Introduction to EMS Systems Mosby items and derived
Introduction to EMS Systems Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
Outline • EMS System – Activities – Access – Levels of Providers – In-hospital Care Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc. • First Responder – Roles – Responsibilities • Medical Oversight
What is EMS? • Emergency Medical Services – Resources in a community established for providing care and assistance in case of life threatening emergency • • • Fire Departments Ambulance Services Police Departments Community Clinics Hospitals Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
911 Access 9 -1 -1 Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
EMS Access Systems • Non-9 -1 -1: Does not have a universally recognized access number • Basic 9 -1 -1: Has a universally recognized number for all emergencies • Enhanced 9 -1 -1 (E 9 -1 -1): Displays information about the caller’s location on the dispatcher’s computer screen Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
Components of an EMS System Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
Who are First Responders? • Provide very basic medical care on the scene – Fire/Rescue personnel (paid or volunteer) – Law enforcement personnel – Industrial response teams Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
Roles of the First Responder • Safety on scene • Gaining access • Patient assessment • Initial care • Transfer of patient Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc. • Assisting EMS with ongoing care • Record keeping • Cooperation with other public safety agencies
Responsibilities of the First Responder • Caring, non • Up-to-date judgmental attitude knowledge and skills • Composure in stressful situations • Knowledge of local, state and • Professional national issues and appearance trends in EMS Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
Part of a Larger EMS Team • Additional EMS resources may include: – EMT-Basics – EMT-Intermediates – Paramedics Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
EMT-Basic • Performs basic lifesupport measures at the scene and during transport Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
EMT-Intermediate and Paramedic • EMT-Intermediate – Performs advanced life-support measures • EMT-Paramedic – The most highly trained provider – Has a wider understanding of disease processes Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
Providing Emergency Care • Emergency care at the scene • Transportation to the hospital • Care of the patient in the hospital Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
Emergency Departments • Emergency Departments (EDs) have varying levels of service available, depending on resources and staffing levels Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
Hospital Personnel • Physicians – Varying types of specialists • Nurses – Many are certified in specialty areas • Other Allied Health Professionals Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
Specialty Services • • • Trauma Centers Burn Centers Pediatric Hospitals Perinatal Centers Poison Control Centers Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
Local EMS Capabilities • Access and dispatching system • Agencies providing EMS response and the level of care provided • Area emergency departments and their capabilities • Local or regional specialty facilities Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
Medical Oversight • Also called medical control • Provided in 2 ways – Indirect – Direct Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
Medical Control Responsibilities • System design • Protocol development • Education • Quality management Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
Indirect Medical Control • Does not involve direct communication between the physician and the care provider during patient care • Also called: – Offline – Retrospective – Prospective Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
Direct Medical Control • Communication between a physician and care provider during patient care • Also called: – Online – Immediate Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
Radio Communication • Concise • Accurate • Organized • Pertinent Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
New Mexico EMS Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
3 Important Organizations • EMS Academy (Division of UNM School of Medicine) – Curriculum Development – Instructor Development – Certification • Injury Prevention & EMS Bureau – Licensing and Testing – Regulations (Scope of Practice) • Regional offices – Help with CE’s and special skills Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
EMS Regional Offices • EMS Region I Santa Fe • EMS Region II Las Cruces • EMS Region III Clovis Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
First Responder Licensure • Registration for Training and/or Certification/Licensure application • Copy of First Responder course completion certificate • Copy of CPR card (front and back) • Licensure fee Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
First Responder License Renewal • Current Professional BLS Provider CPR Card • 16 First Responder refresher or CE blueprint • Eight (8) contact hours of additional Bureau approved continuing education activity – (2) contact hours must be of pediatric content. • Completed renewal application and fee(s) • Statement of verification, signed by the service medical director, that the applicant is competent in all EMT-B skills that require medical direction Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
License Renewal Period • Good for 27 months but requirements MUST be met in 24 months Year 1 Year 2 All requirements done in this time Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc. 3 months
What’s the Difference between a Certificate and License ? • Certificate – Notice of class completion – Looks cool but otherwise useless • License – This allows you to practice medicine in the state on New Mexico as a First Responder Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
Summary • An EMS system is a network of resources to provide emergency medical care and transportation • A variety of events take place in an EMS system, from injury prevention to EMS response to in-hospital care. Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
Questions? Mosby items and derived items © 2007, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc.
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