1.  1900s emergency care developed during warfare at the 20th cenuey
2.  1960s domestic care lagged behind
3. emergency departments limited to only large urban areas.
4. Highway saftey act and emergency medical act created funding.
5. 1970s, DOT developed the first national standard curriculum for training emts.
6. 1980, EMS establish in most of the United States

1. dev. of training,
2. dev. of federal guidlines and policies
3. provide emergency care and transport
4. established staffed emergency departments

• Lay Rescuer
• First responder
• Emt basic
• Emt interrmediate
• Emt paramedic

advanced 911, operator will tell you what to do

1.Each EMS system must have a medical director

2.Online-(Direct) direction given over phone or radio directly from medical control or physician.

3. Offline-(Indirect) Protocols and standard pocedures, training .

4. Quality control and Improvement is used to ensure patient care meets standards

5. Local, state, and national specialists provide guidence.

6. All EMS systems are subject to state regulations, and all equipment must be properly maintained.

1. Ambulence- used for tranport of patients

2. Specialty Centers- Burn Units Cardiac Centers, Pediactric, Geriatrics

3. Interfacility Transports- Transporting of patients from one hospital to another hospital.

1. Ems is apart of a whole continum of care. (Doctors, Nurses, Specialists)

2. Working with public safety( Law enforcment, firfighters, First responders)

3. Training continues from begining of accident until the patient is out of the hospital.

1st Phase- Access to EMS System

2nd Phase- Pre-Hospital Care

3rd Phase- Emergency Department Care(Ambulence)

4th Phase- Definitive Care(Hospital)

1. Personal Safety- safety of crew patient, bystanders, and self

2. Patient Assessment- patient care based on assessment findings.

1.Lifting and moving patients safely

2. Transport and Tranfer or Care

3. Run Reports- complete and thourough documentation, data collection on patient

4. Keeping Patient confidentiality

1.Puting Patient needs as a priority without endangering self

2. Maintains Professional apperaence and manner

3. Performs under pressure.

4. Treats Patient and families with Understanding, Respect, and Compassion

5. Priority of respecting Patients confidentiality

1.Continuing education required to renew certification

2. Every three years by state regulation 40 hours

- yearly AED training, Intubation check off

3. Every three months for national

4. yearly protocol