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1

What year did EMS begin?

1790's

2

How did EMS come about?

After realizing that soldiers could go back to battle after being cared for en route to the medical tent, EMS was born.

3

What are the 10 NHTSA standards of EMS?

1. Regulation and policy
2. Resource management
3. Human resources and training
4. Transportation
5. Facilities
6. Communications
7. Public information and education
8. Medical direction
9. Trauma systems
10. Evaluation

4

What kind of emergency calling system does Montgomery County use?

Enhanced 911

5

What is enhanced 911?

System has the ability to automatically identify the caller's phone number and location

6

4 levels of EMS training

EMR (Emergency Medical Responder)
EMT (EMT-B)
AEMT (EMT-Intermediate)
Paramedic

7

Roles and Responsibilities of an EMT

1. Personal Safety
2. Safety of the crew, patient, and bystanders
3. Patient Assessment
4. Patient Care
5. Lifting and Moving
6. Transport
7. Transfer of Care
8. Patient Advocacy

8

Medical Director

assumes ultimate care for the patient-care aspects of the EMS system

9

Medical Direction

oversight of the patient-care aspects of an EMS system by the medical director

10

Protocols

developed by medical director, standing orders for what steps, assessments, and interventions to take in different situations

11

Designated Agent

the EMT or other person authorized by the medical director to give medications and provide emergency care

12

Standing Orders

a policy of protocol issues by a medical director that authorizes EMT's and others to perform particular skills in certain situations

13

Off-Line Medical Direction

Standing orders issues by the medical director that allow EMT's to give certain medications or perform certain procedures without speaking to the medical director for another physician

14

On-Line Medical Direction

orders given directly be the on-duty physician to an EMT in the field by radio or telephone

15

Patient Outcomes

the long-term survival of patients

16

Evidence-Based

medically supported techniques

17

4 steps of evidence-based research

1. Forming a hypothesis
2. Reviewing literature
3. Evaluating the evidence
4. Adopting the practice if evidence supports it

18

EMS Role in Public Health

1. Injury prevention for geriatrics
2. Injury prevention for youth
3. Public vaccination programs
4. Disease surveillance