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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

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



ELECTRO/CARDIO/GRAM

prefix / word- root / suffix


Periorbital

Endotracheal

Suprapubic


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



What is an ems system

What is an EMS system?

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


Components of the EMS system

  • General public

  • Dispatchers

  • First responders

  • Transporting agencies

  • Hospital emergency departments

  • Specialty Centers


Hospitals

Basic Receiving Facilities

versus

Specialty Centers


Specialty Centers

  • Trauma

  • Pediatric

  • Perinatal

  • Burn

  • STEMI


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



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



Emergency care and transport

of the sick & injured.

Assist ALS personnel with

patient care.


Provide transport between

medical facilities.

Inter-facility transports


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


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


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


L.A. County EMT-B’s

have an expanded

scope of practice.

details later


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



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