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Foundations of Ems Systems

by: Walz, Bruce J

Foundations of Ems Systems

by: Walz, Bruce J

ISBN 13:
9781435480278
ISBN 10:
1435480279
Edition: 2nd
Format: Paperback
Copyright: 05/19/2010
Publisher: Cengage Learning

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Summary

Practical and reader-friendly, FOUNDATIONS OF EMS SYSTEMS is an invaluable resource that provides a broad, contemporary overview of EMS with a realistic focus on the field provider. Based on the course outcomes developed by the EMS committee of Fire and Emergency Services Higher Education, this book introduces readers to the EMS world and provides the knowledge they need in order to prepare them for success as an EMS provider. With an emphasis on EMS as a profession, the book explains the background, structure and operations of these systems, the role of each provider within the healthcare system, and how to offer optimal delivery of care and services.

Foreword	p. xiii
Preface	p. xv
About the Authors	p. xx
Acknowledgments	p. xxii
Feshe Correlation	p. xxiv
Introduction	p. xxv
Introduction to Emergency Medical Systems	p. 1
The Emergency Medical Services System	p. 2
Components of an EMS System	p. 3
Communications	p. 4
Manpower	p. 4
Training of Personnel	p. 4
Use of Public Safety Agencies	p. 5
Transportation	p. 5
Mutual Aid Agreements	p. 5
Facilities	p. 5
Accessibility of Care	p. 6
Critical Care Units	p. 6
Transfer of Patients	p. 6
Standard Medical Record Keeping	p. 6
Independent Review and Evaluation	p. 6
Consumer Information and Education	p. 6
Consumer Participation	p. 6
Disaster Linkage	p. 7
Revision of the 15 Components	p. 7
Medical Direction	p. 7
System Finance	p. 7
Regulation and Policy	p. 7
Trauma Systems	p. 7
EMS Agenda for the Future	p. 8
The 14 Attributes of an EMS System	p. 8
Integration of Health Services	p. 9
EMS Research	p. 9
Legislation and Regulation	p. 9
System Finance	p. 9
Human Resources	p. 10
Medical Direction	p. 10
Education Systems	p. 10
Public Education	p. 10
Prevention	p. 11
Public Access	p. 11
Communication Systems	p. 11
Clinical Care	p. 11
Information Systems	p. 11
Evaluation	p. 11
Critical Patient Areas	p. 12
History of Emergency Medical Systems	p. 14
History of Emergency Medical Systems	p. 15
Preindustrial Era (1600-1850)	p. 15
Resuscitation	p. 18
Anesthesia	p. 20
Transportation	p. 20
Industrial Era (1850-1970)	p. 21
Causes of Death	p. 22
First Aid Training	p. 22
Resuscitator Calls	p. 23
Motor Vehicle Injuries	p. 23
Transportation	p. 24
Military	p. 26
Cardiac Care	p. 27
Government Involvement	p. 27
EMS Development	p. 28
Modern Era (1970-2000)	p. 31
1970s	p. 31
1980s	p. 34
1990s	p. 35
Twenty-first Century	p. 37
September 11, 2001	p. 37
Institute of Medicine Reports	p. 38
Katrina and Disaster Response	p. 38
Emergency Medical Direction in the Federal Government	p. 39
Federal Interagency Committee on EMS/National EMS Advisory Council	p. 40
Ambulance Fee Schedule	p. 40
EMS Caucus	p. 41
Provider Levels and Training	p. 41
Other Developments	p. 41
Human Resources	p. 45
Historical Background	p. 46
Prehospital Providers	p. 47
Emergency Medical Responder	p. 47
Emergency Medical Technician	p. 49
Advanced Emergency Medical Technician	p. 49
Paramedic	p. 50
Specialized Prehospital Providers	p. 51
Flight Paramedics and Nurses	p. 51
Critical Care Transport Specialists	p. 52
Wilderness EMT	p. 52
Specialized Response Providers	p. 53
Hospital-Based Providers	p. 53
Nurses	p. 53
Physicians	p. 54
Allied Health Professionals	p. 55
Other Providers and System Personnel	p. 55
Telecommunicators	p. 55
Emergency Medical Dispatcher	p. 56
Firefighters	p. 56
Police Officers	p. 57
EMS Managers	p. 57
EMS Educators	p. 57
Sources of Providers	p. 58
Volunteer Providers	p. 59
Career Providers	p. 60
Educational Systems	p. 63
Introduction	p. 64
Controversies in EMS Education	p. 65
National Standard Curriculum	p. 66
EMS Education Agenda for the Future	p. 67
National EMS Core Content	p. 67
National EMS Scope of Practice Model	p. 67
National EMS Education Standards	p. 72
National EMS Education Program Accreditation	p. 73
National EMS Certification	p. 73
The National Registry of EMTs	p. 74
CoAEMSP	p. 74
Settings for EMS Education	p. 75
Hospitals	p. 75
Fire Departments	p. 76
Technical Centers	p. 78
Community Colleges	p. 78
Colleges and Universities	p. 78
Military	p. 79
Provider Courses	p. 80
Specialized Courses	p. 80
Continuing Education and Refresher Training	p. 84
Technology in Education	p. 86
Asynchronous Learning	p. 88
Transportation	p. 90
The Transportation Attribute	p. 91
