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WELCOME. EMERGENCY MEDICAL RESPONDER. Course # FR12-04-13. Introduction to EMS Systems First Responder Knowledge and skills to save a life Comfort a patient Continuity of Care. Levels of Care First Responder EMT-B AEMT EMT-P. Tiered Response Police Officer → First Responder → EMT-B
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EMERGENCY MEDICAL RESPONDER Course # FR12-04-13
Introduction to EMS Systems • First Responder • Knowledge and skills to save a life • Comfort a patient • Continuity of Care
Levels of Care • First Responder • EMT-B • AEMT • EMT-P
Tiered Response • Police Officer → First Responder → EMT-B → AEMT → EMT-P → E.R. Trauma Center Pediatric Center Burn Center Cardiovascular Care Stroke Center
EMS System Components • Regulation and Policy Laws, regulations, policy, procedure • Resource Management Each state must have central control of resources • Human resources and training To transport must be at least EMT-B
Transportation Patients must be safely and reliably transported • Facilities Every patient must be delivered in a timely manner to an appropriate facility
Communications A system for public access • Public information and education Public education Injury prevention Access the EMS system
Medical oversight Medical director • Trauma Systems Each state must develop a system of specialized care for trauma patients; trauma centers and rehab
Evaluation Quality Improvement
Roles and Responsibilities • Personal Safety & concerns for the safety of patient and others • Maintain Equipment Readiness • Evaluate and size up the scene • Gain access to patients • Perform patient assessment
Administer Care • Provide Emotional Support • Maintain Continuity of Care • Maintain medical legal standards in patient care • Community relations
Professionalism • Treating others as you would want to be treated Integrity firm adherence to a code of especially moral or artistic values :incorruptibility Empathy Motivation Appearance and hygiene Patient advocacy Communication and teamwork A demeanor that is confident, tactful, and respectful Knowledge of your individual limitations
Errors in EMS • We are human; we make mistakes • Estimates are that medical errors may reach into the billions of dollars anually • Medical errors can distress both the patients involved and those who provide care
Ways to prevent errors: • Double-check important facts or decisions • Use pocket guides etc • Questions assumptions especially in serious situations • Ask for help or assistance • Debrief calls afterwards to use as a learning experience
Research AHA