Chapter 1

1. Chapter 1 Introduction to Emergency Medical Care Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

2. Multimedia Directory Slide 4 History of the EMS system Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

3. The Emergency Medical Services (EMS) system Roles and responsibilities of the EMT Medical direction Quality Improvement (QI) Topics 1 Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

4. Brief history Early systems were born from funeral homes Little or no treatment until arrival at hospital Influenced over the years from wartime Current standards influenced by governmental regulations Emergency Medical Services (EMS) System 1 Click here to view a video on the topic of the history of the EMS system. Back to Directory Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

5. Emergency Medical Services (EMS) System Influences shaping emergency medical care The Highway Safety Act (1966) The EMS System Act (1973) The American Heart Association The National EMS Education and Practice Blueprint (1973) EMS Agenda for the Future (1996) National EMS Scope of Practice Model (2005) 1 http://www.americanheart.org/presenter.jhtml?identifier=1200000 Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

6. Current standards National Highway Traffic Safety Administration (NHTSA) Technical assistance program assessment standards Emergency Medical Services (EMS) System 1 http://www.nhtsa.dot.gov Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

7. Access to the EMS system Enhanced 911 systems Automatic number identification system (ANI) Calls received by PSAP locations Non-911 Emergency Medical Dispatchers (EMD) Emergency Medical Services (EMS) System 1 Pick up new fig. 1.1 Communications play a vital role Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

8. Levels of training First Responder EMT-Basic EMT-Intermediate EMT-Paramedic Emergency Medical Services (EMS) System 1 http://www.nremt.org Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

9. Levels of training–national EMS scope of practice model Emergency Medical Responder (EMR) Emergency Medical Technician (EMT) Advanced Emergency Medical Technician (AEMT) Paramedic Emergency Medical Services (EMS) System 1 http://www.nhtsa.dot.gov/people/injury/ems/pub/emtbnsc.pdf Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

10. The health care system EMTs are an integral part of the community’s health care system Care that begins at the patient’s side and extends eventually till discharged Includes “specialty” hospitals that provide specialized care from physicians, nurses, and other professionals Emergency Medical Services (EMS) System 1 Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

11. Emergency Medical Services (EMS) System 1 Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

12. The health care system EMTs provide “prehospital” or “out-of-hospital” care Emergency Medical Services (EMS) System 1 Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

13. Emergency Medical Technician 1 • Roles and responsibilities • Safety of self and crew • Patient assessment EMT must assure personnel safety such as power lines downed by Hurricane Katrina in Gretna, Louisiana. Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

14. Emergency Medical Technician 1 • Roles and responsibilities • Providing emergency care • Safe lifting and moving Insert fig 1.6 Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

15. Emergency Medical Technician 1 • Roles and responsibilities • Transport and transfer of care Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

16. Emergency Medical Technician 1 • Roles and responsibilities • Record keeping and data collection • Patient advocacy • Knowledge of local and state regulations Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

17. Emergency Medical Technician 1 • Professional attributes • Appearance • Knowledge and skills • Physical demands • Personal traits Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

18. Emergency Medical Technician 1 • Medical direction–medical oversight • The EMT functions as an extension of the medical director (a physician) • The physician assumes responsibility for the care provided by the EMT • Every EMS service must have a physician medical director Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

19. Emergency Medical Technician 1 • Medical direction–medical oversight • Medical oversight encompasses all the clinical and administrative functions of the medical director Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

20. Emergency Medical Technician 1 • Medical direction—medical oversight • Types of medical direction • On-line medical direction • Off-line medical direction Pick up new 1-9 Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

21. Quality Improvement 1 • A system of internal and external reviews and audits of all aspects of an EMS system • Known as QI or CQI Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen

22. Quality Improvement 1 • Role of the EMT in quality improvement • Documenting carefully • Run reviews and obtaining feedback • Skill and equipment maintenance • Participate in CE Assessment and emergency care are continued en route to the medical facility. Prehospital Emergency Care, 8th Ed. Mistovich/Karren/Hafen