limmer, first responder: a skills approach, 7 th ed. © 2007 by pearson education, inc. upper saddle...
TRANSCRIPT
![Page 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](https://reader035.vdocument.in/reader035/viewer/2022062322/5697c02e1a28abf838cd9f72/html5/thumbnails/1.jpg)
Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Chapter 1 Introduction to the
EMS System
![Page 2: 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](https://reader035.vdocument.in/reader035/viewer/2022062322/5697c02e1a28abf838cd9f72/html5/thumbnails/2.jpg)
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
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Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Emergency Medical Services
![Page 4: 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](https://reader035.vdocument.in/reader035/viewer/2022062322/5697c02e1a28abf838cd9f72/html5/thumbnails/4.jpg)
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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
The First Responder
![Page 16: 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](https://reader035.vdocument.in/reader035/viewer/2022062322/5697c02e1a28abf838cd9f72/html5/thumbnails/16.jpg)
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
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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
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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
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Limmer, First Responder: A Skills Approach, 7th ed. © 2007 by Pearson Education, Inc. Upper Saddle River, NJ
Medical Oversight
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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
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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
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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