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INTRODUCTION TO EMERGENCY MEDICAL CARE

INTRODUCTION TO EMERGENCY MEDICAL CARE. EMERGENCY MEDICAL TECHNICIAN - BASIC. Origins of EMS. Accidental Death & Disability: The Neglected Disease of Modern Society Department of Transportation (DOT) Highway Safety Act of 1966 Department of Health and Human Services (DHHS)

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INTRODUCTION TO EMERGENCY MEDICAL CARE

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  1. INTRODUCTION TO EMERGENCY MEDICAL CARE EMERGENCY MEDICAL TECHNICIAN - BASIC

  2. Origins of EMS • Accidental Death & Disability: The Neglected Disease of Modern Society • Department of Transportation (DOT) • Highway Safety Act of 1966 • Department of Health and Human Services (DHHS) • Emergency Medical Act of 1973

  3. National Standard Curriculum • Developed by DOT • First developed in early 1970’s • Current - 1994 • Purpose • Standardization of Training Programs • Standardization of Levels of Certification • Standardization of Patient Care

  4. Components of an EMS System • Advisory Council • Medical Direction • The process used by the Medical community to assure quality and accountability in the delivery of pre-hospital care • On-line • Off-line • Protocols • Quality Improvement

  5. Components of an EMS System • EMT Training • Initial • Continuing Education • Instructor Training

  6. Components of an EMS System • Communications Systems • System Communication • Radio • Cellular • System Access • 911 • Other easily remembered numbers

  7. Components of an EMS System • Dispatch Center • Well Designed • Well Equipped • Well Staffed & Trained • Policies & Procedures

  8. Components of an EMS System • Ambulance Service • Well Designed • Well Equipped • Well Maintained • Well Trained Staff • Initial • Continuing Education

  9. Components of an EMS System • Rapport with Other Healthcare Professionals • Reports & Records • System Evaluation • Quality Improvement • Protocol Review/Update • Run Review • Remedial or Continuing Education

  10. Components of an EMS System • System Evaluation (Cont.) • Risk Management/Loss Control • Outcome Studies • System Status Management • Disaster Plans • Major Incident Response • Designed by EMS • Designed to Integrate with Other Agencies

  11. Components of an EMS System • Public Information & Education • Categorized Hospital Emergency Capabilities • Funding

  12. Components of an EMS System • Management • Well Educated • Initial • Continuing Education • Well Supported • $ • by Upper Level Management

  13. Continuum of Care • 1st Phase - Out of Hospital Care • 2nd Phase - Emergency Department Care • 3rd Phase - Definitive Care

  14. EMS RELATED AGENCIES • First Responders • Law Enforcement • Police • Sheriff's Department • Department of Public Safety • Federal

  15. EMS RELATED AGENCIES • Fire Department • Regional Organizations • Texas Department of Health

  16. Roles & Responsibilities • Safety • Priorities • Yourself • Partner • By-standers • Patient

  17. Roles & Responsibilities • Safety (cont.) • Safe Behaviors • Health • No Destructive Activities • Rest • Conditioning • Do not push body past limitations (Mentally and Physically) • Wear Personal Protective Equipment • Survey Scene • Look for Hazards • Listen to Others

  18. Roles & Responsibilities • Patient Care • Patient Assessment • Basic Life Support • Mechanical Aids to Breathing • Pulse-Oximetry • Semi-Automatic External Defibrillator • Pneumatic Anti-Shock Garment (PASG or MAST)

  19. Roles & Responsibilities • Patient Care (cont.) • Hand-held Metered Dose Nebulizers • Epinephrine Auto-injectors (Epi pens) • Nitroglycerin • Aspirin • Charcoal

  20. Roles & Responsibilities • Patient Care (cont.) • Oral Glucose • Bandaging & Splinting / Traction Splinting • Emergency Childbirth • Spinal Immobilization • Advanced Airway (Optional)

  21. EMT-Intermediate Roles & Responsibilities • Patient Care - Intermediate • Intermediate Patient Assessment • Advanced Airway • Esophageal Airways • Endotracheal Intubation (Oral & Nasal) • Cricothyrotomy (Needle & Surgical) • End-tidal CO2 Monitoring

  22. EMT-Intermediate Roles & Responsibilities • Patient Care - Intermediate (Cont.) • Vascular Access • Intravenous • Intraosseus • Gastric Tube Placement (Oral & Nasal) • Pleural Decompression

  23. EMT-Intermediate Roles & Responsibilities • Patient Care - Intermediate • Drug Therapy • D50W • Narcan • Intermediate Recordkeeping • Intermediate Radio Communication

  24. EMT-Paramedic Roles & Responsibilities • Patient Care - Paramedic • Advanced Patient Assessment • Drug Administration Techniques • EKG Interpretation • Defibrillation/Cardioversion

  25. EMT-Paramedic Roles & Responsibilities • Patient Care - Paramedic (Cont.) • External Pacemakers • IV Infusion Pumps • Mechanical Ventilators • Urinary catherization

  26. Roles & Responsibilities • Extrication & Rescue • Transport • Transfer of Care • Communications • Records & Reports

  27. Roles & Responsibilities • Patient Advocacy • Maintenance • Vehicle Maintenance • Equipment Maintenance • Self

  28. Personal Attitude & Conduct • Professionalism • Appearance • Attitude • Manner • Speech • Writing • Knowledge & Skills • Participation in CE • Participation in QI

  29. Personal Attitude & Conduct • Confidence • Compassion • Empathy • Leadership

  30. Personal Attitude & Conduct • Sound Judgement • Good Moral Character • Stability • Adaptability

  31. Texas EMT Certification • Requirements • Successfully complete a TDH approved EMT- Basic course • Submit to TDH: • Course Completion Certificate • Completed TDH EMS Personnel Application • TDH application fees (if not exempt) • Schedule state exam appointment with TDH regional office

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