1. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. 1 Introduction to EMS Systems

2. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. OBJECTIVES DIRECTORY Objectives for this chapter can be referenced on pages 4 and 5 of your textbook.

3. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. TOPICS The EMS System Classic Components of an EMS System Emergency Medical Responder Practice Quality Improvement

4. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. INTRODUCTION Emergency Medical Responder (EMR) –Vital part of EMS –First on scene –Makes a difference –Various backgrounds

5. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Environment –Standing by at a county fair Dispatch –Called for a man down –Near grandstand THE CALL

6. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. The EMS System

7. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Public safety answering point (PSAP) Emergency medical dispatchers (EMD) Enhanced 911 911

8. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. EMS Systems Levels of Training –EMR –EMT –Advanced EMT –Paramedic

9. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Classic Components of an EMS System

10. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Components of an EMS System Types Tiered response –EMR –Ambulance –Hospital emergency department

11. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Components of an EMS System Specialty care centers –Trauma centers –Cardiovascular centers –Pediatric centers –Burn centers –Stroke centers

12. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Ten Classic EMS System Components Regulation and policy Resource management Human resources and training Transportation Facilities Communications CONTINUED continued on next slide

13. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Ten Classic EMS System Components (cont.) Public information and education Medical oversight Trauma systems Evaluation

14. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Regulation and Policy Individual states Govern the EMS system Provide Leadership

15. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Resource Management Human Resources and Training

16. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Transportation, Facilities, and Communications Mode of transportation Transportation to an appropriate facility

17. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Public Information and Education EMS participation Prevention EMS access

18. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Medical Oversight Medical Directors

19. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Trauma Systems Specialized Care Transportation Photo: © Ray Kemp/911 Imaging

20. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed.

21. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Evaluation Quality Improvement

22. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Emergency Medical Responder Practice

23. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Emergency Medical Responder Practice State legislation State EMS agencies Regional or local agencies Medical direction Agency rules and regulations

24. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Roles and Responsibilities of the Emergency Medical Responder Equipment readiness Safety Scene evaluation and size-up Gaining access Patient assessment CONTINUED

25. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Roles and Responsibilities of the Emergency Medical Responder Patient care Emotional support Continuity of care Medical legal standards of care Public health Community relations

26. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. 75-year-old man Pale, sweaty, and looks very sick Does not remember what happened Wife states that he passed out while getting up from picnic table Breathing deeply Weak and fast pulse RESPONSE

27. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Deputy on scene (also an EMR) provides oxygen Patient has heart problems and high blood pressure Denies pain Feels weak While assessing additional vital signs, the ambulance arrives RESPONSE

28. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Quality Improvement

29. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Quality Improvement Ensures high quality Looks at all aspects of an agency QI committees

30. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Errors in EMS Prevention –Double check facts or decisions –Use resources –Question assumptions –Ask for help –Debrief and look for ways to improve

31. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Research in EMS EMS is always changing – CPR – Tourniquets

32. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. Research and You How can the EMR assist with research?

33. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed.

34. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. You give the ambulance staff a report The patient looks much better and does not want to go to the hospital His wife decides otherwise TRANSITION

35. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. REVIEW Define the following terms: –Emergency Medical Responder (EMR) –Emergency Medical Services (EMS) System –Public safety answering point –Emergency medical dispatcher (EMD) –Emergency Medical Technician (EMT) –Advanced EMT (AEMT) –Paramedic

36. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. REVIEW Define the following terms: –Tiered response –Trauma center –Pediatric center –Burn center –Cardiovascular care center –Stroke center –Professionalism

37. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. STOP, REVIEW, REMEMBER There are _____ commonly recognized levels of EMS training. a.three b.four c.five d.eight

38. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. STOP, REVIEW, REMEMBER A third service EMS agency is one that: a.is based in a fire department. b.responds from a hospital. c.is a separate municipal service. d.provides care at the paramedic level.

39. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. STOP, REVIEW, REMEMBER The minimum level required for staffing an ambulance is the: a.EMR. b.EMT. c.Advanced EMT. d.Paramedic.

40. ©2014 Pearson Education, Inc. EMR Complete: A Worktext, 2 nd Ed. REVIEW Discussion 1.Explain how state legislation relates to the practice of EMRs. 2.Describe the role of regional or local oversight agencies. 3.Explain the purpose of quality improvement in EMS. 4.Describe how research can impact EMR practice.