1. Limmer, First Responder: A Skills Approach, 7 th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ Chapter 1 Introduction to the EMS System

2. Limmer, First Responder: A Skills Approach, 7 th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ Topics Emergency Medical Services The First Responder Medical Oversight

3. Limmer, First Responder: A Skills Approach, 7 th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ Emergency Medical Services

4. Limmer, First Responder: A Skills Approach, 7 th 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

5. Limmer, First Responder: A Skills Approach, 7 th 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-9–1–1 Delay for patient to look up number Must call specific agency

6. Limmer, First Responder: A Skills Approach, 7 th 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

7. Limmer, First Responder: A Skills Approach, 7 th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ Emergency Medical Services Levels of EMS training –First Responder Conducts a patient assessment Manages a patient’s airway CPR Initial stabilization of injuries Assists other EMS providers

8. Limmer, First Responder: A Skills Approach, 7 th 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

9. Limmer, First Responder: A Skills Approach, 7 th 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

10. Limmer, First Responder: A Skills Approach, 7 th 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

11. Limmer, First Responder: A Skills Approach, 7 th 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

12. Limmer, First Responder: A Skills Approach, 7 th 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

13. Limmer, First Responder: A Skills Approach, 7 th 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

14. Limmer, First Responder: A Skills Approach, 7 th 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

15. Limmer, First Responder: A Skills Approach, 7 th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ The First Responder

16. Limmer, First Responder: A Skills Approach, 7 th 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

17. Limmer, First Responder: A Skills Approach, 7 th 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

18. Limmer, First Responder: A Skills Approach, 7 th 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

19. Limmer, First Responder: A Skills Approach, 7 th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ Medical Oversight

20. Limmer, First Responder: A Skills Approach, 7 th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ Medical Oversight Medical director Medical control –Direct –Indirect Standing orders or protocols

21. Limmer, First Responder: A Skills Approach, 7 th 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

22. Limmer, First Responder: A Skills Approach, 7 th 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