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Emergency Care 13th Edition chapter 1 Flashcards

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6139759380Origin of EMSA system created in the 17 90's by the French who would transport wounded soldiers off the field for medical treatment0
6139759381Early development of EMSEstablishment of Clara Barton's Red Cross1
6139759382Nonmilitary AmbulancesThe appearance of ___ did not occur until the 1900's in major American cities2
61397930101940'sSmaller communities did not develop ambulance systems until the ___ using hearses as transportation.3
6139803158Battlefield Ambulance CorpsDuring World War I, many soldiers joined the ___4
6139805556Vietnam and Korean warsIt was during the ___ that many medical advances were made that could lead to advances in the civilian sector.5
6139821694The National Highway Safety ActIn 1966, the ___ charged the Department of Transportation with the development of EMS standards and assisting the states with to upgrade their prehospital care.6
6139838772National Registry of Emergency Medical TechniciansThis group was founded to establish professional standards of pre-hospital care.7
6139844263National Emergency Medical Service Systems ActIn 1973, Congress passed the ___ as the cornerstone of a federal effort to implement and improve EMS systems across the United States.8
6139859984National Highway Traffic Safety Administration Technical Assistance Program (NHTSA)The ___ is responsible for the establishment of an assessment program with a set of standards for EMS systems.9
6139871158NHTSA Standards-Regulation and Policy -Resource management -Human resources and training -Transportation -Facilities -Communications -Public information and education -Medical direction -Trauma Systems -Evaluation10
6139890232Pre-hospital careAny care given before the patient reaches the hospital11
6139892256Hospital careAny care given to the patient within a hospital setting.12
6139897497Regulation and PolicyThe NHTSA Standard that states that each state within the U.S. must have an EMS system in place enabling legislation, a lead EMS agency, a funding mechanism, regulations, policies, and procedures.13
6139908468Resource ManagementThe NHTSA Standard that states that there must be a centralized coordination of resources so that all victims of trauma or medical emergencies have equal access to basic emergency care and transport by certified personnel, in a licensed and equipped ambulance, to an appropriate facility.14
6139921778Human resources and trainingThe NHTSA Standard that states that at minimum, all those transporting prehospital personnel should be trained to the EMT level using National EMS Education Standards that are taught by qualified instructors.15
6139934024TransportationThe NHTSA Standard that states that safe, reliable ambulance transportation is a critical component. Most patients can be effectively transported by ground ambulances. Other patients require rapid transportation, or transportation from remote areas by helicopter or airplane.16
6139948238FacilitiesThe NHTSA Standard that states that the seriously ill or injured patient must be delivered in a timely manner to the closest appropriate facility.17
6139954427CommunicationsThe NHTSA Standard that states that there must be an effective communications system, beginning with the universal system access number (911), dispatch-to-ambulance, ambulance-to-ambulance, ambulance-to-hospital, and hospital-to-hospital communications.18
6139970323Public information and educationThe NHTSA Standard that states that EMS personnel may participate in efforts to educate the public about their role in the system, their ability to access the system, and prevention of injuries.19
6139978598Medical DirectionThe NHTSA Standard that states that each EMS system must have a physician as a Medical Director accountable for the activities of EMS personnel within that system. The Medical Director delegates medical practice to nonphysician providers and must be involved in all aspects of the patient-care system.20
6139995557Trauma systemsThe NHTSA Standard that states that each state, enabling legislation must exist to develop a trauma system including one or more trauma centers, triage, and transfer guidelines for trauma patients, rehabilitation programs, data collection, mandatory autopsies, and means for managing and ensuring the quality of the system.21
6140012158EvaluationThe NHTSA Standard that states that each state must have a program for evaluating and improving the effectiveness of the EMS system, known as a quality improvement program, a quality assurance program, or total quality management.22
61400403521. Patient 2. Citizen calls 911 3. Emergency Medical Dispatcher 4. Emergency Medical Responders 5. EMT's 6. Emergency Department Staff 7. Allied Health StaffComponents of the EMS system23
6140066742911 systemMost localities have a ___ for telephone access to report emergencies.24
6140070616Enhanced 911The system that most communication centers have that possesses the capability to identify the caller's phone number and location.25
6140083694EMD'sSpecialized dispatchers that can offer instructions for CPR, artificial ventilation, bleeding control, and more.26
6140096804Emergency Medical Responder, Emergency Medical Technician, Advanced Emergency Medical Technician, ParamedicLevels of EMS training27
6140099685Emergency Medical ResponderLevel of training designed for the person who is often first at the scene. (Firefighters, police officers, and industrial health professionals)28
6140109378Emergency Medical TechnicianLevel of training at least qualified to provide basic-level medical and trauma care and transportation to a medical facility.29
6140120519Advanced Emergency Medical TechnicianLevel of training that includes EMT basic qualifications in addition to advanced level care such as advanced airway devices, monitoring of blood-glucose levels, and administration of some medications.30
6140131392ParamedicMost advanced level of EMS training. Possesses the training beyond that of an EMT or AEMT31
61401544481. Personal Safety 2. Safety of crew, patient, and bystanders 3. Patient assessment. 4. Patient care 5. Lifting and moving 6. Transport 7. Transfer of Care 8. Patient AdvocacyRoles and Responsibilities of an EMT32
61401739611. Pleasant 2. Sincere 3. Cooperative 4. Resourceful 5. Self-starter 6. Emotionally stable 7. Able to lead 8. Neat and Clean 9. Of good moral character and respectful to others 10. In control of personal habits 11. Controlled in conversation and able to communicate properly 12. Able to listen to others 13. Nonjudgemental of othersGood personal traits of an EMT33
6140184853National Registry of Emergency Medical TechniciansOrganization responsible for establishing and maintaining national standards for EMT's, providing registration for EMT's, AEMT's, and Paramedics34
6140198916Quality ImprovementContinuous self-review with the purpose of identifying aspects of the system that require improvement.35
61402101911. Preparing carefully written documentation 2. Becoming involved in the quality process 3. Obtaining feedback from patients and the hospital staff 4. Maintaining your equipment 5. Continuing your education36
6140214693Medical DirectorA physician who assumes the ultimate responsibility for medical direction37
6140218463Medical DirectionOversight of patient-care aspects of the EMS system38
6140223503ProtocolsLists of steps for intervention and assessment to be performed in different situations39
6140227863Designated agentAn EMT at a basic or advanced level operating under the direction of a physician40
6140234795Standing OrdersA policy developed by a medical director that authorizes EMT's and others to perform particular skills in certain situations41
6140250247Off-line medical directionStanding orders issued by the Medical Director that allow Emt's to give certain medications or perform certain procedures without speaking to the Medical Director or another physician42
6140259668On-line medical directionOrders from the on-duty physician given directly to an EMT in the field by radio or telephone43
6140272207Patient outcomesthe long-term survival of patients44
6140276871evidence-baseddescription of medical techniques or practices that are supported by scientific evidence of their safety and efficacy, rather than merely on supposition and tradition.45
6140291524Forming a hypothesis, reviewing literature, evaluating the evidence, adopting the practice if evidence supports itEvidence-based process46
6140295960Prospective versus retrospective, randomization, control groups, study group similarity.Methods of reducing bias47
6140299317Case studies, case-control studies, randomized controlled trials, systematic review, meta analysis.Types of medical research48

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