in EMS system

  • Board certified in emergency medicine

  • Frequently rides with field crews

Medical control responsibilities

Medical Control:Responsibilities

  • Direct communication with field crews

  • Intervener physician guidelines

  • Protocol development: triage, treatment, transport, transfer, special situations

  • Oversee training and education

  • Ensure quality assurance through chart review, audit, and evaluation

Public information education

Public Information/Education

  • Patient denial of symptoms

  • Targeting coronary/stroke patients

  • System access

  • Bystander BLS in CPR, bleeding control, C-spine stabilization

  • Future involvement (bystander defib)

Ems communications

EMS Communications

  • Easy citizen access

  • Communications center

  • Operational network

  • Medical communications

  • Communications hardware

  • Communications software

Emergency medical dispatch

Emergency Medical Dispatch

  • Interrogation protocols

  • Response configurations

  • System status management

  • Pre-arrival instructions

  • Dispatcher training

  • Desired response times

Education certification

Education & Certification

  • Original program requirements: 300 didactic, 100 clinical, 300 field

  • Continuing ed: refresher courses, in-services, seminars

  • Certification levels: EMT-B,I,P

  • Additional certification: ACLS, PALS, PHTLS, BTLS

Patient transportation

Patient Transportation

  • Transport to appropriate facility

  • Ground transportation

  • Air transportation

Quality assurance

Quality Assurance

  • Monitors quality of clinical care

  • Evaluation of clinical data

  • Documents effectiveness of care provided

  • Identifies weaknesses in system

  • Often viewed negatively

Quality improvement

Quality Improvement

  • Focuses on customer perceptions of service

  • Emphasizes customer satisfaction

  • Recognizes, rewards, and reinforces good performance



  • What field tx reduces morbidity and mortality?

  • Are the benefits worth the risks?

  • What is the cost/benefit ratio of prehospital medicine?

  • Is field stabilization possible?

Receiving facilities

Receiving Facilities

  • Hospital categorization

  • Specialty centers

  • Requirements: MD on duty, surgical facility, ICU, lab, x-ray, blood bank, participation in EMS system, reception of all patients, QA procedures, MCI plan participation

Mci mutual aid requirements

MCI & Mutual Aid Requirements

  • Central coordinating agency

  • Integration of system components

  • Frequent drills

  • Expansion of communications

  • Standardized regional resources

System financing

System Financing

  • System design: hospital based, fire department, municipal third service, private business, volunteer, combo

  • Funding options: tax subsidized, contributions, fundraising, corporate sponsorship, subscriber plans, prepaid HMO, Medicare, Medicaid, private medical or auto insurance, user pay, public utility

Any questions about systems approach to ems

Any questions about systems approach to EMS?

  • Login