Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Introduction to EMS Systems

CHAPTER 1Unit 1 Preparatory

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

The EMS SystemComponents of the EMS SystemActivating the EMS SystemIn-Hospital Care SystemMedical OversightRoles and Responsibilities of the First ResponderFirst Responder SkillsEquipment, Tools, and Supplies

Introduction to EMS Systems

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

The EMS System

A network of resources to provide emergency care and transport to

victims of sudden illness and injury.

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

The Emergency Scene

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Recognition of Accident and Activation of EMS

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

EMS Dispatch

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Arrival of First Responders

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Care Given at the Scene

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Arrival of Additional EMS

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Care During Transport

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Transfer to Hospital Emergency Department

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Components of the EMS System

Human ResourcesMedical Oversight CommunicationsFacilitiesTransportationResource ManagementRegulation and PolicyPublic EducationEvaluation

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Activating the EMS System

Enhanced 9-1-1

9-1-1

Non 9-1-1

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

In-Hospital Care System

Emergency DepartmentSpecialty Facilities Trauma Centers Burn Centers Pediatric Centers

Hospital Personnel Physicians Nurses Allied Personnel

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Medical Oversight

The First Responder may be a designated agent of the physician. Care rendered may be considered an extension of the

medical director’s authority.

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Medical Oversight

A formal relationship between the EMS providers and the physician responsible for the prehospital emergency medical

care provided in a community.

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Medical Direction Given by On-line Orders

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Medical Oversight

Indirect Medical Control System Design Protocols Education Quality Management

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Levels of Training

EMT-Paramedic

EMT-Intermediate

EMT-Basic

First Responder

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Roles and Responsibilities

Personal health and safetyNeat, clean, and professional appearanceCompetency in knowledge and skillsCaring attitudeMaintain composure

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Patient-Related Duties

Size up the scene. Find out what is wrong with the patient. Lift or move the patient only when it is necessary. Transfer the patient and patient information. Protect the patient’s privacy and maintain confidentiality. Be the patient’s advocate.

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Skills

As a First Responder, you should be able to:

Assess and control the scene of a simple incident. Gain access to patients. Evaluate a scene for safety. Properly use all items of personal safety. Gather information from patients and bystanders. Conduct a patient assessment. Relate signs and symptoms to illnesses and injuries. Determine vital signs. Document. Perform airway management. Perform Cardiopulmonary Resuscitation. Operate an Automatic External Defibrillator. Control bleeding.

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Skills

As a First Responder, you should be able to:

Assess and care for shock. Assess and provide care for closed injuries and open

injuries. Carry out basic dressing and bandaging techniques. Assess and care for painful, swollen, deformed

extremities. Assess and care for possible injuries of the head, neck,

and spine. Assess and care for cardiac and medical emergencies. Identify and care for poisoning cases. Classify and provide care for burns. Identify and care for smoke inhalation.

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Skills

As a First Responder, you should be able to:

Assess and care for environmental emergencies. Assist a mother in delivering her baby. Provide initial care for the newborn. Identify and care for drug-abuse and alcohol-abuse

patients. Perform non-emergency and emergency patient moves

when required. Perform triage at a multiple-patient emergency scene. Work under the direction of an Incident Commander. Work under the direction of EMTs.

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Skills

In some systems that have very special needs, First Responders may be required to:

Determine blood pressure. Use a bag-valve-mask resuscitator (ventilator). Deliver oxygen using appropriate devices. Apply or assist in applying a traction splint. Apply or assist in applying an extrication collar. Assist in securing a patient to a long spine board

(backboard) or other device used to immobilize the patient’s spine.

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Equipment, Tools, and Supplies

First Responders should know how to use, and have available whenever possible: Appropriate barriers (masks and gloves) Triangular bandages Roller-type bandages Gauze pads and trauma dressings Occlusive dressings (for airtight seals)

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Equipment, Tools, and Supplies

First Responders should know how to use, and have available whenever possible: Adhesive tape Bandage shears Eye protector (paper cup or cone) Stick (for tourniquet) Blanket and pillow Upper and lower extremity splint sets

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

Equipment, Tools, and Supplies

Optional items First Responders may use: Blood pressure cuff and a stethoscope Oxygen delivery systems

Suctioning equipment

The First Responder should be comfortable with the use of common hand and power tools.

Bergeron et al., First Responder, 7th Edition© 2005 by Pearson Education, Inc. Upper Saddle River, NJ

The EMS SystemComponents of the EMS SystemActivating the EMS SystemIn-Hospital Care SystemMedical OversightRoles and Responsibilities of the First ResponderFirst Responder SkillsEquipment, Tools, and Supplies

Summary