"PLEASE SAVE HIM!!" is a sentence heard by Emergency Medical Service professionals (EMS) all over the United States, and as always, there is a rescuer waiting to be dispatched to save a person’s life. Thousands of EMS personnel save lives on a daily basis, not for the paycheck, but for the privilege of saving a someone’s life.
September marks the 52th anniversary of EMS’ debut into the public following the publication “Accidental Death and Disability: The Neglected Disease of Modern Society” also known as the “White Paper,” an article promoting the need for emergency rescuers by identifying motor vehicle accidents as the “leading cause of death in the first half of life’s span” (Ferbrache). Emergency Medicine is a very young but popular industry
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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
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.
EMTs are the first responders to emergency situations such as car accidents or heart attacks, providing immediate care to the critically injured and the severely sick on-site and then transporting them to the hospital in an ambulance. They are usually the first professionals to come in contact with patients at emergency scenes. In addition to administering lifesaving medical care, they must interact with family members and witnesses who may be very emotional, or even mentally deranged. How professionals manage these situations can mean the difference between success and failure.
EMTs are such an essential part of society nowadays. In my opinion, this is one of the most important jobs out there. For just a moment, imagine that you are driving down the road on a rainy night and lose control of your car. You go flying off the road and into a tree on the side of the road. Everything goes fuzzy and all you can see are flashes of reality. You fade in and out, hearing sirens and seeing lights, but you have no control of your body. The next thing you know, you wake up inside of a small room, freaking out because you have no idea what has just happened. Eventually you realize that the small room you are in is the back of an ambulance, and you are being taken
Without a doubt, the “White Paper” is still relevant in the world of EMS, playing a huge role with the modernization in EMS systems today. Accident Death in Disability outlined the need to decrease the morbidity and mortality of trauma patient through discussing key points that need change to be built a successful EMS system. Since then, EMS systems have not only become proficient in assessing and treating trauma patients, but also have become proficient in the assessment and treatment of acute and chronic illnesses, mental health, and social issues in all populations.
Paramedics in term are classified as street doctors (Legal ones). They have a great understanding of situations that occur traumatically and diagnostically. Without doctors treating injuries on the go there would be an incredibly high death rate. Even though schooling for medics isn’t that long, the information that is learned is enough to treat the patient in a pre-hospital care environment. Training for medical scenarios is a daily routine that medics run against to prepare for real events, such as triaging (Order of who needs treatment right away) patients when there is a mass causality. A medic’s most important tool to treat injured patients is their equipment. There is variety of
You inform the dispatcher that you’re en-route to the location responding in code three which is lights and sirens. When you arrive on the scene, you can see two seriously damaged vehicles and all you see is chaos. The two vehicles appear to be stuck together because they hit each other so hard. The coolant and oil is splattered all over the road and burning and boiling off of the still hot engines. You’re trained to give first aid and basic life support, you are silently thankful that an ambulance is already on the scene. You see a paramedic talking with a driver who is pinned inside the vehicle trying to keep them awake. You notice that the driver is covered in blood and has severe cuts all over his or her body. Firefighters arrive on the scene to use Jaws of Life to cut out the pinned in driver. The other driver in the other vehicle appears to be unresponsive and you see paramedics pulling the driver out of the vehicle to conduct CPR on the driver. The paramedics dispatch that they need flight care to pick up one of the seriously injured drivers. The ambulance takes the other driver to the hospital after being cut out of the vehicle. Flight care arrives on scene to pick up the severely injured driver. One of your main duties is to guard flight care from people and vehicles. Flight care
The EMS providers tries to persuade the patient in various ways, explaining to him the importance of receiving treatment and what may happen if he does not receive this treatment, as well as trying to get help from his relatives or one of his friends to convince. If the patient refuses and insists on not receive treatment or not to be transported to the hospital, the paramedic will ask for help from law enforcement or shift in charge as they are witness to this
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
A paramedic also known as “EMS” (emergency medical services) is a health care professional. They work out of the hospital environment, they perform a life-saving procedures. The typical job duties that a paramedics do are; helping a person with illness like heart attacks, severe allergic reactions and labor. The paramedics give a wide choice of medications to the patient that is in a life threating situation. If the patient responds from the CPR and medication, they’ll rush them to the hospital.
Emergency medical services is the process of treating patients, transporting them to the hospital, and providing immediate care according to the patient’s condition. Without Emergency Medical Services (EMS), some patients may not survive the trip to the hospital. Thus, the most important motivator for establishing emergency medical services systems was to reduce losses of life by providing treatment from specialized medical providers during transportation to the hospital. There have been many concerns about the effectiveness of operation and the procedures of the emergency medical systems in providing care to patients. Accordingly, King County Emergency Medical Services of Washington state have taken great care to develop a system that improves the patient’s outcome through providing immediate medical care.
As an EMT in training, I have had the privilege of seeing and caring for people in their times of need and have gained a plethora of patient interaction experiences. One call that particularly gave my crew trouble has stood out in my mind weeks after the incident.
The long term effects of an illness or trauma are influenced by timely, appropriate medical care. This begins with what interventions the ambulance crew provides if one is called. In the prehospital environment, there are four levels of providers: Emergency Medical Responder (EMR), Emergency Medical Technician (EMT), Advanced Emergency Medical Technician (AEMT), and Paramedic (National Scope of Practice Model, 20-21). The EMT is considered the “backbone” of prehospital emergency medicine (National Scope of Practice Model 23). It is the first level that a provider can either give a patient medicine or assist with the patient’s own medications (National Scope of Practice Model 24). Medicines that an EMT in Kansas can use are supplemental oxygen, nitroglycerin, aspirin, epinephrine and glucagon by auto injector, oral glucose, activated charcoal, and breathing medications such as Atrovent or a metered dose inhaler (Kansas Board of EMS 1). An EMT may also use a autoinjector antidote on themselves or their partner (Kansas Board of EMS 1). Medications used in emergency situations may reduce disability or prevent patient mortality.
Because of its simplicity—and the fact that it works when performed correctly—just about anyone can save a life. Each of us can save the life of a stranger, a neighbor, a spouse, or a child. And it can happen anywhere—in restaurants, homes, ballparks—you name it. You see, you don’t have to be a doctor to save a life. You just have to have knowledge and the instinct to respond in a crisis.” — Dr. Henry J.
Although the term ambulance is commonly used to refer to road vehicles that transport patients to hospitals in emergency situations, the term can also refer to other modes of transportation that transport patients as well, namely helicopters, boats, motorbikes or hospital ships. The origins of ambulances lie in military, which certainly carry a higher risk of getting injured as compared to civilian life. In the olden times, before modern technology, hospitals were located very close to battlefields and corpsmen were
The ambulance and the EMT are symbols of an unexpected event and signal a cardiac event – what could be. Yet unlike the dark figure in Escape, it is not the worst possible outcome (death). Instead, the ambulance and EMT represent the possibility of surviving the CV event.