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Chapter 1 - EMS Systems (The 14 Components (7) EMS Research (Application…

- - - - Also known as "The White Paper"
        
        prepared by The Committees on Trauma and Shock of the National Academy of Sciences/National Research Council
        
        Administered at the Federal level through DOT
  - - - Also called the "Orange Book"
- - - - Title I
        
        protects EMTs with disabilities who are seeking employment
        
        may require modifying the work environment or how the job is performed
- - - - Where dispatchers are located and obtain all 9-1-1 calls to dispatch appropriate resources
    - - allows trained dispatchers to provide callers with vital instructions to help them deal with a medical emergency until EMS crews arrive
  - - - learn how to use variety of appliances and when the use of each is indicated and when it will benefit or cause harm
      - check each piece of equipment before going on duty
        
        make sure it is in assigned place, working properly and familiarize yourself with specific model carried
    - - Is the main area in which an EMS agency operates
        
        must familiarize yourself with the roads in case you are called to drive
      - check all equipment and supplies and communication equipment that ambulance carries
      - Our responsibility to ensure ambulance is fueled, sufficient fluids, tires are in good condition and inflate, test each driver control
      - if you haven't driven ambulance before take it out and familiarize yourself with it before a response
  - - - authorizes EMTs to provide medical care in field
        
        appropriate care for each injury, condition or illness
    - - designate what an EMT is require to do for a specific complaint or condition
      - treatment problems arise or different procedures should be considered, they are referred to the medical director for final decision/action
    - - off-line (indirect)
        
        consists of standing orders, training and supervision authorized by med director
      - online (direct)
        
        is direction given over the phone or radio from med control or designated physician
  - - - this helps to decrease errors and increase efficiencies, but most of all to ensure patient receives comprehensive continuity care
    - - Trauma
      - Stroke
      - Heart attacks
  - - - Need for educational sessions
      - National trends
      - Average on-scene time for trauma patients
  - - - Primary prevention
        
        Strategies that will prevent the event from ever happening
        
        EMTs can contribute by becoming involved in programs that educate the community abut safety
        
        teaching
        
        First aid
        
        CPR
      - Secondary prevention
        
        Event has happened already, so now how can we decrease the effects of the event?
        
        help educate the public professionally, respectfully and kindly
        
        go to local schools to teach kids about calling 9-1-1
        
        go to local health care institutions to inform them on when to call for an ambulance and when other transportationmethods are more appropriate
        
        effects of public educationis an increase in public respect for EMS
        
        folks consider EMS a vital part of public health care system
        
        can lead to increased EMS funding
  - - - Integral to being EMS provider
    - - Gathering data
    - - based on research
  - - - cell phones can be linked to GPS units to display location
      - transmit location to moving digital map in the unit complete with turn-by-turn directions
  - - - Compensation
      - Interaction with other members of medical community
  - - - scheudling
      - Personnel
      - Budgets
      - Purchasing
      - Vehicle maintenance
  - - - Fire department 37.4%
      - Third service and hospital 23.0%
      - Private Organization 39.6%
    - - secure signatures
      - obtain permission from patients to bill insurance
      - gather insurance info
  - - - Measures intended to maintain and update an EMTs skills and knowledge
- - - - Can preform endotracheal intubation, emergency pharmacology, cardiac monitoring, and other advance assessment and treatment skills
  - - - assumes responsibility for assessment, care, packaging, and transport of patient
  - - - They can perform intravenous (IV) therapy and administer a limited number of emergency medications