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Created by
@PromisingStonehenge

Questions and Answers

What does ALS stand for?

Advanced life support

What is BLS?

Basic life support

What does EMT stand for?

Emergency Medical Technician

What does AEMT represent?

<p>Advanced Emergency Medical Technician</p> Signup and view all the answers

What is a Paramedic?

<p>An EMS professional with extensive training in advanced life support skills.</p> Signup and view all the answers

What is Medical Control?

<p>Physician instruction to EMS team</p> Signup and view all the answers

What does CQI stand for?

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

What does EMS stand for?

<p>Emergency Medical Services</p> Signup and view all the answers

What does MIH represent?

<p>Mobile Integrated Healthcare</p> Signup and view all the answers

What does EMD stand for?

<p>Emergency Medical Dispatcher</p> Signup and view all the answers

What is a primary service area (PSA)?

<p>Designated area for prehospital emergency care.</p> Signup and view all the answers

Who is the Medical Director?

<p>The physician who authorizes EMTs to provide care.</p> Signup and view all the answers

What does the Americans with Disabilities Act prohibit?

<p>Discrimination against the disabled.</p> Signup and view all the answers

What is quality control in EMS?

<p>Ensuring high medical care standards by the medical director.</p> Signup and view all the answers

What is HIPAA?

<p>Health Insurance Portability and Accountability Act</p> Signup and view all the answers

In what year was the white paper 'Accidental Death and Disability: The Neglected Disease of Modern Society' published?

<p>1966</p> Signup and view all the answers

Which of the following is true of medical control? (Select all that apply)

<p>It may be written or 'standing orders'</p> Signup and view all the answers

What is the purpose of providing mobile integrated healthcare?

<p>To facilitate improved access to healthcare at an affordable rate.</p> Signup and view all the answers

What is the major goal of continuous quality improvement?

<p>To ensure the public has the highest standard of care.</p> Signup and view all the answers

Which organization involves federal legislation concerning patient confidentiality?

<p>HIPAA.</p> Signup and view all the answers

Who authorizes EMTs to provide emergency care?

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

What must be followed to treat a patient?

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

What level of training allows performing cardiac monitoring and advanced life support?

<p>Paramedic.</p> Signup and view all the answers

While checking the patient's airway, breathing, and circulation, your partner considered the benefits of requesting an ___ ambulance to assist with patient care.

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

While performing CPR on the patient, your partner retrieved the ___ which will deliver an appropriate electrical shock.

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

EMT personnel are the highest qualified members of the prehospital care team.

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

The EMT scope of practice includes the use of automated external defibrillator.

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

Personnel trained as EMRs can include law enforcement officers, firefighters, and ski patrollers.

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

The Medical Director is responsible for authorizing and regulating all emergency medical services within the state.

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

What is a circular system of continuous internal and external reviews of all aspects of an EMS system called?

<p>Continuous quality improvement.</p> Signup and view all the answers

Each system has a physician ___ who authorizes the EMTs in service to provide medical care in the field.

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

One of the most dramatic recent developments in prehospital emergency care is the use of a(n) ___ ___ defibrillator.

<p>Automated external</p> Signup and view all the answers

The primary ___ area is the main area in which an EMS agency operates.

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

A 9-1-1 dispatch center is called a public safety ___ or 'PSAP'.

<p>Access point</p> Signup and view all the answers

What does Advanced life saving procedures refer to?

<p>ALS.</p> Signup and view all the answers

Who is the physician who authorizes or delegates to the EMT the authority to provide medical care in the field?

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

What does EMS represent?

<p>Emergency Medical Services.</p> Signup and view all the answers

Efforts to prevent an injury or illness from ever occurring are known as what?

<p>Primary Prevention.</p> Signup and view all the answers

A device that detects treatable life-threatening cardiac arrhythmias and delivers the appropriate electrical shock to the patient?

<p>AED.</p> Signup and view all the answers

Comprehensive legislation designed to protect individuals with disabilities against discrimination?

<p>ADA.</p> Signup and view all the answers

An individual who has extensive training in advanced life support?

<p>Paramedic.</p> Signup and view all the answers

The responsibility of the medical director to ensure that appropriate medical care standards are met by EMTs?

<p>Quality Control.</p> Signup and view all the answers

Focused on examining the health needs of entire populations with the goal of preventing health problems?

<p>Public Health.</p> Signup and view all the answers

An individual with training in specific aspects of advanced life support?

<p>AEMT.</p> Signup and view all the answers

What is the process whereby a state allows individuals to perform a regulated act?

<p>Licensure.</p> Signup and view all the answers

A process in which a person, institution, or program is recognized for meeting certain predetermined standards?

<p>Certification.</p> Signup and view all the answers

Efforts to limit the effects of an injury or illness that you cannot completely prevent?

<p>Secondary Prevention.</p> Signup and view all the answers

The first trained individual to arrive at the scene of an emergency?

<p>EMR.</p> Signup and view all the answers

What federal legislation passed in 1996 limits the availability of patient healthcare information?

<p>HIPAA.</p> Signup and view all the answers

What assists dispatchers in selecting appropriate units for a call?

<p>EMD.</p> Signup and view all the answers

An individual trained in basic life support?

<p>EMT.</p> Signup and view all the answers

What is the designated area for provision of prehospital emergency care?

