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Emergency Medical Responder

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					          Chapter 1: The Emergency Medical Responder

               You Are the
       Emergency Medical Responder
   A terrified mother pulls her child from the bottom of
   a pool while a neighbor calls 9-1-1 for help. You are
   the first to arrive at the scene and see the neighbor
   trying to breathe air into the boy’s limp body. The
   mother looks to you helplessly.




Emergency Medical Response
      Emergency Medical
          Responder


Emergency Medical Response
         “The purpose of this course is to train first
     responders, people like you, who will often be the
   first trained individuals with a duty to provide care at
    the scene of an emergency. The course content and
        activities will prepare you to better recognize
   emergencies, make decisions, and provide care. This
          course teaches the skills needed to manage
     emergency situations until more advanced medical
              personnel, such as EMTs, arrive.”

Emergency Medical Response
The Emergency Medical Services (EMS)
              System
               and
    Emergency Medical Responder
     Emergency Medical Services (EMS)
•   EMS is a network of community and medical resources providing
    care to victims of injury or sudden illness
•   Developed in 1973, it and consists of 10 components managed by
    the DOT, subset of the NHTSA. The components include:
    1. Regulation and Policy
    2. Resource Management
    3. Human Resources and Training
    4. Transportation
    5. Facilities
    6. Communication
    7. Public Information and Education
    8. Medical Oversight
    9. Trauma Systems
    10. Evaluation

Emergency Medical Response
    Emergency Medical Services (EMS)

 • Access to the EMS system occurs via the activation of
   the “Chain of Survival”




Emergency Medical Response
        Links in the Chain of Survival
Citizen Response


 Rapid activation of EMS

    Emergency Medical Responder

               Advanced out-of Hospital care


                            Hospital care

                                     Rehabilitation
               Types of EMS Systems

    Fire-based services
    Third-party services
    Hospital-based services
    Other systems, such as police and private systems




Emergency Medical Response
                  First Responders

• Fire fighters
• Law enforcement
• Lifeguards
• Ski patrollers
• Industrial response team
  members
• Athletic trainers
• Disaster team members
• First aid station attendants
               Levels of Training

• DOT recognizes four
  levels of training of the
  out-of-hospital training
   – Emergency Medical
     Responder
   – Emergency Medical
     Technician (EMT)
   – Advanced EMT
   – Paramedic
     The In-Hospital Care System and
             Rehabilitation
• Out-of-hospital
  (prehospital) care ends
  when EMT’s arrive at the
  hospital and the ER staff
  takes over.
• ER staffs consist of
  physicians, nurses, and
  other allied health
  professionals.
• Rehabilitation may also be
  needed to return to pre-
  incident level of health.
Characteristics, Roles and Responsibilities of
    the Emergency Medical Responder




Emergency Medical Response
      An EMR’s Major Responsibilities

  Ensuring personal and bystander safety
  Gaining access to the patient
  Determining any threats to the patient’s life
  Summoning more advanced medical personnel as
   needed
  Providing needed care for the patient
  Assisting more advanced medical personnel



Emergency Medical Response
          Secondary Responsibilities

  Controlling or directing bystanders or asking them
   for help
  Taking additional steps, if necessary, to protect
   bystanders from dangers
  Recording what you saw, heard and did at the scene
  Reassuring the patient’s family or friends




Emergency Medical Response
      Personal Characteristics of an EMR

    Maintains a caring and professional attitude
    Controls his or her fears
    Presents a professional appearance
    Keeps his or her knowledge and skills up to date
    Maintains a safe and healthy lifestyle




Emergency Medical Response
                         Activity
 You are called to the scene of a traffic collision in which
 a vehicle struck an older woman crossing the street.
 The driver of the vehicle is sitting on the sidewalk. The
 older woman is sitting in the middle of the road, crying
 and trembling. Her leg is bleeding and a section of bone
 can be seen protruding out of the skin. She has multiple
 bleeding wounds on the other leg and upper arms.
 Several lay bystanders have been providing care to the
 woman. One of the bystanders begins to scream at the
 driver about driving too fast and not paying attention.


Emergency Medical Response
                Medical Direction

  Indirect medical direction: done through standing
   orders
  Direct medical direction: done by speaking with a
   physician or nurse practitioner via a mobile phone,
   radio or telephone about procedures not covered by
   standing orders




Emergency Medical Response
                 Right to Practice

  State regulations
  Credentialing
    • Certification
    • Licensure
    • Local credentialing




Emergency Medical Response
            Goal of All EMS Systems

Provide the highest quality of care possible according to
community needs and resources




Emergency Medical Response
               You Are the
       Emergency Medical Responder

   A terrified mother pulls her child from the bottom of
   a pool while a neighbor calls 9-1-1 for help. You are
   the first to arrive at the scene and see the neighbor
   trying to breathe air into the boy’s limp body. The
   mother looks to you helplessly.




Emergency Medical Response

				
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