EMS Systems - Prep Kit PDF

1/7/25, 10:50 AM EMS Systems - Prep Kit Navigate Advantage Access for Nancy Caroline's Emergency Care in the Streets, 9e(2B5366-Nunez) ISBN 9781284256802...

1/7/25, 10:50 AM EMS Systems - Prep Kit Navigate Advantage Access for Nancy Caroline's Emergency Care in the Streets, 9e(2B5366-Nunez) ISBN 9781284256802 Chapter 1 EMS Systems Prep Kit PREP KIT 40 Ready for Review World Wars I and II saw the development of ambulance corps to rapidly care for and remove injured soldiers from the battlefields. During the Korean and Vietnam Wars, wounded soldiers could be saved by using helicopters to rapidly move them from the battlefield to a medical unit. In 1966, the National Academy of Sciences and the National Research Council published “The White Paper” outlining 10 critical points related to medical care. Based on these points: The National Highway Safety Act was passed in 1966. The US Department of Transportation was created. Paramedics are required to be licensed, which may also be called certification or credentialing. Performing functions as a paramedic before obtaining licensure is unlawful. The standards for prehospital emergency medical care and the people who provide it are governed by the laws in each state and are typically regulated by a state office of EMS. A paramedic has a variety of career options. Traditional employment options include fire-based EMS, third-service EMS, private EMS agencies, hospital-based EMS, and hybrid models in which paramedics work alongside other providers or for specific venues. There are generally four EMS training levels: emergency medical responder, emergency medical technician, advanced emergency medical technician (AEMT), and paramedic. Variations exist from state to state. At the advanced life support levels (paramedic and AEMT), personnel may perform invasive procedures under standing orders or guidance from online (direct) medical control. Paramedics may be involved in various types of transports, including transports to specialty centers that focus on specific types of care of certain populations. They may also perform interfacility transports. Paramedics work with other health care providers and other public safety agencies. Becoming familiar with their roles and responsibilities is beneficial when on EMS calls. https://openpage-ebooks.jblearning.com/wr/viewer.html?skipLastRead=true&oneTimePasscode=ST-95ed1479-d133-4b84-b23b-3d4ed82d8cf8&launc… 1/3 1/7/25, 10:50 AM EMS Systems - Prep Kit Continuing education programs expose paramedics to new research findings and refresh their skills and knowledge; consider those accredited through the Commission on Accreditation for Pre-Hospital Continuing Education (CAPCE). Each EMS system has a physician medical director who authorizes the providers in the service to provide medical care in the field. Medical control is typically both online (direct) and off-line (indirect). Members of the paramedic profession are expected to adhere to standards and performance parameters as well as a code of ethics. Professional attributes that a paramedic is expected to have include integrity, empathy, self-motivation, confidence, communication skills, teamwork, respect, patient advocacy, injury prevention efforts, careful delivery of service, time management skills, and administrative skills. Some of the primary paramedic responsibilities include preparation, response, scene management, patient assessment and care, management and disposition, patient transfer and report, documentation, and return to service. Quality control and continuous quality improvement are tools paramedics use to evaluate and improve the care they provide to patients. Research helps bring together the findings of many professionals involved in EMS and reach a consensus on what EMS personnel should or 41 should not do. Types of research include quantitative and qualitative research. There are many ethical considerations in conducting medical research. Researchers must obtain consent from study subjects, fully inform them of the research parameters, and ensure that subjects’ rights and welfare are protected. Paramedics must know how to evaluate medical research. Become familiar with criteria for determining the quality of the research, including how to recognize peer-reviewed literature and how to use the Internet for finding quality research articles. Evidence-based practice is becoming an integral part of functioning as an EMS provider. Engage in reviewing medical literature as it becomes available, and make efforts to stay on top of changing guidelines related to your practice of paramedicine. VITAL VOCABULARY alternative time sampling Time parameters that are set during a research project. blindingA research design in which the patient and providers do not know if the subject (patient) is receiving the intervention being evaluated or a placebo. All other aspects of the study (ie, consent) must follow the requirements of the approving IRB. https://openpage-ebooks.jblearning.com/wr/viewer.html?skipLastRead=true&oneTimePasscode=ST-95ed1479-d133-4b84-b23b-3d4ed82d8cf8&launc… 2/3 1/7/25, 10:50 AM EMS Systems - Prep Kit case study A type of research in which a single case is investigated and documented over a specified period. certification A process in which a person, an institution, or a program is evaluated and recognized as meeting certain predetermined standards to provide safe and ethical care. cohort research A type of research that examines patterns of change, a sequence of events, or trends over time within a certain population of study subjects. continuous quality improvement (CQI) A system of internal and external reviews and audits of all aspects of an EMS system. convenience sampling A type of research in which subjects are manually assigned to a specific person or crew, rather than being randomly assigned; the least-preferred component of research. credentialing The process of obtaining, verifying, and assessing a practitioner’s qualifications to provide care for a specific health care agency. cross-sectional design A data collection method in which all data at one point in time are collected, essentially serving as a “snapshot” of events and information. descriptive A research format in which an observation of an event is made, but without attempts to alter or change it. emergency medical services (EMS) A health care system designed to bring immediate on-scene care to those in need, along with transport to a definitive medical care facility. ethical A behavior expected by a person or group following a set of rules. evidence-based practice The use of practices that have been proven to be effective in improving patient outcomes; strongly relies on the reviewed literature but incorporates the provider’s experience and training, and characteristics of the population. health care professional A person who follows specific professional attributes that are outlined in this profession. inferential A research format that uses a hypothesis to prove one finding from another. https://openpage-ebooks.jblearning.com/wr/viewer.html?skipLastRead=true&oneTimePasscode=ST-95ed1479-d133-4b84-b23b-3d4ed82d8cf8&launc… 3/3