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EMS System
A network of all the people involved in EMS.
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When was the first medical record?
Approximately 4,000-5,000 years ago.
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Who invented the first ambulance and when?
Napoleon's chief surgeon, Jean Larrey in 1797. It as called the ambulance volante.
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When and where was the first civilian ambulance services?
Cincinatti, Ohio in 1865. New York City in 1869.
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What was the National Highway Safety Act?
1966. Established the Department of Transportation (DOT). Provided grants for EMS and forced places to develop EMS systems.
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What was the Emergency Medical Services Systems (EMSS) Act?
- 1973. Established 15 components of EMS Systems:
- Manpower, Training, Communications, Transportation, Emergency facilities, Critical care units, Public safety agencies, Consumer participation, Access to care, Patient transfer, Standardized record keeping, Public information and education, System review and evaluation, Distaster managment plans, Mutal aid.
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What are the National Highway Traffic Safety Administration (NHTSA) ten system elements?
Regulation and policy, Resource management, Human resources and training, Transportation, Facilities, Communications, Trauma systems, Public information and education, Medical direction, Evaluation.
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Define Trauma Center.
- Medical facility with the capability of caring for seriously injured patients. Three levels:
- I: 24 hour specific care units. Highest level of trauma care.
- II: May not have all specific care units 24 hours.
- III: Generally doesn't have immediate surgery capabilities
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Quality Improvement
Evaluation program that emphazies service and uses customer satisfaction as the ultimate indicator of success.
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What is the EMS Agenda for the Future?
- Published in 1996. Supported by NHTSA. Has 14 attributes:
- Integration of health services, EMS research, Legislation and regulation, System finance, Human resources, Human resources, Medical direction, Education systems, Public education, Prevention, Public access, Communications systems, Clincal care, Information systems, Evaluation.
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What is an intervener physician?
A physician who is on scene and unrelated to anyone involved who assists EMS personnel. You should release primary patient care to the physician if he asks and as long as he stays with you for the duration.
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What are the four T's of Emergency Care?
- Triage: how resources are allocated
- Treatment: procedures of patient care
- Transport: method of travel
- Transfer: guidelines of destination choices
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Define Certification, Licensure and Registration.
Certification: An agency or association grants recognition to an individual who has met its qualifications
Licensure: A governmental agency grants permission to an individual to practice a given occupation after showing a certain degree of competency.
Registration: Putting your name and essential information in a particular record.
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Profession
Refers to the existence of a specific and specialized body of knowledge or skills.
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Reciprocity
The process by which an agency grants automatic certification to an individual with the same or similiar certification of licensure from another agency.
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National Registry of EMTs
Establishes and adminsters standardized tests for First Responders, EMT-B, EMT-I and EMT-P. Establishes qualifications for registration and re-registration.
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Name the types of ambulances
- Type 1: Conventional cab seperate from the box. No pasageway.
- Type 2: Standard van body.
- Type 3: Specialty van with passageway between cab and box.
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What are the guidelines for Quality Improvement?
Leadership, Information and analysis, Strategic quality planning, Human resources development and management, EMS process management, EMS system results, Satisfaction of patients and other stakeholders.
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What is Quality Assurance?
A program designed to maintain continuous monitoring and measurement of the quality of clinical care delivered to patients.
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What is Continuous Quality Improvement (CQI)?
A program designed to refine and improve the EMS system emphasizing cutomer satisfaction.
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What is Professionalism?
Refers to the conduct or qualities that characterize a practitioner in a particular field or occupation.
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What are the Rules of Evidence?
Guidelines for permitting or introducing a new medication, process or procedure in EMS.
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What is Peer Review?
Evaluation of emergency care administered by an individual which is conducted by his peers.
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What is Ethics?
Rules or standards that govern the conduct of members of a particular group of profession.
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