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EMPS 1501- Exam 1

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Exam of 20 pages for the course EMPS 1501 at EMPS 1501 (EMPS 1501- Exam 1)

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EMPS 1501- Exam 1
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EMS System - ANSWER-Team of Healthcare Professionals

*provide emergency care and transport

*Governed by the State Laws



Levels of Certification - ANSWER-Most states have 4 training and licensure levels

1. Emergency Medical Responder (EMR)

2. EMT

3. Advanced EMT (AEMT)

4. Paramedic



Texas Levels of Certification - ANSWER-5 Levels:

1. Emergency Care Attendant(ECA)

2. EMT

3. EMT- Intermediate (AEMT under national registry)

4. Paramedic

5. Licensed Paramedic



Emergency Medical Responder (EMR) - ANSWER-Very basic training:

-Provides care before ambulance arrives

-May assist within an ambulance

-Skills limited to immediate need



Emergency Care Attendant (ECA) - ANSWER--Able to function as part of ambulance crew

-Has almost all skills of an EMT

-initiate immediate care and assist EMTs on their arrival

,-Training usually delivered to policemen, fire fighters, park rangers, ski patrol,



Emergency Medical Technician - ANSWER-Has training in BLS including:

-AED

-Airway Adjuncts

-Medication Assistance

- IN 49 states, EMT is a minimum certification level to operate an ambulance (TX allows ECAs to
transport)

- course requires about 150 hours

-upon arrival, EMT assumes responsibility for assessment, care, package, and transport of patient



EMT-Intermediate (AEMT) - ANSWER-has training in advanced life support (ALS) including:

-IV therapy

-Administration of certain emergency medications

-limited advanced airway skills



Paramedic - ANSWER-Has extensive ALS training including:

-Endotracheal intubation and other advanced airway skills

-expanded use of pharmacology

-ECG Interpretation

-Cardiac monitoring

-no longer using EMT-P, just Paramedic

-800 to 1500 hours or more

-Truly involved in "Practice of Medicine"



Licensed Paramedic - ANSWER-Requires an Associates Degree in EMS (or any bachelors degree)



EMT Licensure Requirements in Texas - ANSWER-1. Complete EMT Training course

2. Pass national Registry exam

, 3. High school diploma or equivalent

4. 18 years of age

5. Pass Criminal Background Check (many felonies disqualify certification: drug convictions, physical
assault, sexual crimes)



Beginning of EMS system - ANSWER-WW1: volunteer ambulances

WW2: Field Care

Korean: Field Medic and rapid helicopter evacuation



EMS originated in - ANSWER-1966:

-Publication of: Accidental Death and Disability: The Neglected Disease of Modern Society



Published First EMT training Curriculum in - ANSWER-Department of Transportation; 1970



Prepared first EMT textbook in - ANSWER-American Academy of Orthopedic Surgeons (AAOS); 1971

-orange book

-still trying to standardize levels of EMS education nationally



National Scope of Practice - ANSWER--attempting to standardize training and services

-Sets "definitions" of licensure (lowest)

-Sets "ceilings" of licensure (highest)



Texas does not have Scope of Practice - ANSWER--Delegated Practice state

-Medical Director determines "scope"

ex: rural providers may be able to perform more advanced procedures than urban



people who are usually trained in BLS/CPR - ANSWER--teachers, coaches, child care providers, etc.

-people who regularly accompany groups on trips to remote locations

-AED can be used by laypeople

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