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Chapter 1
Emergency Medical Care Systems, Research, and Public
Health
Copyright ©2010 by Pearson Education, Inc. All rights reserved.
Prehospital Emergency Care, Ninth Edition Joseph J. Mistovich • Keith J. Karren
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Objectives
1. Define key terms introduced in this chapter. 2. Describe the key historical events that have shaped the
development of the emergency medical services (EMS) system, including (slides 17-19): a. Lessons learned in trauma care from experiences in the
Korean and Vietnam conflicts b. Publication of Accidental Death and Disability: The Neglected
Disease of Modern Society c. Highway Safety Act of 1966 d. Emergency Medical Services System Act of 1973 e. Public CPR courses f. Publication of the National Emergency Medical Services
Education and Practice Blueprint
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Objectives
2. Describe the key historical events that have shaped the development of the emergency medical services (EMS) system, including (slides 17-19): g. Publication of EMS Agenda for the Future and The EMS
Education Agenda for the Future: A Systems Approach h. Development of National EMS Core Content, National EMS
Scope of Practice Model, and National EMS Education Standards
i. The Institute of Medicine report The Future of EMS Care: EMS at the Crossroads
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Objectives
3. Briefly explain each of the components of the Technical Assistance Program Assessment Standards
(slides 20-21): a. Regulation and policy b. Resource management c. Human resources and training d. Transportation e. Facilities f. Communications g. Public information and education h. Medical direction i. Trauma systems j. Evaluation
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Objectives
4. Discuss the differences between 911 and non-911 EMS access systems, including the features and benefits of 911 systems (slides 23-24).
5. Compare and contrast the scopes of practice of the following levels of EMS providers (slides 25-26): a. Emergency Medical Responder (EMR) b. Emergency Medical Technician (EMT) c. Advanced Emergency Medical Technician (AEMT) d. Paramedic
6. Explain the importance of the EMT’s understanding of the health care resources available in the community (slides 27-29).
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Objectives
7. Give examples of how EMTs can carry out each of the following roles and responsibilities (slides 31-43): a. Personal safety and the safety of others b. Patient assessment and emergency care c. Safe lifting and moving d. Transport and transfer of care e. Record keeping and data collection f. Patient advocacy
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Objectives
8. Describe the expectations of EMTs in terms of each of the following professional attributes (slides 44-53): a. Appearance b. Knowledge and skills c. Physical demands d. Personal traits e. Maintaining certification and licensure
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Objectives
9. Discuss the purposes of medical direction/oversight in the EMS system (slides 54-55).
10. Describe the purpose of quality improvement/continuous quality improvement programs in EMS (slide 56).
11. Explain the EMT’s roles and responsibilities in quality improvement (slide 57).
12. Identify activities in EMS that pose a high risk of mistakes and injuries (slides 59-60).
13. Discuss steps that you can take to minimize mistakes and injuries in EMS (slides 59-60).
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Objectives
14. Discuss the steps of evidence-based decision making (slides 60-61).
15. Explain the limitations of evidence-based decision making in EMS (slide 60).
16. Describe the relationship between EMS and public health (slides 62-63).
17. List the ten greatest public health achievements in the United States in the 20th century.
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Multimedia Directory
Slide 29 EMS and the Community Video Slide 64 Healthy People 2010 Video
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Topics
" The Emergency Medical Services System " The EMT " Research and EMS Care " Public Health
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Dispatch
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EMS Unit 121
Respond to 10915 Pine Lake Road in Perry Township for an elderly male who has fallen.
Perry Township Fire Department is also en route.
Time out 1032
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Upon Arrival
• 65-year-old male fell approximately 30 feet down embankment
• Conscious; states injured right arm and leg • Rescue preparing to extricate patient
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How would you proceed?
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Back to Topics
The Emergency Medical Services
System
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A Brief History
Back to Objectives
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A Brief History
• Korean and Vietnam War • “White paper” • Highway Safety Act of 1966 • Emergency Medical Services System Act
of 1973 • American Heart Association CPR
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A Brief History • National Emergency Medical Services
Education and Practice Blueprint in 1993 • EMS Agenda for the Future • EMS Education Agenda for the Future • National EMS Core Content in 2005 • National EMS Scope of Practice Model • The Future of EMS Care: EMS at the
Crossroads • National EMS Education Standards
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Technical Assistance Program Assessment
Standards
Back to Objectives
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Standards
• Regulation and Policy • Resource Management • Human Resources and Training • Transportation • Facilities
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Standards
• Communications • Public Information and Education • Medical Direction • Trauma Systems • Evaluation
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Technical Assistance Program Assessment Standards
Access to the EMS system
Back to Objectives
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• E911 • Cell phones
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Technical Assistance Program Assessment Standards
Levels of Training
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Emergency Medical
Responder
Emergency Medical
Technician
Advanced Emergency
Medical Technician
Paramedic
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Technical Assistance Program Assessment Standards
The Health Care System
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Specialty Facilities Pediatric
Stroke
Spine
Burn Trauma
Cardiac
Poison
Hyperbaric
Psychiatric
Obstetric
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EMS and Community Video
Return to Directory
Click here to view a video on the topic of EMS, the Community, and Children.
