| A | B |
|---|
| direct medical direction | medical direction in which the physician speaks directly with EMT's in the field; also referred to as on-line medical direction |
| emergency medical dispatcher | an EMS dispatcher who has received special education for giving medical care instructions to patients or others over the phone before EMT's arrive |
| emergency medical services (EMS) system | many agencies, personnel and institutions involved in planning, providing, and monitoring emergency care |
| emergency medical technician (EMT) | the generic term for a prehospital emergency care provider educated at least to the EMT-Basic level |
| EMT-Basic | a basic prehospital life support provider trained to the NHTSA guidelines for EMT-Basic |
| EMT-Intermediate | an EMT with additional education. In one or more advanced techniques such as vascular access and intubation |
| EMT-paramedic | an EMT with additional education to the level of full advanced life support |
| first responder | an individual employed in a position that includes providing initial medical assistance in an emergency |
| indirect medical direction | any direction provided by physicians that is not direct, including system design, protocol development, education, and quality improvement; also referred as off-line medical direction |
| medical direction | the process (usually by a physician) of ensuring that the care EMT's provide to patients is medically appropiate; also called medical oversight |
| national EMS education and practice blueprint | a consensus document that establishes a core content for the scope of practice for the four levels of prehospital care providers |
| quality improvement | a system for continually evaluating and improving the care provided within an EMS system |
| The EMS system | 1. Emergency recognition 2. first aid/citizen access 911 call 3. dispatcher 4. BLS, ALS, fire/rescue/police 5. medical direction 6. patient stabilization and transport 7. hospital delivery |
| the NHTSA | THE NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION TECHNICAL ASSISTANCE PROGRAM |
| The NHTSA has developed | National Standard Curricula and Technical Assistance Programs for the states to ensure the EMS system is effective everywhere |
| NHTSA standards in 10 areas | 1. regulation & policy 2. resource management 3. human resources & training 4. transportation 5. facilities 6. communications 7. public information & education 8. medical direction 9. trauma systems 10. evaluation |
| regulation & policy standards | ensure that all states have a lead ems agency, funding, regulations, and operational policies and procedures |
| resource management standards | coordinate resources throughout the state |
| human resources and training standards | require all states to have good educational programs for emt-basics and other ems personnel |
| transportation standards | guarantee safe and effective transportation for all patients |
| the facilities standards | ensures that patients are transported to the closest appropriate facility |
| communications standards | make certain that patients can call for emergency care and that emergency personnel communicate effectively with the receiving hospital and other ems personnel |
| trauma | is a severe wound or injury |
| The national ems education and practice blueprint (4 levels) | 1. first responder 2. emt-b 3. emt-i 4. emt-p |
| emt-basic roles & responsibilities | 1. personal safety 2. safety of the crew, patient & bystanders 3. patient assessment 4. patient care based on assessment findings 5. lifting & moving patients safely 6. transport & transfer of care 7. record keeping & data collection 8. patient advocacy (patient rights) |
| patient assessment | is a primary responsibility, the emt assess the patient's needs and provide basic medical care established by that assessment |
| patient advocacy | all patients should be treated with respect and dignity, regardless of their social and economic backgrounds |
| define emergency medical services (ems) systems | 1. |
| differentiate the roles and responsibilities of the emt-basic from those of other prehospital care providers | 2. |
| describe the roles and responsibilities related to personal safety | 3. |
| discuss the roles and responsibilities of the emt-basic toward the safety of the crew, the patient, and bystanders | 4. |
| define quality improvement and discuss the emt-basic's role in the process | 5. |
| define medical direction and discuss the emt-basic's role in the process | 6. |
| state the specific statutes and regulations in your state regarding the ems system | 7. |
| assess areas of personal attitude and conduct of the emt-basic | 8. |
| characterize the various methods used to access the ems system in your community | 9. |
