Questions and Answers
Emergency Medical Services or EMS is also known as?
When did EMS begin?
1966
What categories does the National Highway Traffic Safety Admin (NHTSA) set standards for? (Select all that apply)
Which of the following are Specialty Hospitals? (Select all that apply)
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What system is capable of automatically identifying the caller's phone number and location?
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What are the four levels of EMS Training?
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Which of the following are roles and responsibilities of the EMT? (Select all that apply)
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What is the process of continuous self-review to improve the system called?
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What are the roles of EMT in Quality Improvement? (Select all that apply)
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Who oversees the patient-care aspects of an EMS system?
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What is the term for a physician who assumes ultimate responsibility for the patient-care aspects of the EMS system?
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What are standing orders issued by the Medical Director that let EMTs give medications or perform procedures without direct communication called?
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What are orders from the on-duty physician given directly to an EMT in the field called?
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What are the lists of steps (i.e., assessments, interventions) to be taken in different situations called?
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What is the term for an EMT or other person authorized by a medical director to give medications and provide care?
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What is a policy or protocol issued by a Medical Director that authorizes EMTs to perform particular skills in certain situations called?
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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.
