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Emergency Care: Chapter 1
Chapter 1 terms from "Emergency Care: 12th Edition" by Daniel Limmer and Michael F. O'Keefe.
11
Medical
Professional
01/30/2013

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Term
911 System
Definition
A system for telephone access to report emergencies. A dispatcher takes the information and alerts EMS or the fire or police departments as needed. Enhanced 911 has the additional capability of automatically identifying the caller's phone number and location.
Term
Quality improvement
Definition
A process of continuous self-review with the purpose of identifying and correcting aspects of the system that require improvement.
Term
Medical director
Definition
A physician who assumes ultimate responsibility for the patient-care aspects of the EMS system.
Term
Medical direction
Definition
Oversight of the patient-care aspects of an EMS system by the medical director.
Term
Protocols
Definition
Lists of steps, such as assessments and interventions, to be taken in different situations. Protocols are developed by the Medical Director of an EMS system.
Term
Designated agent
Definition
An EMT or other person authorized by a Medical Director to give medications and provide emergency care. The transfer of such authorization to a designated agent is an extension of the Medical Director's license to practice medicine.
Term
Standing order
Definition
A policy or protocol issued by a Medical Director that authorizes EMTs and others to perform particular skills in certain situations.
Term
Off-line medical direction
Definition
Standing orders issued by the Medical Director that allows EMTs to give certain medications or perform certain procedures without speaking to the Medical Director or another physician.
Term
On-line medical direction
Definition
Orders given directly by the on-duty physician to an EMT in the field by radio or telephone.
Term
Patient outcomes
Definition
The long-term survival of patients.
Term
Evidence-based
Definition
Description of medical techniques or practices that are supported by scientific evidence of their safety and efficacy, rather than merely on supposition and tradition.
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