EMT A150 Ch. 1 Notes latest study guide

Chapter 1 Emergency Medical Care Systems, Research, and Public Health ● The EMS System: History ○ What happens to an injured or ill patient before they reach the hospital can make a critical difference ○ Lessons learned from observations in the Korean and Vietnam wars have impacted the development of modern EMS systems ○ In the past, care did not begin until the patient reached the hospital ○ In 1966, the EMS “white paper” identified deficiencies in prehospital medical care, including lack of EMT training and lack of organized systems ○ Modern EMS is part of a continuum of care that begins at the scene of the emergency and continues through hospital discharge and rehabilitation ○ Several significant developments helped lead to this EMS system ○ Introduction of cardiopulmonary resuscitation (CPR) in the 1960s ○ The Highway Safety Act of 1966 ○ The EMS System Act of 1973 ○ National Emergency Medical Services Education and Practice Blueprint in 1993 by the National Registry of EMTs ○ NHTSA documents ■ 1996 EMS Agenda for the Future ■ 2000 EMS Education Agenda for the Future: A Systems Approach ■ 2005 National EMS Core Content ■ 2006 National EMS Scope of Practice Model ● National EMS Education Standards ○ The 2006 Institute of Medicine (IOM) report The Future of EMS Care: EMS at the Crossroads recommends ■ Common scopes of practice to allow reciprocity between states ■ National accreditation for all paramedic educational programs ■ National certification as a prerequisite for state licensure and local credentialing ● The EMS System: Standards ○ NHTSA provides a set of recommended state standards, the Technical Assistance Program Assessment Standards ○ There are ten components ■ Regulation and policy ■ Resource management ■ Human resources and training ■ Transportation ■ Facilities ■ Communications ■ Public information and education ■ Medical direction ■ Trauma syst