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Chapter 3

Chapter 3. Interfacing with EMS and Other Medical Personnel. Objectives (1 of 2). Differentiate the roles and responsibilities of the OEC technician and the EMT-B from other prehospital care providers. Define medical direction and discuss the OEC technician’s role in the process.

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Chapter 3

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  1. Chapter 3 Interfacing with EMS and Other Medical Personnel

  2. Objectives(1 of 2) • Differentiate the roles and responsibilities of the OEC technician and the EMT-B from other prehospital care providers. • Define medical direction and discuss the OEC technician’s role in the process. • Compare the OEC program with the urban EMS system.

  3. Objectives(2 of 2) • Characterize the various methods used to access the following systems in your patrol or community. • Incident Command System • Local law enforcement • Search and rescue interface • Ambulance interface • EMS system

  4. The EMS System • Each state is slightly different. • OEC is not subject to state licensing. • Components of the system: • On-scene medical stabilization • Transport to definitive care

  5. History of EMS • National Traffic and Motor Vehicle Safety Act of 1966 • Highway Safety Act of 1966 • Emergency Medical System Act of 1973 • Listed essential components of EMS • 1996 EMS Agenda for the Future • New essential components of EMS

  6. State EMS Offices • Lead agency that establishes and enforces standards • Various regional and local authorities may co-exist and have similar duties. • NSP communicates with all state EMS offices annually.

  7. State and Regional Protocols • Protocol-driven medical control • On-line communication with control facility • Direct orders are issued. • Off-line medical control • Written set of procedures for usual situations • Most systems are a combination.

  8. National Training Curriculums • National Highway Traffic Safety Administration (NHTSA) is governing agency • Training levels • First Responder • EMT-Basic (EMT-B) • EMT-Intermediate (EMT-I) • EMT-Paramedic (EMT-P)

  9. The OEC System • BLS vs. ALS • OEC vs. urban EMS • Standard of training vs. standard of care

  10. Comparison of OEC and EMS(1 of 2)

  11. Comparison of OEC and EMS(2 of 2)

  12. Standard of Care(1 of 2) • Standard imposed by local custom • Often based on locally accepted protocols • Standard imposed by the law • May be imposed by statutes, ordinances, administrative guidelines, or case law

  13. Standard of Care (2 of 2) • Professional or institutional standards • Recommendations published by organizations and societies • Specific rules and procedures of your service or organization

  14. Role of Ski Patrollers • First responder • Assess situations and provide treatment • Local ski patrol organization • Ski area policy and procedures

  15. Ski Patrol Operations(1 of 2) • Dispatch • Notification • Initial assessment • Initial transport

  16. Ski Patrol Operations (2 of 2) • Ongoing assessment and care in an aid room • Resort medical clinics • Documentation • Formal EMS transfer and transport

  17. Ambulance Interface(1 of 2) • Expectations • Responsibilities and protocols • Training and staffing

  18. Ambulance Interface(2 of 2) • Problem resolution • Continuing education interface • Medical director

  19. Physician Involvement • Can be challenging • Define responsibility to care • Invite participation • Physician-patrollers • Asset • Legal constraints

  20. Medical Control • Medical director • Patrol protocols • Physician patrols

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