Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Chapter 1 Introduction to EMS Systems Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer OBJECTIVES DIRECTORY 1.Define key terms introduced in this chapter Describe the importance of public safety answering points (PSAPs) and specially trained emergency medical dispatchers (EMDs) in EMS systems Compare and contrast the training and responsibilities of EMRs, EMTs, AEMTs, and Paramedics Provide examples of different types of EMS systems Give examples of how the resources of specialty hospitals, such as trauma centers, can benefit patients

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer OBJECTIVES DIRECTORY 6.Explain the importance of each of the ten classic EMS system components listed in the text Relate each of the following factors to the practice of EMRs: a.Your state’s legislation b.Your state’s EMS organization or agency c.Any regional or local EMS oversight agencies d.Medical oversight e.The agency with which you will volunteer or be employed 8.Explain the roles and responsibilities of Emergency Medical Responders (EMRs)

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer OBJECTIVES DIRECTORY 9.Give examples of professionalism in EMR practice Discuss the purpose of quality improvement in EMS Give examples of ways you can reduce the likelihood of errors in your practice as an EMR List ways in which research may influence EMR practice

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer MULTIMEDIA DIRECTORY Slide 29Healthy People 2010 Video

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer TOPICS The EMS System Classic Components of an EMS System Emergency Medical Responder Practice Quality Improvement

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer INTRODUCTION Emergency Medical Responder (EMR) –Vital part of EMS –First on scene –Makes a difference –Various backgrounds

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Case Study: The Call Environment –Standing by at a county fair Dispatch –Called for a man down –Near grandstand

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer The EMS System Back to Topics

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer 911 Public safety answering point (PSAP) Emergency medical dispatchers (EMD) Enhanced 911 Back to Objectives

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer EMS Systems Levels of Training –EMT –AEMT –Paramedic Back to Objectives

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Classic Components of an EMS System Back to Topics

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Components of an EMS System Types Tiered response –EMR –Ambulance –Hospital emergency department Back to Objectives

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Components of an EMS System Specialty care centers –Trauma centers –Cardiovascular centers –Pediatric centers –Burn centers –Stroke centers Back to Objectives

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Ten Classic EMS System Components Regulation and policy Resource management Human resources and training Transportation Facilities Communications

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Ten Classic EMS System Components Public information and education Medical oversight Trauma systems Evaluation

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Ten Classic EMS System Components Regulation and policy – Individual states – Govern EMS system – Provide leadership

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Ten Classic EMS System Components Resource management –Central control of resources

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Ten Classic EMS System Components Human resources and training –Minimum training

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Ten Classic EMS System Components Transportation –Mode of transport Photo: Maria A. H Lyle

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Ten Classic EMS System Components Facilities –Transportation to an appropriate facility Photo: Maria A. H Lyle

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Ten Classic EMS System Components Communications

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Ten Classic EMS System Components Public information and education –EMS participation –Prevention –EMS access

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Ten Classic EMS System Components Medical oversight –Medical director

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Ten Classic EMS System Components Trauma systems –Specialized care –Transportation

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Ten Classic EMS System Components Evaluation –Quality improvement

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Healthy People 2010 Click on the screenshot to view a video on Healthy People Back to Directory Back to Objectives

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Emergency Medical Responder Practice Back to Topics

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Emergency Medical Responder Practice State legislation State EMS agencies Regional or local agencies Medical direction Agency rules and regulations Back to Objectives

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Roles and Responsibilities of the Emergency Medical Responder Equipment readiness Safety Scene evaluation and size-up Gaining access Patient assessment

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Roles and Responsibilities of the Emergency Medical Responder Patient care Emotional support Continuity of care Medical legal standards of care Community relations Back to Objectives

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Case Study: Response 75-year-old man Pale, sweaty, and looks very sick Does not remember what happened Wife states that he passed out while getting up from picnic table Breathing deeply Weak and fast pulse CONTINUED

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Case Study: Response, continued Deputy on scene (also an EMR) provides oxygen Patient has heart problems and high blood pressure Denies pain Feels weak While assessing additional vital signs, the ambulance arrives

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Quality Improvement Back to Topics

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Quality Improvement Ensures high quality Looks at all aspects of an agency QI Committees Back to Objectives

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Errors in EMS Prevention –Double check facts or decisions –Use resources –Question assumptions –Ask for help –Debrief and look for ways to improve Back to Objectives

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Research in EMS EMS is always changing – CPR – Tourniquets

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Research and You How can we assist with research? Back to Objectives

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Case Study: Transition You give the ambulance staff a report The patient looks much better and does not want to go to the hospital His wife decides otherwise

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer REVIEW Define the following terms –Emergency Medical Responder (EMR) –Emergency Medical Services System –Public safety answering point –Emergency medical dispatcher –Emergency Medical Technician (EMT) –Advanced EMT (AEMT) –Paramedic –Tiered response CONTINUED

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer REVIEW Define the following terms –Trauma center –Pediatric center –Burn center –Cardiovascular care center –Stroke center –Professionalism Back to Objectives

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer STOP, REVIEW, REMEMBER There are _____ commonly recognized levels of EMS training? a)3 b)4 c)5 d)8 CONTINUED

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer STOP, REVIEW, REMEMBER A third service EMS agency is one that a)is based in a fire department. b)responds from a hospital. c)is a separate municipal service. d)provides care at the paramedic level. CONTINUED

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer STOP, REVIEW, REMEMBER The minimum level required for staffing an ambulance is the a)Emergency Medical Responder. b)Emergency Medical Technician. c)Advanced Emergency Medical Technician. d)Paramedic.

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer REVIEW Discussion 1.Explain how state legislation relates to the practice of EMRs. 2.Describe the role of regional or local oversight agencies. 3.Explain the purpose of quality improvement in EMS. 4.Describe how research may impact EMR practice.

Copyright ©2011 by Pearson Education, Inc. All rights reserved. EMR Complete: A Worktext Daniel Limmer Please visit and click on the mykit links to access content for this text. REINFORCE AND REVIEW