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Back to Topics
The EMT
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Roles and Responsibilities
Back to Objectives
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• Personal safety • Safety of others • Patient assessment • Emergency care • Safe lifting and
moving • Transport and
transfer of care • Record keeping and
data collection • Patient advocacy
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Roles and Responsibilities
Personal Safety and the Safety of Others
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Remember
You cannot help the patient, other rescuers, or yourself if you are injured.
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Driving safety Patient safety
Scene safety
Personal safety
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Roles and Responsibilities
Patient Assessment and Emergency Care
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• Primary assessment • Secondary assessment
• Beware of changing conditions
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Roles and Responsibilities
Safe Lifting and Moving
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• Safety in movement and equipment • Proper body mechanics
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Roles and Responsibilities
Transport and Transfer of Care
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Transport
• Facility determination • Transport code • Drive safely • Report to hospital staff
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Roles and Responsibilities
Record Keeping, Data Collection, and Patient
Advocacy
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• Complete report
• Become a patient advocate – Be truthful – Protect
privacy
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Professional Attributes
Appearance
Back to Objectives
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Appearance
• Groomed • Neat, clean
appearance • In uniform • Prepared
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Professional Attributes
Knowledge and Skills
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Knowledge and Skills
Safety
Traffic laws
Territory
Cleaning of equipment Use of equipment
Medications
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Professional Attributes
Physical Demands
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Physical Demands
• Must be able to lift 125 pounds
• Good vision • Communication
skills • Hearing
(© Craig Jackson/In the Dark Photography)
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Professional Attributes
Personal Traits
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Personal Traits
• Calm and reassuring
• Leadership • Good judgment • Good moral
character • Stability and
adaptability • Ability to listen • Resourcefulness • Cooperativeness
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Professional Attributes
Maintenance of Certification and Licensure
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Maintenance of Certification and Licensure
• Continuing education
• Skill competency • Avoiding criminal
or unethical behavior
• Submitting all fees
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Medical Direction and Oversight
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• Medical director • Protocols • Off-line medical
direction • On-line medical
direction • Standing orders • Medical oversight
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Quality Improvement
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Issues in Patient Safety
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High-Risk Activities
• Transfer of care
• Medical errors • Carrying
patients • Ambulance
crashes • Lack of spine
immobilization
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Research and EMS Care
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Evidence-Based Medicine
• Formulate a question • Search medical literature • Appraise the evidence for validity and
reliability • If the evidence supports it, change
protocols
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Public Health
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Roles of EMS in Public Health
• Health prevention and promotion
• Disease surveillance
• Injury prevention
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Healthy People 2010
Click here to view a video on the Healthy People 2010 initiative.
Return to Directory
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Follow-Up
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Primary Assessment • 65-year-old male, Edgar Robinson • Chief complaint: right wrist and right
thigh pain • Respiration: 24 per minute • Pulse: 90 beats per minute • Skin warm and dry
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Secondary Assessment • S:
– Abrasions to arms – Pain and deformity of right wrist – Deformity, swelling, abrasions, pain in
right thigh • No feeling or movement of right toes • Pulses present in foot
– Denies losing consciousness
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Secondary Assessment
• A: Sulfa drugs • M: Metroprolol • P: HBP
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Treatment and Reassessment • O2 via nonrebreather mask • Traction splint right leg • Wheeled stretcher • Reassess patient every five minutes • Transfer care without incident
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• 78-year-old male patient who appears to be suffering a stroke
• Patient is unable to speak and appears agitated • The patient’s niece requests transport to a small
local hospital near his residence • A designated stroke center is 20 minutes from
your location
Critical Thinking Scenario
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1. What are your responsibilities while on this call?
2. How can you serve as the patient’s advocate?
3. How can you use medical direction in this situation?
Critical Thinking Questions
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Reinforce and Review
Please visit www.bradybooks.com
and follow the myBradykit links to access content for the text.