Compare Maryland EMS To The White Paper

The next step is to determine the nature of the emergency, then stabilized the patient's condition, and then administer the right procedures, while en route to the hospital. Treatment for the patients depends on what level of training and certification the EMT has gone through. First responders are only certified to care for a sick or injured person. A basic EMT can give CPR, control any bleeding, treat shock victims, apply bandages, splint fractures, and administer an automatic defibrillation. EMTs are also trained to handle emotionally unstable patients and heart attack, poisoning, and burn patients. EMT-Intermediate are trained to start an IV, or use a manual defibrillator for patients that are going into cardiac arrest. EMT-Paramedic are certified to be able to perform more intensive treatments, while working in close radio contact with the doctor. (Careers In Focus: Medical Technicians 76) EMT-Paramedics are qualified to give intravenous drugs, use EKGs, put in breathing tubes, and use any modern medical technology. (Careers In Emergency Medical Services

The following case study addresses the care I provided to a patient who was brought in by ambulance to the emergency department after a gunshot wound.

Volunteering in the Emergency Department has been a fulfilling experience, while learning as much as possible helping the staff and patients. I have enhanced my listening skills and adapted my approach when communicating with patients and medical staff, being cognizant of non-verbal cues. I have become more perceptive of the wide array of ailments and injuries that prompt patients to visit the ER, while gaining a deeper appreciation of the delicate

When I take a step back and look at the endless opportunities I will have as a Physician Assistant (PA) it truly amazes me. There are so many areas of clinical practice to choose from and at this point in my education as a PA student I am still unsure of where I will end up. However, the area of practice that I am currently most drawn to is emergency medicine (EM). What draws me to EM is that it is face-paced and team-oriented. In addition, not only do you get to see a variety of patients, but you also see a variety of diseases and injuries. This being the specialty that is of most interest to me, it is important that I understand what exactly being an EM PA encompasses.

With no standards being concrete, EMS agencies can develop their own EMS officer curriculum based off NEMSMA’s guidelines, and develop courses and credentials specific to their agency. This can be accomplished by conducting a needs assessment to figure what extra educational and training credentials should be required, and what the agency wants to take out of what is already developed. This way, agencies have their own specific EMS officer training programs that work well with their agency. However, along with conducting a needs assessment specific to an agency, the requirements outlined by NEMSMA should strongly be taken into consideration, especially the credentials. Each EMS officer positon is unique in its own way. It is important to have the experience, knowledge, education and EMS background in order to fulfil the duties of each positon. The credentials and competencies outlined by NEMSMA are realistic and can be implemented

How can EMR’s improve the nursing process now and in the future? Having had the op-portunity to perform my clinicals in three different Emergency Departments in the past two years and being exposed to both the positive and negative to both paper and paperless medical records Training new nurses is vital for an accurate EMR. Bober, M., & Boonstra, J.

So you’re new to EMS? First couple of days on the job? Let’s talk about the bells and whistles. You think when you sign up to be an EMT or FF you are signing up to save lives and that everyone you come into contact with is going to be happy to see you and thankful for your services. Wrong, so incredibly wrong. Let me introduce you to the people who want you to fail, so that they can jump on you for lawsuits.

Prior to the 1970’s, ambulances were staffed as basic life support (BLS) type units. They would transfer people on a basic level of transport performing “non invasive” interventions. The people who staffed this units were not called EMT’s at this time however were called Ambulance Attendants. They were severed with little medical training and only performed routine interventions. In 1966 there was an article called “The Accidental Death and Disability Report” also called “White Paper”. In this report The National Academy of Sciences Did studies on trauma and shock. This project was a federally funded report of their research which came to the conclusion that both the public and government were "insensitive to the magnitude

Mr.Gary, a Paramedic yesterday came and talked to us about what paramedics or EMS do in their line of career. Starting off there are 3 levels of EMT: Basic EMT, Advanced EMT, and Paramedic. To be an EMT you can go through state training to become a certified EMT or go through a college and become a licensed EMT; along with this is 220 class & lab hours(class can be online or live class.)

However, what some don’t know is that assaults on first responders are happening across the nation and many go unreported. Violence against EMS experts takes many forms. Most acts of brutality are not less than deadly. Statistics shows that the risk of non-fatal assault resulting in lost work time among EMS workers is 0.6 cases per 100 workers a year; the national average is about 1.8 per 10,000 workers. The National Association of Emergency Medical Technicians (NAEMT) found 4/5 medics have experienced some form of injury as a result of the job. The U.S. Department of Labor reported that about 52 percent of EMTs operating in the field have been assaulted.

The EMS business model of the future, unfortunately, will be based more off of the money-oriented side, and reimbursement from insurance or federal agencies, rather than the patient care side. The minimal reimbursements that ambulance services receive today, will no doubt only get lower as the level of care increases. Although the current model calls for a unified system with equal certification levels and care across the board, the difficulty in achieving this results in part due to these low reimbursements causing many agencies to operate in the red, continually attempting to stay above going out of business.

EMS was first used in the military in the 1790s, it was used “to transport battlefield casualties to a centralized care area” ("History of Emergency Medicine"). In the 1980s with the growth of cars and automobile transportation came the growth of accidents and trauma casualties. The report known as the white paper identifies that the chance of survival after a car accident is slim-to-none and suggest a prevention and management of Accidental Injury through a system known as EMT-A, which is essentially the ambulance system. The public was frightened by the data presented so Congress took the initiative under president Lyndon B Johnson and pass the “Emergency Medical Services Systems Act of 1973, providing funding for research and development, support for improved standards and rural systems, and much-needed administrative oversight that supported EMS systems” (Ferbrache). This act was the beginning of modern first responders and the beginning of the changes that were brought about as a

Thus, emergency physicians cannot rely on earned trust or on prior knowledge of the patient's condition, values, or wishes regarding medical treatment. The patient's willingness to seek emergency care and to trust the physician is based on institutional and professional assurances rather than on an established personal relationship. Fourth, emergency physicians practice in an institutional setting, the hospital emergency department, and in close working relationships with other physicians, nurses, emergency medical technicians, and other health care professionals. Thus, emergency physicians must understand and respect institutional regulations and inter-professional norms of conduct. Fifth, in the United States, emergency physicians have been given a unique social role and responsibility to act as health care providers of last resort for many patients who have no other feasible access to care. Sixth, emergency physicians have a societal duty to render emergency aid outside their normal health care setting when such intervention may save life or limb. Finally, by virtue of their broad expertise and training, emergency physicians are expected to be a resource for the community in pre-hospital care, disaster management, toxicology, cardiopulmonary resuscitation, public health, injury control, and related areas. All of these special circumstances shape the

A first respondent is a very critical role and is, thus, essential for the applicants to hold a viable degree or certificate as prove of their competency (Pope, 2005). Each state in America look for varied skills in first respondent applicants and also require varied EMT qualifications. Since the first responder is the person who arrives at the scene of accident or catastrophic occurrence first, it means that he is the first person to deal with patients and it is, thus, critical for him to have medical

Today’s society has seen an increase of unpredictable violent events that require an increasing need for tactical medical responders. While some if not all departments in the United States have a form of Tactical Emergency Medical Support, in the present time it almost seems as if there is a growing need for awareness, education, and personnel to have a tactical mindset. Tactical Emergency Medical Support is an out-of-hospital EMS system that focuses on medical support for law enforcement special operations missions. Although most emergency situations involve routine-like situations such as a mild allergic reaction or a person going in to cardiac arrest, Emergency Medical Responders need to be prepared for the unexpected. Multiple