Orientation to ems
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Orientation to EMS. Medical terminology Emergency Medical Systems Title 22 - regulations. Two absolutes of Prehospital Care. Your safety comes first - always Do no harm to your patient. Medical Terminology. Learn The Language Practice using it. Words are separated into parts. Prefix

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Orientation to EMS

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Orientation to ems

Orientation to EMS

Medical terminology

Emergency Medical Systems

Title 22 - regulations


Two absolutes of prehospital care

Two absolutes of Prehospital Care

  • Your safety comes first - always

  • Do no harm to your patient


Medical terminology

Medical Terminology

  • Learn The Language

  • Practice using it


Words are separated into parts

Words are separated into parts...

Prefix

Word-root

Suffix


Orientation to ems

ELECTROCARDIOGRAM


Orientation to ems

ELECTRO/CARDIO/GRAM

prefix / word- root / suffix


Orientation to ems

Periorbital

Endotracheal

Suprapubic


Orientation to ems

around the orbit

Peri / orbital

within the trachea

Endo / tracheal

Supra / pubic

above the pubic area


Medical terminology1

Medical Terminology

  • Learn the Language

  • Practice using it


Orientation to ems

Emergency Medical Systems


What is an ems system

What is an EMS system?

It is the organization of community resources and personnel to provide rapid medical care.


Orientation to ems

Components of the EMS system

  • General public

  • Dispatchers

  • First responders

  • Transporting agencies

  • Hospital emergency departments

  • Specialty Centers


Orientation to ems

Hospitals

Basic Receiving Facilities

versus

Specialty Centers


Orientation to ems

Specialty Centers

  • Trauma

  • Pediatric

  • Perinatal

  • Burn

  • STEMI


Orientation to ems

Prehospital Care Providers.

First Responders

EMT-Basic

AEMT

EMT-Paramedic

MICN

Physician


Hospital diversion status

Hospital Diversion Status

  • ER Saturation

  • Internal Disaster

  • CT

  • Trauma

  • STEMI


Orientation to ems

EMT-BASIC


Emt 1 vs emt b

EMT-1 vs EMT-B

  • EMT-B (Basic) - most states use this designation instead of EMT-1.

  • EMT-1 & EMT-B are the same!


Department of transportation

Department of Transportation

  • Federal Agency responsible for curriculum development.

  • DOT


Emt b job description

EMT-B job description

Summary


Orientation to ems

Emergency care and transport

of the sick & injured.

Assist ALS personnel with

patient care.


Orientation to ems

Provide transport between

medical facilities.

Inter-facility transports


Orientation to ems

Complete required documentation

& patient charting.

Always work within the scope of

practice.


Course goal

Course Goal

  • To prepare the student to perform the functions of an EMT-B

  • To prepare the student to pass the National Registry Examination


Functions of the emt

Functions of the EMT

  • Prompt & efficient care

  • Control of the scene

  • Safe transport

  • Transfer of patient to staff


Functions of the emt1

Functions of the EMT

  • Communications & record keeping

  • Care of vehicle & equipment

  • May be employed in a health care setting


Orientation to ems

TITLE 22 of the CCR

California Code of Regulations

State law defining the

scope of practice for

EMT-B’s

CALIFORNIA


Certification requirements

Certification requirements

Be 18 years old or older.

Have valid Course Completion Certificate.

Apply with 2 years of course completion.


Certification requirements1

Certification requirements

Submit application and fees.

Pass a written certification examination.

And ..


Background check

Background Check

Disqualifying convictions

Violent crimes

Sex related crimes

Drug related crimes (including DUI)


Every 2 years you must recertify

Every 2 years you must recertify

  • Complete refresher course or..

  • Obtain 24 hours of approved continuing education

  • Submit application & fees


Orientation to ems

Scope of

Practice

EMT-B


Scope of practice

Scope of Practice

  • Assessment of the sick & Injured.

  • Render BLS, Rescue, & First Aid.

  • Obtain Diagnostic signs.


Scope of practice1

Scope of Practice

  • Perform CPR.

  • Oropharyngeal & nasopharyngeal airways.

  • Suction devices.

  • Oxygen delivery devices.


Scope of practice2

Scope of Practice

  • Use various types of stretchers.

  • Use various body immobilization devices.

  • Provide initial prehospital trauma care.

  • Administer oral glucose.


Scope of practice3

Scope of Practice

  • Extricate entrapped persons.

  • Perform field triage.

  • Transport patients.

  • Use AED - if employed and trained by an AED provider.


Under direction of als personnel

Under direction of ALS personnel

  • Set up for ALS procedures.


Iv monitoring

IV monitoring

  • Peripheral lines only!

  • Glucose solutions & balanced salt solutions!

  • No additives!

    EXCEPTIONS - LA County EMT-B

    Expanded scope of practice


Iv monitoring1

IV Monitoring

  • Glucose = Dextrose (5% Dextrose)

  • Sodium Chloride 0.9% = Normal Saline

  • Lactated Ringers = ok

  • 5% Dextrose in .45% Sodium Chloride


Iv monitoring2

IV monitoring

  • Monitor

  • Maintain

  • Adjust

Preset rate of flow


Transfer patients with

Transfer patients with...

  • Nasogastric tube

  • Gastronomy tube

  • Heparin locks & Saline locks

  • Foley catheters


Orientation to ems

L.A. County EMT-B’s

have an expanded

scope of practice.

details later


Orientation to ems

Manage all patients within

your scope of practice.


Lab sessions

Lab sessions

Wear comfortable clothing


Lab rules

Lab Rules

  • Safety - Safety - Safety

  • Report any injuries or hazards

    immediately!


Lab rules1

Lab Rules

  • Do not handle equipment that is not within your scope of practice.

  • Take care of the equipment.


Training philosophy

Training philosophy

This is fact


To hear is to forget to see is to remember to do is to understand

“To hear is to forget,to see is to remember,to do is to understand”

Chinese Proverb


Orientation to ems

Questions?


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