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EMS - Chapter 1 (Intro To EMT)

The document introduces EMT roles and responsibilities. It outlines the EMS system chain and different levels of EMS responders. As an EMT, key responsibilities include ensuring personal and crew safety, assessing the patient, providing care, carefully transporting and transferring the patient to the emergency room staff. Quality improvement is important through self-review and maintaining accurate documentation to provide the best possible care. EMTs may operate under standing orders or on-line medical direction from physicians when treating patients.

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Daniel Kipnis
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© Attribution Non-Commercial (BY-NC)
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Download as DOC, PDF, TXT or read online on Scribd
185 views

EMS - Chapter 1 (Intro To EMT)

The document introduces EMT roles and responsibilities. It outlines the EMS system chain and different levels of EMS responders. As an EMT, key responsibilities include ensuring personal and crew safety, assessing the patient, providing care, carefully transporting and transferring the patient to the emergency room staff. Quality improvement is important through self-review and maintaining accurate documentation to provide the best possible care. EMTs may operate under standing orders or on-line medical direction from physicians when treating patients.

Uploaded by

Daniel Kipnis
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Chapter 1 – Intro to EMT

EMS System Chain:


Patient  Citizen calls 911  911 Dispatcher  First Responders  EMTs  ER Staff  Allied
Health

EMS Levels:
1) 1st Responder:
- First at scene 3) EMT - Intermediate:
- Police, firefighter, etc. - Shock Trauma & Critical Care

2) EMT - Basic: 4) EMT - Paramedic:


- Provides basic life support - More advanced level of care
- Assessment & care of patient

EMT Roles and Responsibilities:

 Personal Safety
- Keep yourself Safe*  Lifting/Moving
- *Fires, gunshots, explosions! - Don’t harm the patient any further
- Be very careful
 Crew Safety
- Take care of crew  Transport
- Also for bystanders - Safety first
- Careful driving
 Patient Assessment - Securing/Caring for patient
- What is wrong with patient?
- Assess after Emergency Care  Transfer of Care
- Patient  EMT  Dr.
 Patient Care - Provide accurate information
- Emotional Support - NEVER ABANDON PATIENT
- Life-saving CPR - Tells Drs. all info regarding patient
- Defibrillation status/concerns

Quality Improvement: Standing Order:

- Continuous self-review - Physician or Med. Direct. issues a policy


- More improvement protocol that authorizes EMTs to perform
- Quality Care: special skills in certain situations. (i.e. glucose
- Keeping carefully written documentation administration – no direct (live) speaking to Dr.,
- NEATLY WRITTEN & “off-line medical direction”)
CORRECT/ACCURATE
- Becoming involved in the quality process On-line Medical direction:
- Obtaining feedback from patients &
hospital staff On-call or on-duty Dr. giving orders to EMT
- Marinating all emergency equipment over radio/telephone regarding patient care or
administration of certain drugs, etc.

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