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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?

Advanced Emergency Medical Technician Signup and view all the answers

What is a Paramedic?

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

What is Medical Control?

Physician instruction to EMS team Signup and view all the answers

What does CQI stand for?

Continuous Quality Improvement Signup and view all the answers

What does EMS stand for?

Emergency Medical Services Signup and view all the answers

What does MIH represent?

Mobile Integrated Healthcare Signup and view all the answers

What does EMD stand for?

Emergency Medical Dispatcher Signup and view all the answers

What is a primary service area (PSA)?

Designated area for prehospital emergency care. Signup and view all the answers

Who is the Medical Director?

The physician who authorizes EMTs to provide care. Signup and view all the answers

What does the Americans with Disabilities Act prohibit?

Discrimination against the disabled. Signup and view all the answers

What is quality control in EMS?

Ensuring high medical care standards by the medical director. Signup and view all the answers

What is HIPAA?

Health Insurance Portability and Accountability Act Signup and view all the answers

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

1966 Signup and view all the answers

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

It may be written or 'standing orders' Signup and view all the answers

What is the purpose of providing mobile integrated healthcare?

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

What is the major goal of continuous quality improvement?

To ensure the public has the highest standard of care. Signup and view all the answers

Which organization involves federal legislation concerning patient confidentiality?

HIPAA. Signup and view all the answers

Who authorizes EMTs to provide emergency care?

The Medical Director. Signup and view all the answers

What must be followed to treat a patient?

Protocols. Signup and view all the answers

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

Paramedic. 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.

ALS Signup and view all the answers

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

AED Signup and view all the answers

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

False Signup and view all the answers

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

True Signup and view all the answers

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

True Signup and view all the answers

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

False 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?

Continuous quality improvement. Signup and view all the answers

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

Medical Director Signup and view all the answers

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

Automated external Signup and view all the answers

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

Service Signup and view all the answers

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

Access point Signup and view all the answers

What does Advanced life saving procedures refer to?

ALS. 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?

Medical Director. Signup and view all the answers

What does EMS represent?

Emergency Medical Services. Signup and view all the answers

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

Primary Prevention. Signup and view all the answers

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

AED. Signup and view all the answers

Comprehensive legislation designed to protect individuals with disabilities against discrimination?

ADA. Signup and view all the answers

An individual who has extensive training in advanced life support?

Paramedic. Signup and view all the answers

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

Quality Control. Signup and view all the answers

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

Public Health. Signup and view all the answers

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

AEMT. Signup and view all the answers

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

Licensure. Signup and view all the answers

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

Certification. Signup and view all the answers

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

Secondary Prevention. Signup and view all the answers

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

EMR. Signup and view all the answers

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

HIPAA. Signup and view all the answers

What assists dispatchers in selecting appropriate units for a call?

EMD. Signup and view all the answers

An individual trained in basic life support?

EMT. Signup and view all the answers

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

PSA. Signup and view all the answers

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

CQI. Signup and view all the answers

Describe the EMT's role in the EMS system.

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

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

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

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

Online is provided through communication with medical control, offline is provided through written protocols. 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?

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

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

Request a provider capable of advanced airway techniques. Signup and view all the answers

Quality control is the responsibility of who?

Medical Director. Signup and view all the answers

What are standing orders?

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

What are some components of Continuous Quality Improvement?

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

What are some responsibilities of the Medical Director?

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

How would you define a 'real emergency'?

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

What is community paramedicine?

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

What document outlines the skills performed by various EMS providers?

National EMS Scope of Practice Model. Signup and view all the answers

What is the public safety access point?

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

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

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

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

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. 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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