1. Emergency Care The First ResponderThe First Responder American Red Cross Emergency Response 3 rd edition, 2001

2. Topic Overview  Overview of Course Mechanics  Criteria for Certifications –Agency Requirements –Institutional Requirements  Overview of the EMS System  Roles and Responsibilities of First Responders  Professional Attributes and Traits  Medical Direction

3. Course Overview  Course Description –Lecture / Labs  Course Requirements –Quizzes, Homework, Written Exams, Practical Exams, Final  Syllabus  Attendance  Textbook, Workbook  Illness/Immunizations

4. Introduction to Course  Criteria for Certification & Recertification –Skills –Written Final Exam  Certifications –CPR for the Professional rescuer –Emergency Response –Preventing Disease Transmission –Automated External Defibrillator –Oxygen Administration

5. Introduction to Course  Institutional Requirements  Americans with Disabilities Act –Documented Disabilities –Illness  Harassment Issues –Lab Attire Policy –Behavior

6. The First Responder Chapter One

7. Components of the Health Care System  Emergency Departments  Specialty Facilities –Trauma Centers –Burn Centers –Pediatric Centers –Poison Control Centers –Other Specialty Centers  Physicians / Nurses / Other Providers

8. EMS System  Emergency Medical Services System –Network of community resources –EMS Act, 1973 –DOT NHTSA  Activating the EMS System –911 (basic, enhanced) –Responders First Responders, EMT-basics, Advanced Life Support Providers (EMT-Intermediates and EMT-paramedics)

9. EMS System  Ten Components –Resource management –Human Resources & Training –Transportation –Communications –Public Information –Education –Medical Oversight –Trauma Systems –Evaluation

10. EMS System

11.  Chain of Survival –Recognition –Activation –Citizen Response –EMS Response –Hospital Care –Rehabilitation

12. Levels of EMS Training  First Responder –Designed for the first to arrive –60-80 hours  Emergency Medical Technician –Basic –Intermediate –Paramedic

13. Medical Oversight / Direction  Direct (On Line) –Telephone –Radio  Indirect (Off Line) –Protocols –Standing Orders

14. First Responders  Characteristics –Personal health & safety –Caring attitude –Personal composure –Professional appearance –Up to date knowledge & skills

15. First Responder  Primary Responsibilities –Personal safety and safety of others –Access –Assessment of Immediate Life-Threatening Conditions –Initial Care –Assisting More Advanced Personnel

16. First Responder  Secondary Responsibilities –Summoning help when needed –Controlling & protecting bystanders –Recording scene events –Reassuring victim’s family & friends

17. Equipment, Tools and Supplies  DOT recommendations –Know how to use and have available whenever possible the following items: Triangular bandages Roller-type bandages Universal dressings/gauze pads Occlusive dressings (for airtight seals) Eye dressings Adhesive tape Bandage shears

18. Equipment, Tools and Supplies Blanket and pillow Upper and lower extremity splint sets Gloves Eye protection Barrier devices Pliers, screwdriver, hammer and knife Rope

19. Conclusion  Remember –the components of the EMS system –level of care each can perform –the roles, responsibilities and traits of the first responder –Maintain a minimum level of competency