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Section 1: Preparing to Be a Rescuer

Section 1: Preparing to Be a Rescuer. Chapter 1. Introduction to Outdoor Emergency Care. Objectives (1 of 2). Discuss the roles and responsibilities of the OEC technician toward provider, patient, and bystander safety. Define medical direction and the OEC technician’s role in the process.

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Section 1: Preparing to Be a Rescuer

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  1. Section 1: Preparing to Be a Rescuer

  2. Chapter 1 Introduction to Outdoor Emergency Care

  3. Objectives(1 of 2) • Discuss the roles and responsibilities of the OEC technician toward provider, patient, and bystander safety. • Define medical direction and the OEC technician’s role in the process.

  4. Objectives(2 of 2) • Define the medical, legal, and ethical issues you face as a rescuer. • Characterize the various methods used to support patrol operations and to access the EMS system in your community.

  5. The OEC Course (1 of 2) • Designed to meet/exceed DOT 1994 EMT-B National Standard Curriculum for like topics • Designed to provide prehospital care for the sick and injured appropriate for the outdoor and nonurban environment

  6. The OEC Course(2 of 2) • Based on a solid foundation in anatomy and physiology • Uses in-depth patient assessment for both injuries and medical illnesses • Incorporates improvisation of emergency care equipment and techniques

  7. Criteria for Certification • Successful course completion • Final written evaluation • Practical evaluation • Recertification • Refresher

  8. Outdoor Emergency Care Program • Stresses quality control and improvement • Developed by the NSP in 1987 • The NSP’s National Medical Committee provides input and reviews standards of training.

  9. Roles and Responsibilities of Rescuers (1 of 2) • Personal safety • Safety of team, patient, and bystanders • Ability to safely operate the transport equipment used in the nonurban environment

  10. Roles and Responsibilities of Rescuers (2 of 2) • Patient assessment • Transport and transfer of care • Record keeping and data collection

  11. Medical, Legal, and Ethical Issues(1 of 5) • The basic premise is to do no further harm. • Standard of care • Treatment protocols • Statutes, ordinances • Case law

  12. Medical, Legal, and Ethical Issues(2 of 5) • Medical Practices Act • OEC and EMT-B technicians are regarded as “nonmedical” professionals and exempt from the licensure requirements of a state’s Medical Practices Act.

  13. Medical, Legal, and Ethical Issues(3 of 5) • Risk management • Do no further harm • Minimize risks • Duty to rescue • Duty to train safely

  14. Medical, Legal, and Ethical Issues(4 of 5) • Negligence • Failure to provide care equal to the standard of care • Exceeding the scope of your training • Causing injury • Good Samaritan laws

  15. Medical, Legal, and Ethical Issues(5 of 5) • Consent and refusal • Expressed consent • Implied consent • Minors • Mentally incompetent • The right to refuse treatment

  16. Local EMS Operations • Instructor added notes concerning: • 9-1-1 dispatch • Ambulance • Helicopter • Medical direction • Destinations • Protocols

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