Introduction Introduction to to Emergency Emergency Medical CareMedical Care

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The Emergency Medical The Emergency Medical Services SystemServices SystemThe Emergency Medical The Emergency Medical Services SystemServices System

The NHTSA The NHTSA Technical Assistance Technical Assistance

ProgramProgram

The NHTSA The NHTSA Technical Assistance Technical Assistance

ProgramProgram

Regulation & PolicyRegulation & Policy

Standards for EMS Systems

Regulation & PolicyRegulation & PolicyResource ManagementResource Management

Standards for EMS Systems

Regulation & PolicyRegulation & PolicyResource ManagementResource Management

Human Resources & TrainingHuman Resources & Training

Standards for EMS Systems

Regulation & PolicyRegulation & PolicyResource ManagementResource Management

Human Resources & TrainingHuman Resources & TrainingTransportationTransportation

Standards for EMS Systems

Regulation & PolicyRegulation & PolicyResource ManagementResource Management

Human Resources & TrainingHuman Resources & TrainingTransportationTransportation

FacilitiesFacilities

Standards for EMS Systems

Regulation & PolicyRegulation & PolicyResource ManagementResource Management

Human Resources & TrainingHuman Resources & TrainingTransportationTransportation

FacilitiesFacilitiesCommunicationsCommunications

Standards for EMS Systems

Regulation & PolicyRegulation & PolicyResource ManagementResource Management

Human Resources & TrainingHuman Resources & TrainingTransportationTransportation

FacilitiesFacilitiesCommunicationsCommunications

Public Information & EducationPublic Information & Education

Standards for EMS Systems

Regulation & PolicyRegulation & PolicyResource ManagementResource Management

Human Resources & TrainingHuman Resources & TrainingTransportationTransportation

FacilitiesFacilitiesCommunicationsCommunications

Public Information & EducationPublic Information & EducationMedical DirectionMedical Direction

Standards for EMS Systems

Regulation & PolicyRegulation & PolicyResource ManagementResource Management

Human Resources & TrainingHuman Resources & TrainingTransportationTransportation

FacilitiesFacilitiesCommunicationsCommunications

Public Information & EducationPublic Information & EducationMedical DirectionMedical DirectionTrauma SystemsTrauma Systems

Standards for EMS Systems

Standards for EMS SystemsRegulation & PolicyRegulation & Policy

Resource ManagementResource ManagementHuman Resources & TrainingHuman Resources & Training

TransportationTransportationFacilitiesFacilities

CommunicationsCommunicationsPublic Information & EducationPublic Information & Education

Medical DirectionMedical DirectionTrauma SystemsTrauma Systems

EvaluationEvaluation

Access to the Access to the EMS SystemEMS System

Access to the Access to the EMS SystemEMS System

EMS providers should teach EMS providers should teach the public how to call for the public how to call for help.help.

Levels of EducationLevels of EducationLevels of EducationLevels of Education

National Registry EMT Levels

The Four Established Levels The Four Established Levels

First ResponderFirst Responder

EMT-BasicEMT-Basic

EMT-IntermediateEMT-Intermediate

EMT-ParamedicEMT-Paramedic

The EMT-Basic course

prepares personnel to

provide primary medical

care before the patient

reaches the hospital.

The HealthcareThe HealthcareSystemSystem

The HealthcareThe HealthcareSystemSystem

EMS.EMS..... ...is an ...is an essentialessential

component of the component of the overall healthcare overall healthcare system in the U.S.system in the U.S.

Healthcare System Components Healthcare System Components

Hospitals & Specialty FacilitiesHospitals & Specialty Facilities Trauma CentersTrauma Centers

Burn CentersBurn Centers

Poison CentersPoison Centers

Children’s HospitalsChildren’s Hospitals

Healthcare System continued Healthcare System continued

Healthcare ProfessionalsHealthcare Professionals PhysiciansPhysicians

NursesNurses

Support personnelSupport personnel

In many tiered systems, EMTs will often interface with ALS and other support personnel.

Liaison with Other Public Safety Personnel

The Emergency Medical The Emergency Medical Technician-BasicTechnician-BasicThe Emergency Medical The Emergency Medical Technician-BasicTechnician-Basic

Roles & ResponsibilitiesRoles & Responsibilities

EMT-B Roles & Responsibilities EMT-B Roles & Responsibilities

Personal safetyPersonal safety

Safety of the crew, patient Safety of the crew, patient and bystandersand bystanders

Patient assessmentPatient assessment

Patient care based on assessmentPatient care based on assessment

Roles & Responsibilities continuedRoles & Responsibilities continued

Lifting and moving patients safelyLifting and moving patients safely

Transport and transfer of careTransport and transfer of care

Record-keeping and data collectionRecord-keeping and data collection

Patient advocacy Patient advocacy (patient rights)(patient rights)

ProfessionalProfessionalAttributesAttributes

ProfessionalProfessionalAttributesAttributes

Professional Attributes Professional Attributes AppearanceAppearance

AttitudeAttitude

Knowledge and skillsKnowledge and skills

Patient’s needs a priorityPatient’s needs a priority

Knowledge of issuesKnowledge of issues

A professional appearance will A professional appearance will leave a lasting impression.leave a lasting impression.

EMTs have an

obligation to be

knowledgeable and

provide technically

proficient care.

EMT-B Training and Education EMT-B Training and Education

Educational experienceEducational experience

Clinical experienceClinical experience

CertificationCertification

RecertificationRecertification

Continuing EducationContinuing Education

Quality CareQuality CareQuality CareQuality Care

Quality ImprovementQuality Improvement

Quality Improvement (QI):Quality Improvement (QI):

A program for continually A program for continually

evaluating and improving the evaluating and improving the

care provided within an EMS care provided within an EMS

system.system.

Quality Assurance Quality Management

Medical DirectionMedical DirectionMedical DirectionMedical Direction

Medical direction:Medical direction:

The process by which The process by which

physicians monitor the care physicians monitor the care

provided by EMS personnel to ill provided by EMS personnel to ill

or injured patients.or injured patients.

On-line On-line Medical Medical DirectionDirection

Off-line Medical DirectionOff-line Medical Direction

SU

MM

AR

YS

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RY The EMS SystemThe EMS System

The EMT-BasicThe EMT-Basic

Quality CareQuality CareMedical DirectionMedical Direction