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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
slide7
ELECTRO/CARDIO/GRAM

prefix / word- root / suffix

slide8
Periorbital

Endotracheal

Suprapubic

slide9
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.

slide13
Components of the EMS system
  • General public
  • Dispatchers
  • First responders
  • Transporting agencies
  • Hospital emergency departments
  • Specialty Centers
slide14
Hospitals

Basic Receiving Facilities

versus

Specialty Centers

slide15
Specialty Centers
  • Trauma
  • Pediatric
  • Perinatal
  • Burn
  • STEMI
slide16
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
slide22
Emergency care and transport

of the sick & injured.

Assist ALS personnel with

patient care.

slide23
Provide transport between

medical facilities.

Inter-facility transports

slide24
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
slide28
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
slide33
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
slide43
L.A. County EMT-B’s

have an expanded

scope of practice.

details later

slide44
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.
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