Introduction to Emergency Medical Services
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Questions and Answers

Emergency Medical Services or EMS is also known as?

  • Prehospital or out-of-hospital care (correct)
  • In-hospital care
  • Emergency room services
  • Urgent care
  • When did EMS begin?

    1966

    What categories does the National Highway Traffic Safety Admin (NHTSA) set standards for? (Select all that apply)

  • Transportation (correct)
  • Facilities (correct)
  • Trauma Systems (correct)
  • Public Information and Education (correct)
  • Resource Management (correct)
  • Regulation and Policy (correct)
  • Communications (correct)
  • Human Resources and Training (correct)
  • Medical Direction (correct)
  • Evaluation (correct)
  • Which of the following are Specialty Hospitals? (Select all that apply)

    <p>Cardiac Centers</p> Signup and view all the answers

    What system is capable of automatically identifying the caller's phone number and location?

    <p>Enhanced 911</p> Signup and view all the answers

    What are the four levels of EMS Training?

    <p>EMT-Basic</p> Signup and view all the answers

    Which of the following are roles and responsibilities of the EMT? (Select all that apply)

    <p>Transport</p> Signup and view all the answers

    What is the process of continuous self-review to improve the system called?

    <p>Quality Improvement</p> Signup and view all the answers

    What are the roles of EMT in Quality Improvement? (Select all that apply)

    <p>Maintaining equipment</p> Signup and view all the answers

    Who oversees the patient-care aspects of an EMS system?

    <p>Medical Director</p> Signup and view all the answers

    What is the term for a physician who assumes ultimate responsibility for the patient-care aspects of the EMS system?

    <p>Medical Director</p> Signup and view all the answers

    What are standing orders issued by the Medical Director that let EMTs give medications or perform procedures without direct communication called?

    <p>Off-line Medical Direction</p> Signup and view all the answers

    What are orders from the on-duty physician given directly to an EMT in the field called?

    <p>On-line Medical Direction</p> Signup and view all the answers

    What are the lists of steps (i.e., assessments, interventions) to be taken in different situations called?

    <p>Protocols</p> Signup and view all the answers

    What is the term for an EMT or other person authorized by a medical director to give medications and provide care?

    <p>Designated Agent</p> Signup and view all the answers

    What is a policy or protocol issued by a Medical Director that authorizes EMTs to perform particular skills in certain situations called?

    <p>Standing Orders</p> Signup and view all the answers

    Study Notes

    Introduction to Emergency Medical Services (EMS)

    • EMS is synonymous with prehospital or out-of-hospital care.
    • EMS was initiated in 1966 through the National Highway Safety Act, assigning the Department of Transportation (DOT) to establish standards.

    National Highway Traffic Safety Administration (NHTSA)

    • NHTSA establishes regulations and policies across various categories, including:
      • Resource Management
      • Human Resources and Training
      • Transportation
      • Facilities
      • Communications
      • Public Information and Education
      • Medical Direction
      • Trauma Systems
      • Evaluation

    Specialty Hospitals

    • Recognized six types of specialty hospitals:
      • Trauma Centers
      • Burn Centers
      • Pediatric Centers
      • Cardiac Centers
      • Stroke Centers
      • Poison Control Centers

    Enhanced 911 (E911)

    • A system that automatically identifies the caller's phone number and location for emergency response.

    Levels of EMS Training

    • Four levels of EMS training include:
      • First Responder (e.g., police, firefighters)
      • EMT-Basic
      • EMT-Intermediate
      • EMT-Paramedic (providing advanced life support)

    EMT Roles and Responsibilities

    • Eight essential roles and responsibilities of the EMT:
      • Ensuring personal safety
      • Protecting the safety of crew, patients, and bystanders
      • Conducting patient assessments
      • Providing patient care
      • Lifting and moving patients
      • Transporting patients
      • Transferring care upon arrival at medical facilities
      • Advocating for patients' needs and concerns

    Quality Improvement in EMS

    • Quality Improvement is an ongoing process aimed at identifying system aspects that require enhancement.

    Roles of EMT in Quality Improvement (QI)

    • Five key roles in QI:
      • Maintaining thorough and accurate documentation
      • Actively participating in the quality process
      • Collecting feedback from patients and hospital staff
      • Ensuring proper maintenance of equipment
      • Engaging in continuous education for skill enhancement

    Medical Direction in EMS

    • Medical Direction encompasses the oversight of patient-care components by a Medical Director.
    • A Medical Director is a physician with ultimate responsibility for patient care within the EMS system.

    Medical Directions

    • Off-line Medical Direction involves standing orders from the Medical Director permitting EMTs to administer medications or execute procedures without direct communication.
    • On-line Medical Direction consists of real-time orders communicated from an on-duty physician to EMTs via radio or telephone.

    Protocols and Procedures

    • Protocols are predefined lists of actions (assessments and interventions) designed for various emergency situations.

    Designated Agent

    • A Designated Agent is an EMT or individual authorized by a Medical Director to administer medications and provide care, effectively an extension of the Medical Director's medical license.

    Standing Orders

    • Standing Orders are directives or protocols from a Medical Director that empower EMTs to perform specific skills under designated circumstances.

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    Description

    Explore the essential elements of Emergency Medical Services (EMS), covering its history, the role of NHTSA, and various specialty hospitals. This quiz will also delve into the levels of EMS training and the significance of systems like Enhanced 911. Test your knowledge and understanding of EMS fundamentals.

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