1. INTRODUCTION TO EMERGENCY MEDICAL CARE EMERGENCY MEDICAL TECHNICIAN - BASIC

2. Origins of EMS Department of Transportation (DOT) –Highway Safety Act of 1966 Department of Health and Human Services (DHHS) –Emergency Medical Act of 1973

3. National Standard Curriculum Developed by DOT –First developed in early 1970’s –Current - 1994 Purpose –Standardization of Training Programs –Standardization of Levels of Certification –Standardization of Patient Care

4. Components of an EMS System Advisory Council Medical Direction –The process used by the Medical community to assure quality and accountability in the delivery of pre-hospital care –On-line –Off-line Protocols Quality Improvement

5. Components of an EMS System EMT Training –Initial –Continuing Education Instructor Training

6. Components of an EMS System Communications Systems –System Communication Radio Cellular –System Access 911 Other easily remembered numbers Dispatch Center (located at designated hospitals)

7. Components of an EMS System Ambulance Service –Well Designed –Well Equipped –Well Maintained –Well Trained Staff Initial Continuing Education

8. Components of an EMS System System Evaluation –Risk Management/Loss Control –Outcome Studies –System Status Management Disaster Plans –Major Incident Response Designed by EMS Designed to Integrate with Other Agencies

9. Continuum of Care 1st Phase - Out of Hospital Care 2nd Phase - Emergency Department Care 3rd Phase - Definitive Care

10. EMS RELATED AGENCIES First Responders Law Enforcement –Police –Sheriff's Department –Department of Public Safety –Federal

11. EMS RELATED AGENCIES Fire Department Regional Organizations California Department of Health

12. Roles & Responsibilities Safety –Priorities Yourself Partner By-standers Patient

13. Roles & Responsibilities Safety (cont.) –Safe Behaviors Health –No Destructive Activities –Rest –Conditioning –Do not push body past limitations (Mentally and Physically) –Wear Personal Protective Equipment Survey Scene –Look for Hazards –Listen to Others

14. Roles & Responsibilities of EMT-Basic Patient Care –Patient Assessment –Basic Life Support –Mechanical Aids to Breathing –Pulse-Oximetry –Semi-Automatic External Defibrillator –Pneumatic Anti-Shock Garment (PASG or MAST)

15. Roles & Responsibilities of EMT-Basic Patient Care (cont.) –Hand-held Metered Dose Nebulizers –Epinephrine Auto-injectors (Epi pens) –Nitroglycerin –Aspirin –Charcoal

16. Roles & Responsibilities of EMT-Basic Patient Care (cont.) –Oral Glucose –Bandaging & Splinting / Traction Splinting –Emergency Childbirth –Spinal Immobilization –Advanced Airway (Optional)

17. EMT-Intermediate Roles & Responsibilities Patient Care - Intermediate –Intermediate Patient Assessment –Advanced Airway Esophageal Airways Endotracheal Intubation (Oral & Nasal) Cricothyrotomy (Needle & Surgical) End-tidal CO 2 Monitoring

18. EMT-Intermediate Roles & Responsibilities Patient Care - Intermediate (Cont.) –Vascular Access Intravenous Intraosseus –Gastric Tube Placement (Oral & Nasal) –Pleural Decompression

19. EMT-Intermediate Roles & Responsibilities Patient Care - Intermediate –Drug Therapy –Intermediate Recordkeeping –Intermediate Radio Communication

20. EMT-Paramedic Roles & Responsibilities Patient Care - Paramedic –Advanced Patient Assessment –Drug Administration Techniques –EKG Interpretation –Defibrillation/Cardioversion

21. EMT-Paramedic Roles & Responsibilities Patient Care - Paramedic (Cont.) –External Pacemakers –IV Infusion Pumps –Mechanical Ventilators –Urinary catherization

22. Roles & Responsibilities of all EMS Extrication & Rescue Transport Transfer of Care Communications Records & Reports

23. Roles & Responsibilities of all EMS Patient Advocacy Maintenance –Vehicle Maintenance –Equipment Maintenance –Self

24. Personal Attitude & Conduct Professionalism –Appearance –Attitude –Manner –Speech –Writing –Knowledge & Skills Participation in Continuing Education Participation in Quality Insurance

25. Personal Attitude & Conduct Confidence Compassion Empathy Leadership

26. Personal Attitude & Conduct Sound Judgement Good Moral Character Stability Adaptability

27. California EMT-B Certification Requirements –Successfully complete an approved EMT- Basic course –Submit to state: Course Completion Certificate Completed EMS Personnel Application application fees (if not exempt) –Schedule National registry and state exam appointment through your EMT-Basic course