Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Chapter 1 Introduction to the
EMS System
Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Topics
Emergency Medical Services
The First Responder
Medical Oversight
Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Emergency Medical Services
Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Emergency Medical Services
The Golden Hour
The EMS System– Dispatch – First Responders– Transport– Emergency
Department
Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Emergency Medical Services
Access to EMS– 9–1–1
Trained staff of dispatchers
Access to all services
Minimizes delays
E-9–1–1
– Non-9–1–1Delay for patient to look up number
Must call specific agency
Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Emergency Medical Services
Levels of EMS training– First Responder (EMR)– EMT-Basic– EMT-Intermediate– EMD– EMT-Paramedic– Critical Care Paramedic
Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Emergency Medical ServicesLevels of EMS training– First Responder
Conducts a patient assessment
Manages a patient’s airway
CPR
Initial stabilization of injuries
Assists other EMS providers
Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Emergency Medical Services
Levels of EMS training– EMT-Basic
All activities of the First Responder
Patient restraint
Staffs ambulance for transport
Some advanced airway control
Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Emergency Medical Services
Levels of EMS training– EMT-Intermediate
All EMT-Basic functions
Limited medication administration
Manual defibrillation
IVs
Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Emergency Medical Services
Levels of EMS training– EMT-Paramedic
All EMT-Intermediate functions
Advanced airway management
Cardiac monitoring
Expanded medication administration
Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Emergency Medical Services
National Registry of Emergency Medical Technicians– Supplies many
states with tests for all levels of EMS providers
– Certifies all levels of EMS providers in these states
Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Emergency Medical Services
Classic Components of EMS pg 7 (1 of 2)
– Standards set by NHTSA through the U.S. DOT
– Regulations and policies– Resource management– Human resources and training– Transportation– Facilities
Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Emergency Medical Services
Classic Components of EMS (2 of 2)
– Communications– Public information and education– Medical oversight– Trauma systems– Evaluation
Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Emergency Medical Services
In-hospital care system– Specialized medical facilities
Trauma centers
Burn centers
Pediatric centers
– Local hospital emergency departments
Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
The First Responder
Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
The First Responder
Roles of the First Responder (1 of 2)
– Protect the safety of you, your crew, the patient, and bystanders
– Gain access to the patient– Assess the patient for life-threatening
injuries– Contact additional resources
Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
The First Responder
Roles of the First Responder (2 of 2)
– Provide care based on your assessment
– Assist other EMS providers
– Participate in record keeping and data collection
– Liaison with other public safety personnel
Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
The First Responder
Responsibilities– Guard your health and safety– Maintain a caring attitude– Maintain composure– Maintain a professional appearance– Maintain an up-to-date knowledge of skills
and issues affecting EMS
Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Medical Oversight
Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Medical Oversight
Medical director
Medical control– Direct– Indirect
Standing orders or protocols
Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Summary (1 of 2)
EMS is a network of response to provide care and transport
Public access to EMS may vary by location
Know the different levels of providers
Review the components of an EMS system
Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Summary (2 of 2)
Understand the in-hospital care
Know the roles and responsibilities of the first responder
Working under medical oversight
Top Related