Paramedic: Medical Scenarios

An extended care paramedic are experienced clinical practitioners that specialise in patient assessment and a deliverance of quality care. Extended care paramedics treat mainly low to medium acute patients in a variety of community and clinical settings. ("Department of Health | Boosting Productivity", 2017. Their role is primarily to treat those in low need of care to take the strain off high running facilities such as hospitals and first responders. Extended care paramedics are most beneficial to those living independently and also those in aged care facilities. ECPs provide alternate care pathways for patients and assist in reducing unnecessary transport to hospital. Attendance by an ECP reduces the disruption to

With the ever-growing metropolitan area of Minneapolis and St. Paul, and the increasing number of people aging into the geriatric community, hospitals and ground ambulance services are being used more than ever. This means that safe and effective care is needed more now than ever before, and therefore we need more services such as Life Link III. This air ambulance service can bring people from outside the metro area to a healthcare facility with ease and excellence. Their safety standards are through the roof, and they’re able to provide their services to different parts of country, flying patients from Minnesota to various specialty centers in the country so that they can receive the best care possible. This paper will discuss how the nurse can provide safe and effective care while also promoting the quickest healing time possible.

Paramedics are emergency medical technicians more commonly known as EMT’s. EMT’s provide emergency treatment for the ill or injured on a scene and during en route to a medical facility. EMT’s are called upon at all hours of the day or night; typically the first medical specialist that a patient will call upon in an emergency. Paramedics are trained to provide lifesaving pre-hospital care in emergency situations. The range of medical services varies according to the level of training and/or certification.

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

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

Injury is a serious public health issue. Injuries differ by their nature and severity. Injuries can be unintentional or intentional. Unintentional injuries include road traffic injuries, falls, burns, drowning, poisoning, and intentional injuries include self-inflicted injuries, interpersonal violence, and war-related injuries [1,2,3]. Globally, injury causes over five million deaths per year [1,2,3]. Injury cases result in more deaths than HIV-AIDS, tuberculosis, and malaria combined (3.8 million) [1,3,4]. Nonfatal injuries represent a large proportion of the injury burden and deaths represent a small proportion [4]. Most injuries result in significant psychological trauma, potentially life-long disability, and subsequent financial loss [4].

New Zealand is an ongoing developing country, with the population continue to grow. This means that the health sector must improve to keep on top of the amount required to establish the care to the patients. In New Zealand, Paramedics respond to over 450,000 jobs a year (Tunnage, Swain, & Waters, 2015). A paramedic needs to carry out many assessments in different uncontrolled conditions in a minimal time to achieve the best results for the patient. Treating a vulnerable adult or a child in pre-hospital settings is always a possibility. Paramedics need to insure the keep an eye out for any signs like, bruises, fragile, lack of energy due to lack of food, etc (Phillips, 2013). Another study was conducted by Cohen, Levin, Gagin, & Friedman (2007) which indicates similar methods to identify different form of abuse, like emotional distress, low self-esteem, the feeling of not being believed when they speak.

Paramedic is the highest level and requires 1,300 hours of training plus an additional 500 hours of field training. Training usually takes place at a community college and takes approximately two years to complete. Paramedics perform all the functions that the EMT-Basic and Intermediate perform but they are certified in advanced lifesaving procedures such as tracheal intubation and I.V. support. They are also trained how to read EKG’s and in the use of a cardiac defibrillator. The paramedic also performs clearing a patient’s airway and performing an emergency tracheotomy. They also administer antidotes in cases of poisoning or drug overdose

After the men came back they said they called an ambulance to take me to the hospital. Ten minutes later, the paramedics came in and got be and we left. On the way to the hospital one of paramedics asked what I did to my foot.

They carry three lightweight, Deployable Rapid Assembly Shelter (“drash”) tents that can be attached to one another to form a 900-ft2 facility. Supplies to immediately resuscitate and operate on the wounded arrive in five backpacks: an ICU pack, a surgical-technician pack, an anesthesia pack, a general-surgery pack, and an orthopedic pack.” They have come up with new ways to check for certain problems without big, expensive, and heavy equipment. Instead of using radiography or angiography equipment, surgeons feel for fractures and if necessary use braces in an attempt to fixate the bones.

You are a bystander to an accident on the road. You notice a person pleading for help as they are screaming in pain, what do you do? Well, it honestly depends on which profession you have chosen: Medic or EMT? When I compare being a Medic in the United States Military to being a civilian EMT; I think that being a Medic is better. Upon comparing the credentials and future availability to attain additional credentials, individual capabilities, and impact on health of those treated, I believe that you too will agree with the idea that being a Medic is more beneficial.

These findings could change my practice as a Paramedic because it helped to gain knowledge into how a semi-rigid collar worked, what it was for and the damage this collar could have been doing to the patient. The findings also helped me understand that having a cervical collar in place could risk the patient’s life due the difficulties of being able to properly intubate the

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

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

　　　Paramedics are experienced medical practitioners, who carry out roles done by physicians and also observe, asses and treat patients using the equipment found in the emergency department. During an emergency, the paramedics are the first health care professionals that are contacted and they then asses the patient’s condition and treat if possible. When Edith’s husband, Roland, called for emergency, the ambulance arrived