EMT 100 EMERNECY MEDICAL RESPONDER ADVANCED FIRST AID AND CPR Dan Farrell, M.Ed, RRT-NPS, CPFT, EMT-B *PETITIONERS BY LOTTERY*

Goals of Emergency Medical Responder Training  Know what you should not do.  Know how to use available resources.  Know how to improvise.  Know how to assist other EMS providers.

Roles and Responsibilities of the Emegency Medical Responder  Respond promptly.  Protect yourself.  Protect scene and patients from further harm.  Summon appropriate resources.  Gain access to patient.

Roles and Responsibilities of the Emergency Medical Responder (cont.)  Perform patient assessment.  Administer emergency medical care and reassurance.  Move patients only when necessary.  Seek and then direct help from bystanders, if necessary.

Roles and Responsibilities of the Emergency Medical Responder (cont.)  Control activities of bystanders.  Assist EMTs and paramedics, as necessary.  Document your care.  Keep your knowledge and skills up to date.

Scene Safety Infectious diseases Infectious diseases Body substance isolation (BSI) Body substance isolation (BSI) Universal precautions Universal precautions Immunizations Immunizations Hazards of the scene Hazards of the scene

Legal and Ethical Issues

Ethical Responsibilities and Competence  Conform to accepted professional standards of conduct.  Maintain up-to-date skills and knowledge.  Review your performance.  Give complete, correct reports.

Good Samaritan Laws  Laws intended to minimize liability for any errors or omissions in rendering care in good faith.  Legal experts agree they provide little or no legal protection for a rescuer.

Negligence  Occurs when patient suffers injury or harm due to care that did not meet standards.  Doing something you are not supposed to do or neglecting to do something that you are supposed to do

Consent for Treatment 1 of 2  Expressed consent  Permission given by patient to treat.  Implied consent  Assumed consent when patient doesn’t refuse care as a result of being unconscious, or unable to respond.

Consent for Treatment 2 of 2  Consent for minors  Minors are not capable of legally speaking for themselves.  Consent of mentally ill  Usually will involve law enforcement. Check local protocols.

Patient Refusal of Care  Competent  Able to make rational decisions about personal well-being.  A competent person has the legal right to refuse care.

Abandonment  A situation in which a trained person begins emergency care and leaves patient before another person of equal or higher training arrives to take over.

Confidentiality  Most patient information is confidential.  Information should be shared with other medical or law enforcement personnel only.

Reportable Events:  Assault (knife, gunshot wounds)  Auto collisions  Suspected child/elder abuse  Domestic violence  Rape  Childbirth  Animal Bites Activating the next level responder usually takes care of this requirement

The Emergency Medical Services System (EMS)  Reporting: Emergency Medical Responder assesses scene and patient and activates EMS by calling 911  Dispatch: Appropriate equipment and personnel are dispatched to scene.  First response: Firefighters or law enforcement personnel are often first on scene.  EMS response: EMT-Bs, EMT-Is, or paramedics arrive shortly thereafter.  Hospital care: Patient is taken to hospital if necessary.

911  Can be called from any phone (including pay phones without inserting money)  Give exact nature and location of emergency  Exact address including building and room numbers, floor, etc  Hang up last!  If called by mistake, stay on line and explain.  Don’t just hang up!