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Section 1: Preparing to Be a Rescuer

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Section 1: Preparing to Be a Rescuer. Chapter 1. Introduction to Outdoor Emergency Care. Objectives (1 of 2). Discuss the roles and responsibilities of the OEC technician toward provider, patient, and bystander safety. Define medical direction and the OEC technician’s role in the process.

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Presentation Transcript
chapter 1

Chapter 1

Introduction to Outdoor Emergency Care

slide3

Objectives(1 of 2)

  • Discuss the roles and responsibilities of the OEC technician toward provider, patient, and bystander safety.
  • Define medical direction and the OEC technician’s role in the process.
slide4

Objectives(2 of 2)

  • Define the medical, legal, and ethical issues you face as a rescuer.
  • Characterize the various methods used to support patrol operations and to access the EMS system in your community.
the oec course 1 of 2
The OEC Course (1 of 2)
  • Designed to meet/exceed DOT 1994 EMT-B National Standard Curriculum for like topics
  • Designed to provide prehospital care for the sick and injured appropriate for the outdoor and nonurban environment
the oec course 2 of 2
The OEC Course(2 of 2)
  • Based on a solid foundation in anatomy and physiology
  • Uses in-depth patient assessment for both injuries and medical illnesses
  • Incorporates improvisation of emergency care equipment and techniques
criteria for certification
Criteria for Certification
  • Successful course completion
  • Final written evaluation
  • Practical evaluation
  • Recertification
      • Refresher
outdoor emergency care program
Outdoor Emergency Care Program
  • Stresses quality control and improvement
  • Developed by the NSP in 1987
  • The NSP’s National Medical Committee provides input and reviews standards of training.
roles and responsibilities of rescuers 1 of 2
Roles and Responsibilities of Rescuers (1 of 2)
  • Personal safety
  • Safety of team, patient, and bystanders
  • Ability to safely operate the transport equipment used in the nonurban environment
roles and responsibilities of rescuers 2 of 2
Roles and Responsibilities of Rescuers (2 of 2)
  • Patient assessment
  • Transport and transfer of care
  • Record keeping and data collection
medical legal and ethical issues 1 of 5
Medical, Legal, and Ethical Issues(1 of 5)
  • The basic premise is to do no further harm.
  • Standard of care
    • Treatment protocols
    • Statutes, ordinances
    • Case law
medical legal and ethical issues 2 of 5
Medical, Legal, and Ethical Issues(2 of 5)
  • Medical Practices Act
    • OEC and EMT-B technicians are regarded as “nonmedical” professionals and exempt from the licensure requirements of a state’s Medical Practices Act.
medical legal and ethical issues 3 of 5
Medical, Legal, and Ethical Issues(3 of 5)
  • Risk management
    • Do no further harm
    • Minimize risks
    • Duty to rescue
    • Duty to train safely
medical legal and ethical issues 4 of 5
Medical, Legal, and Ethical Issues(4 of 5)
  • Negligence
    • Failure to provide care equal to the standard of care
    • Exceeding the scope of your training
    • Causing injury
  • Good Samaritan laws
medical legal and ethical issues 5 of 5
Medical, Legal, and Ethical Issues(5 of 5)
  • Consent and refusal
    • Expressed consent
    • Implied consent
    • Minors
    • Mentally incompetent
    • The right to refuse treatment
local ems operations
Local EMS Operations
  • Instructor added notes concerning:
    • 9-1-1 dispatch
    • Ambulance
    • Helicopter
    • Medical direction
    • Destinations
    • Protocols