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

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

Word-root

Suffix


ELECTROCARDIOGRAM


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 Terminology

  • Learn the Language

  • Practice using it


Emergency Medical Systems


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

  • ER Saturation

  • Internal Disaster

  • CT

  • Trauma

  • STEMI


EMT-BASIC


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

  • Federal Agency responsible for curriculum development.

  • DOT


EMT-B job description

Summary


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

  • 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

  • Prompt & efficient care

  • Control of the scene

  • Safe transport

  • Transfer of patient to staff


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

Be 18 years old or older.

Have valid Course Completion Certificate.

Apply with 2 years of course completion.


Certification requirements

Submit application and fees.

Pass a written certification examination.

And ..


Background Check

Disqualifying convictions

Violent crimes

Sex related crimes

Drug related crimes (including DUI)


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

  • Assessment of the sick & Injured.

  • Render BLS, Rescue, & First Aid.

  • Obtain Diagnostic signs.


Scope of Practice

  • Perform CPR.

  • Oropharyngeal & nasopharyngeal airways.

  • Suction devices.

  • Oxygen delivery devices.


Scope of Practice

  • Use various types of stretchers.

  • Use various body immobilization devices.

  • Provide initial prehospital trauma care.

  • Administer oral glucose.


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

  • Set up for ALS procedures.


IV monitoring

  • Peripheral lines only!

  • Glucose solutions & balanced salt solutions!

  • No additives!

    EXCEPTIONS - LA County EMT-B

    Expanded scope of practice


IV Monitoring

  • Glucose = Dextrose (5% Dextrose)

  • Sodium Chloride 0.9% = Normal Saline

  • Lactated Ringers = ok

  • 5% Dextrose in .45% Sodium Chloride


IV monitoring

  • Monitor

  • Maintain

  • Adjust

Preset rate of flow


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

Wear comfortable clothing


Lab Rules

  • Safety - Safety - Safety

  • Report any injuries or hazards

    immediately!


Lab Rules

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

  • Take care of the equipment.


Training philosophy

This is fact


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

Chinese Proverb


Questions?


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