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Chapter 1 Preparatory/EMS Systems
| Emergency Medical Services | A system consists of a team of health care professionals who, in each are or jurisdiction, are responsible for and provide emergency care and transportation to the sick and injured. |
| Certification | An exam is used to ensure all health care providers have at least the same basic level of knowledge and skill. |
| Licensure | Is the process by which states ensure a applicant competency in an examination setting. |
| Emergency medical responder | Has a very basic training and provides care before the ambulance arrives. They may also perform in an assistant role within the ambulance. |
| Emergency medical tecnician | Has training in basic life support (BLS), including automated external defibrillation, use of airway adjuncts, and assisting patients with certain medications. |
| Advanced EMT | Has training in specific aspects of advanced life support (ALS) such as intravenous therapy and the administration of certain emergency medications. |
| Paramedic | Has extensive training in ALS, including endotracheal intubation, emergency pharmacology, cardiac monitoring, and other advanced assessment and treatment skills. |
| Scene size-up | Involves both awareness of scene safety and a big picture awareness of the overall situation at hand. |
| Patient assessment | Is the foundation of any EMS call. You must determine what is wrong with the patient. |
| Treatment | As a EMT, you will provide oxygenation and medication therapies. You will control bleeding and assist patients during childbirth. |
| Packaging | Most patients need to be transported to a facility. This could mean a hospital, clinic, or other medical care facility. |
| Americans With Disabilities Act | Of 1990 protects people who have a disability from being denied access to programs and services that are provided by state or local governments and prohibits employers from failing to provide full and equal employment to the disabled |
| National EMS Scope of Practice Model | A document provides overarching guidelines for the minimum skills each level of EMS provider should be able to accomplish, |
| Automated external defibrillator | Can detect treatable life-threatening cardiac dysrhythmias (ventricular fibrillation and ventricular tachycardia) and deliver the appropriate electrical shock to the patient. |
| Public safety access point | Is communication center. |
| Emergency medical dispatch | A system which was developed to assist dispatchers in providing callers with vital instructions to help them deal with a medical emergency until EMS crews arrive. |
| Primary service area | Is the main area in which an EMS agency operates. (roads) |
| Medical director | Each EMS system has a physician who authorizes the EMTs in the sevice to provide medical care in the field. |
| Medical control | Is provided either off-line (indirect) or online (direct), as authorized by the medical director. |
| Online medical control (direct) | Consists of direction given over the phone or radio directly from the medical director or designated physician. The medical direction can be transferred by the physician's designee; it does not have to be transferred by the physician. |
| Off-line medical control (indirect) | Consists of standing orders, training, and supervision authorized be the medical director. Each EMT must know and follow the protocols developed by his or her medical director. |
| Mobile integrated healthcare | A new method of delivering health care that utilizes the prehospital spectrum. |
| Community paramedicine | In which experienced paramedics receive advanced training to equip them to provide services within a community. |
| Quality control | Ensuring that all staff members who are involved in caring for patients meet appropriate medical care standards on each call. |
| Continuous quality improvenment | Is a circular system of continuous internal and external reviews and audits of all aspects of an EMS system. |
| Public Health | Examines the health needs of entire populations with the goal of preventing health problems. |
| Primary prevention | Focuses on strategies that will prevent the event from every happening. |
| Secondary prevention | Strategy, the event has already happened. The question is how can we decrease the effects of the event? |
| Health Insurance Portability and Accountability Act | As a health care professional and an extension of physician care, you are bound by patient confidentiality. You should not discuss your findings or any disclosures made by the patient with anyone but those who are treating the pt. |
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