AAOS EMT Book 12th edition Chapter 1 Knowledge Objectives 100% Correct

AAOS EMT Book 12th edition Chapter 1 Knowledge Objectives 100% Correct Define emergency medical services (EMS) systems. EMS is a team of health care professionals who are responsible for and provide emergency care and transportation to the sick and injured Name the four levels of EMT training and licensure Emergency Medical Responder (EMR) Emergency Medical Technician (EMT) Advanced EMT (AEMT) Paramedic Emergency Medical Responder(EMR) Has a basic emergency care and operations training, and is focused on managing the emergency scene and initiating immediate life-saving care before the ambulance arrives. EMRs may also perform roles under the direction of providers with more advanced training Emergency Medical Technician (EMT) Has additional depth and breadth of training in basic emergency care and transportation of sick and injured patients. Although not always the first to arrive, EMTs most commonly focus on initial stabilization of the scene and fundamental emergency care. EMTs are the primary link between the emergency scene and the health care system. Advanced Emergency Medical Technician (AEMT) Has additional preparation beyond the EMT level that includes training and education in specific aspects of advanced life support (ALS) such as Intravenous (IV) therapy, advanced airway management, and the administration of certain emergency medications. The AEMT's primary focus is on more advanced assessment techniques and selected emergency interventions known to improve patient outcomes. Paramedics Have the greases breadth and depth of education and training among emergency care providers. Their preparation focuses on ALS assessment; diagnostic and treatment tools and techniques, such as interpretation of heart rhythms; advanced airway management ; and emergency pharmacology. Paramedics functions as part of collaborative response, working under medical direction with EMS providers of other levels to help extend the reach of the health care system. Describe EMT licensure criteria; include how the Americans with Disabilities Act (ADA) applies to employment as an EMT. * High School diploma or equivalent * Proof of Immunization against certain communicable diseases * Successful completion of a background check and drug screening * Valid drivers license * Successful completion of a recognized health care provider basic life support(BLS) / cardiopulmonary resuscitation (Car) course * Successful completion of a state approved EMT course * Successful completion of a state - recognized written certification examination ( usually NREMT) * Successful completion of a state - recognized practical certification examination * Compliance with other state , local, and employer provisions The ADA of 1990 protects people who have a disability from being denied access to programs and services that are provided by state or local governments and prohibits employers from failing to provide full and equal employment to the disabled. In addition, Title I of the Ada protects EMTs with disabilities seeking gainful employment under many circumstances. Employers with a certain number of employees are required to a just process so that a candidate with a disability can be considered for the position , and when possible , modify the work environment or how the job is normally performed. This allows EMTs who can perform the functional job skills with reasonable;e accommodations the opportunity to pursue a career in EMS. Discuss the historical background of the development of the EMS system History of EMS * Origins Include - Volunteer ambulances in WW1 - Field care in WW1 -Field medic and rapid helicopter evacuation in Korean conflict * 1966 - EMTs as we know today, Accidental Death and Disability: Tye neglected Disease of Modern Society established EMS * Early 1970s - DOT published the first EMT training curriculum *1971 - AAOS published " The orange book'' * National Standardization efforts - 1970s - Dots National standard curriculum - 1980s - Advanced levels of EMTs 1990s- NHSTA's EMS agenda for the future Describe The levels of EMT training interms of sets of knowledge , skills and attitudes needed for each of the following : EMR, EMT, AEMT, and Paramedic. 1. EMR : provides basic immediate care including bleeding control, CPR, AED, and Emergency Childbirth 2. EMT : includes all EMR skills, advanced oxygen and ventilation skills, pulse oximetry , noninvasive BP monitoring, and administration of certain medications. 3. AEMT : includes all EMT skills, advanced airway devices, IV and IO access, blood glucose monitoring, and administration of additional medications. 4. Paramedic : includes all preceding training levels, advanced assessment and management skills, various invasive skills, and extensive pharmacology interventions. Recognize the presence of other first responders at a scene with EMS training, some knowledge of first aid, or merely good intentions and their need for direction. At scenes we will encounter good smartens trained in first aid and CPR, physicians and nurses, and other well meaning individuals. Identifying and using them properly can create valuable assistance at times, and other times these people may create problems or extra danger. Explain the guiding principles of EMS Agenda 2050 Is a multidisciplinary , national review of all aspects of EMS delivery. The goal is to develop a more cohesive and consistent system across the county. The documents features five key aspects of a people- centered EMS systems as outlined in: 1: Comprehensive , quality convient car 2. Evidence -based clinical care 3. Efficient , well rounded care 4 . Preventive care 5. Comprehensive and easily accessible patient records Describe how medical direction in an EMS system works and the EMT's role in the process. Each EMS system has a physician medical director who authorizes the EMTs in the service to provide medical care in the field. The medical director will determine the appropriate care for each injury, condition or illness with a set of written standing orders and protocols. Protocols are described as the EMTs scope of practice, the standing orders are part of protocol and designate what the EMT is required to do. The medical director is the liaison between the medical community, hospitals, and the EMTs in service.If treatment problems arise it is referred to the medical director to make the final decision in action. The medical director overseas QI by approved CEUs and EMT training. Online medical direction is the direct contact between the physician and EMT via phone and radio. Offline direction id written guidelines and protocols. It is the EMTs responsibility to know all online and Define mobile integrated healthcare and community paramedicine -new method of delivering health care-evolved from the pateintprotection and afforable care act-health care is provided within the community by a team of professionals-MIH necessitates additional training levels for EMS providers: paramedics receive advance training to provide services within the community Explain the purpose of the EMS continuous quality improvement ( CQI) process. reviews and audits the EMS system-goal: minimizing errors Characterize the EMS system's role in disease and injury prevention and public education in the community prevention and public education-EMS works w/ public health agencies on primary and secondary prevention describe the roles and responsibilities of the EMT keep vehicles and equipment ready-ensure safety-operate the emergency vehicle-be an on-scene leader-perform a scene evaluation-call for additional resources as needed-gain patient assessment-give emergency medical care while awaiting additional medical resources-emotional support-maintain continuity of care-resolve emergency incidents-uphold medical and legal standards-ensure and protect patient privacy-give administrative support-continue professional development-cultivate and sustain community relations-give back to the profession describe the attributes an EMT is expected to possess -integrity -empathy- self motivation- appearance and hygiene -self confidence - time management -communications - teamwork and diplomacy - respect - patient advocacy -careful delivery of care - every patient is entitled to compassion, respect, and best care-EMT are bound by patient confidentiality-familiarize with HIPPA explain the impact of the health insurance portability and accountability act (HIPAA) on patient privacy liimiting availability of pateints' health care informatgion and penalizing violations of patient privacy