<p>PSA.</p> Signup and view all the answers

What is a system of internal and external reviews of an EMS?

<p>CQI.</p> Signup and view all the answers

Describe the EMT's role in the EMS system.

<p>One of 4 levels of pre-hospital care, provides basic life support including AED and assisting with medications.</p> Signup and view all the answers

What role has the Department of Transportation played in the development of EMS?

<p>Developed guidelines, curricula, funding, and assessment tools to improve EMS in the USA.</p> Signup and view all the answers

Describe the two types of medical direction that help EMTs provide care.

<p>Online is provided through communication with medical control, offline is provided through written protocols.</p> Signup and view all the answers

You are dispatched to a two-car crash with no apparent injuries. How would you respond to the request for an ALS crew?

<p>Decline the assistance of the ALS ambulance due to lack of injuries.</p> Signup and view all the answers

In a hanging emergency, if you cannot perform airway skills, what should you do?

<p>Request a provider capable of advanced airway techniques.</p> Signup and view all the answers

Quality control is the responsibility of who?

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

What are standing orders?

<p>Policies issued by a Medical Director authorizing specific skills in certain situations.</p> Signup and view all the answers

What are some components of Continuous Quality Improvement?

<p>Periodic review of reports, discussions for EMS improvement, and remedial training.</p> Signup and view all the answers

What are some responsibilities of the Medical Director?

<p>Ensuring standards are met, serving as a liaison, and ensuring EMTs receive proper education.</p> Signup and view all the answers

How would you define a 'real emergency'?

<p>An event needing immediate intervention to prevent serious injury or death.</p> Signup and view all the answers

What is community paramedicine?

<p>A model allowing paramedics and EMTs to assist with public health and primary care.</p> Signup and view all the answers

What document outlines the skills performed by various EMS providers?

<p>National EMS Scope of Practice Model.</p> Signup and view all the answers

What is the public safety access point?

<p>A call center managing requests for police, fire, and ambulance services.</p> Signup and view all the answers

Each bar on the star of life represents an EMS function. What does it include?

<p>Detection, Reporting, Response, On-scene care, Care in transit, Transfer to definitive care.</p> Signup and view all the answers

List the 14 components of the EMS agenda for the future.

<p>1.Public access, 2.Clinical care, 3.Medical direction, 4.Integration of health services, 5.Information systems, 6.Prevention, 7.EMS research, 8.Communication systems, 9.Human resources, 10.Legislation and regulation, 11.Evaluation, 12.System finance, 13.Public education, 14.Education systems.</p> Signup and view all the answers

Study Notes

EMS Systems Overview

  • EMS (Emergency Medical Services) provides prehospital care to the sick and injured.
  • Key service providers include EMTs, AEMTs, and paramedics, each with varying levels of training.

Levels of EMS Training

  • EMT (Emergency Medical Technician): Trained in basic life support (BLS) interventions, such as CPR and AED use.
  • AEMT (Advanced Emergency Medical Technician): Has training in some advanced life support (ALS) skills, including intravenous therapy.
  • Paramedic: Highly trained in ALS procedures, capable of performing intubation and others advanced assessments.

Roles and Responsibilities

  • Medical Control: Physicians provide guidance to EMS teams and authorize on-scene medical interventions.
  • Medical Director: Oversees the EMS system and ensures compliance with medical standards; responsible for quality control.
  • CQI (Continuous Quality Improvement): Represents a system of ongoing reviews and audits in the EMS system for quality care assurance.

Legislation and Compliance

  • HIPAA: Legislation that protects patient privacy and healthcare information.
  • Americans with Disabilities Act (ADA): Prohibits discrimination against individuals with disabilities in various services.

Emergency Response Protocols

  • Primary Service Area (PSA): The geographic area for which a specific EMS service is responsible.
  • Emergency Medical Dispatcher (EMD): Supports dispatchers in selecting appropriate units for calls and assisting callers until EMS crew arrives.

Community Health Initiatives

  • Mobile Integrated Healthcare (MIH): Focuses on providing healthcare within community settings rather than traditional office environments.
  • Community Paramedicine: Expands paramedic roles into public health and preventive services for underserved populations.

Quality Control and Improvement

  • Quality Control involves ensuring EMTs meet medical standards on every call.
  • Continuous Quality Improvement (CQI) focuses on enhancing the overall EMS system through regular reviews and remedial training when necessary.

EMS Landscape and Future Outlook

  • 14 Components of EMS Agenda for the Future: These include areas such as public access, clinical care, education systems, and evaluation.
  • Importance of evaluating each component to ensure effective and efficient EMS delivery.

Emergency Situations and Responses

  • In emergency contexts, EMTs must rely on protocols and medical director’s guidance to provide appropriate care.
  • Collaboration with ALS teams is crucial in advanced cases requiring extensive intervention.

Acronym Definitions

  • ALS: Advanced Life Support
  • BLS: Basic Life Support
  • AEMT: Advanced Emergency Medical Technician
  • EMR: Emergency Medical Responder
  • CQI: Continuous Quality Improvement
  • EMD: Emergency Medical Dispatcher

Historical Context

  • The pivotal "white paper" published in 1966 highlighted issues in EMS, sparking reforms and improvements in prehospital care.

Preparedness and Perception

  • Recognition that any situation might be a "real emergency" until fully assessed by trained EMS personnel.

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