1. Current issues in intensive care 2 Dr. Miada Mahmoud Rady

2. LECTURE 2 EMS SYSTEM

3. The EMS System  Network of coordinated services that provide care to the community.  The public needs to be taught how to:  Recognize emergencies.  Activate the EMS System.  Provide basic care. Community based service

4. The EMS System  Patient outcomes are determined by : Bystander care Dispatch Response Pre-hospital care Transportation ER Care Definitive care and Rehabilitation

5. The EMS System  Dispatcher Usually the publics first contact Training level varies from State to State  Scene may differ from what dispatcher relays

6. The EMS System  As a paramedic, your function is : Develop care plan. Decide on transportation mode. Determine receiving facility. Be active in your community.

7. The Dispatcher  Plays a critical role Receives and enters information Interprets it relays it to appropriate service Pre-arrival instructions

8. National EMS Scope of Practice Model

9. Levels of Education  EMS System function from a federal to local level Federal: National EMS Scope of Practice Model State:Licensure. Local: Medical Director decides day to day limits

10.  The National EMS Scope of Practice Model defines and describes four levels of EMS licensure:  Emergency Medical Responder (EMR),  Emergency Medical Technician (EMT).  Advanced EMT (AEMT).  Paramedic.

11. Emergency Medical Responder Emergency Medical Technician Advanced Emergency Medical Technician Paramedic

12. Levels of Education  The national guideline designed to create more consistent delivery of EMS nationally.  2009: national EMS Education Standard NREMT provides a national standard for testing and certification

13. Emergency Medical Responder (EMR)  Formerly “First responder”  Requirements vary by state  Should be able to: Recognize seriousness of condition. Provide basic first aid. Relay information.

14. EMT  Formerly EMT Basic  Primary provider level in many systems  Most populous level in the system

15. EMT  Formerly EMT-I.  Trained in:  More advanced Pathophysiology.  Some advanced procedures.  Initially developed in 1985.  Major revision in 1999.

16. Paramedic  Highest Level to be nationally certified 1999: Major revision to curriculum to increase level of training and skills.  Even if independently licensed must: Function under the guidance of physician. Be connected with a paramedic level service.

17. Paramedic Education  Initial education Most states based it on National EMS Education Standards States require varying hours of educations,national Average: 1,000-1,500 hours.

18. Continuous Education  Maintenance of core knowledge and skills.  Expansion of knowledge and skills.  Awareness of advances in profession.  Forms of continuous education are many e.g. conferences, seminars, work shops and skill labs.  Most states require a proof of hours.

19. so the steps that determine of each level are TRAINED TO DO  Education ( Training ) : Includes all of the cognitive, psychomotor, and practical learning that individuals have undergone.

20. Trained to do Certified to do.  Certification : is an external verification of the competencies that an individual has achieved and typically involves an examination process.

21. Trained to do Certified to do Licensed to do Licensure represents permission granted to an individual by the state to perform certain restricted activities.

22. Title and Content Layout with List  Credentialing : is a local process by which an individual is permitted by a specific entity (medical director) to practice in a specific setting (EMS agency).

23. Maintenance of Certification and Licensure Continuing education Skill competency Avoiding criminal or unethicalbehavior Submitting all fees

24. Any questions Thank you