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Certified First Responder- the first trained person (police officer, firefighter, lifeguard, etc) to arrive at the scene of an emergency to provide initial medical assistance; no equipment. |
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advanced life support- advanced lifesaving procedures, some of which are now being provided by the EMT-B |
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Americans with Disabilities Act- comprehensive legislation that is designed to protect individuals with disabilities against discrimination |
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Automated external defibrillation- a device that detects treatable life-threatening cardiac arrhythmias (ventricular fibrillation and ventricular tachycardia) and delivers the appropriate electrical shock to the patient |
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Continuous Quality Improvement- a system of internal and external reviews and audits of all aspects of an EMS system |
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Emergency Medical Dispatch- a system that assists dispatchers in selecting appropriate units to respond to a particular call for assistance and in providing callers with vital instructions until the arrival of EMS crews. |
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Emergency Medical services- a multidisciplinary system that represeents the combined efforts of several professionals and agencies to provide pre hospital emergency care to the sick and injured |
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Emergency Medical Technician- a medical professional who is trained and certified y his or her state to provide emergency life support prior to or with more advanced medical providers |
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EMT Basic- an EMT who has training in basic life support, including automated external defibrillation, use of a definitive airway adjunct, and assisting patients with certain medications |
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An EMT who has training in specific aspects of advanced life support such as IV therapy, interpretation of cardiac rhythms, and orotracheal INTUBATION |
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Paramedic- An EMT who has training in advanced life support, including IV therapy, pharmacology, cardiac monitoring, and other advanced assessment and treatment skills |
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Health Insurance Privacy, Portability and Accountability Act- federal legislation passed in 1996- main effect in EMS is limiting availibility of patients' health care information and penalizing violations of patient privacy. |
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The delivery of medication directly into a vein |
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Physicial instructions that are given directly by Radio/Cell phone (online/direct) or indirectly by protocol/guidelines (offline, indirect), as authorized by the medical director of the service program |
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the physician who authorizes or delegates to the EMT the authority to provide medical care in the field |
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Primary Service Area- the designated area in which the EMS service is responsible for the provision of pre-hospital emergency care and transportation to the hospital |
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the responsibility of the medical director to ensure that the appropriate medical care standards are met by EMT-Bs on each call |
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Non walkthrough- no through way between cab and bed |
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walkthrough between cab and bed |
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additional assistance and resources from surrounding areas |
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pre hospital care report- filled out; details what care is given en route to hospital |
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Quality Assurance/Quality Insurance |
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Personal Protective Equipment (gloves, mask, face shield, gown) |
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Continuing Medical Education- assures up to date classes and information for EMTs |
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actions we can perform without asking Medical Directors for permission |
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Protocols; standing orders. These are actions that we do not need permission of a Medical Director to perform |
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telephone, radio. These are actions for which we must ask a medical director permission before proceeding. |
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Critical Incident Stress Debriefing or Critical Incident Stress Management |
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1. denial 2. Anger 3. Bargaining 4. Depression 5. Acceptance |
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