Service Providers	p. 91
Fire Service	p. 91
Commercial Service	p. 92
Third Service	p. 94
Public Safety Agency	p. 94
Police or Sheriff-Based Service	p. 95
Hospital-Based Service	p. 95
First Responder	p. 96
Public Utility Model	p. 97
Integrated System	p. 97
Delivery Systems	p. 98
Fixed-Post Staffing	p. 98
Event-Driven Staffing	p. 98
ALS Intercept	p. 100
Interfacility Transport	p. 101
Staffing Configuration	p. 101
BLS Staffing	p. 102
ALS Staffing	p. 102
Mobile Health Care	p. 103
EMS Vehicles	p. 104
Type I	p. 105
Type II	p. 106
Type III	p. 107
Medium Duty	p. 107
Air Medical Transport	p. 107
Alternate Transport Modes	p. 109
Ambulance Equipment	p. 109
Basic Level Provider Essential Equipment	p. 109
Advanced Level Provider Essential Equipment	p. 110
Medical Oversight	p. 112
Historical Background	p. 113
Models of Medical Oversight	p. 115
Indirect Medical Oversight	p. 116
System Design	p. 116
Protocols	p. 117
Education	p. 121
Quality Systems	p. 121
Direct Medical Oversight	p. 123
Regulation and Legislation	p. 124
Public Access and Communications	p. 126
Public Access	p. 127
9-1-1	p. 127
9-1-1 Operation	p. 128
Public Safety Answering Point	p. 129
Call Processing	p. 131
Call Taking	p. 131
Dispatch Center	p. 131
Dispatch Life Support	p. 132
Emergency Medical Dispatch	p. 132
Priority Dispatching	p. 133
Prearrival Instructions	p. 133
Nonemergency Access Numbers	p. 133
Pathway Management	p. 133
Public Education	p. 134
Communications	p. 135
Role of Communications	p. 135
Occurrence	p. 136
Detection	p. 136
Notification	p. 136
Dispatch	p. 137
Prearrival Instructions	p. 137
Response	p. 137
Scene Communications	p. 137
Medical Communications	p. 137
Transport	p. 137
Hospital Arrival	p. 137
Return to Service	p. 138
Systems Communications Technology	p. 138
Systems Communications	p. 138
Medical Communications	p. 139
Telemedicine	p. 140
Clinical Care and Hospital Emergency Medicine	p. 142
Clinical Care	p. 143
History of Emergency Medicine	p. 143
Scope of Emergency Medicine	p. 144
The Emergency Department	p. 146
Level I	p. 147
Level II	p. 147
Level III	p. 147
Level IV	p. 147
Overcrowded Emergency Departments	p. 148
Approaches to Relieving ED Overcrowding	p. 149
Freestanding EDs	p. 150
Categorization and Designation	p. 151
Trauma Care	p. 152
Trauma Care System	p. 153
The Trauma Center	p. 154
Specialty Referral Centers	p. 156
Trauma Registry	p. 156
EMTALA Legislation	p. 157
Critical Care Transport	p. 158
Expanded Scope of Practice and Services	p. 159
System Finances	p. 162
System Finance	p. 163
System Organization	p. 165
Nongovernmental Organizations	p. 165
Government Services	p. 166
Volunteer Companies	p. 166
Sources of Funds	p. 166
Nongovernmental Organizations	p. 167
Government Services	p. 168
Volunteer Organizations	p. 169
Financing Other EMS Components	p. 170
Accounting and Budgeting	p. 173
Nongovernmental For-Profit Company	p. 173
Government Services	p. 173
Nonprofit and Volunteer Organizations	p. 174
Issues for the Future	p. 175
Legislation and Regulation	p. 176
Overview of Legislation and Regulation	p. 177
The Federal Legislative Role	p. 179
Legislation	p. 180
Funding	p. 181
EMTALA	p. 183
Federal Regulations	p. 184
Congressional EMS Caucus	p. 185
Federal Lead Agency	p. 185
The State Role	p. 187
Components of a State Lead Agency	p. 188
State Legislation	p. 189
Model State EMS Systems	p. 190
Advocacy	p. 190
Public Education and Injury Prevention	p. 193
Introduction	p. 194
Forms of Public Education	p. 195
Benefits of Public Education	p. 197
Public Education Process	p. 197
Public Service Announcements	p. 200
Public Education and Technology	p. 200
Injury Prevention	p. 200
The Injury Event	p. 201
Injury Types	p. 202
Falls	p. 205
Drownings	p. 205
Poisonings	p. 206
Violence	p. 206
Motor Vehicle Crashes	p. 206
Bicycle Crashes	p. 207
Injury Prevention Concepts	p. 207
Interventions	p. 208
Surveillance	p. 209
EMS and Injury Prevention	p. 209
Developing an Injury Prevention Program	p. 212
Emergency Medical Services and Disaster Response	p. 215
Disasters	p. 216
What Is a Disaster?	p. 217
Natural Disasters	p. 218
Technological Disasters	p. 219
Disaster Management	p. 220
Mitigation	p. 222
EMS Role	p. 222
Hazards	p. 222
Hazard Analysis	p. 223
Preparedness	p. 224
EMS Role	p. 224
Response	p. 226
EMS Role	p. 226
Incident Command System	p. 227
Recovery	p. 231
EMS Role	p. 231
Mass Events	p. 232
Federal Role in Disasters	p. 233
Presidential Declaration of a Disaster	p. 233
Federal Role and EMS	p. 234
Information Systems and Evaluation	p. 238
Information Systems	p. 239
Strategic Information Planning	p. 239
Information System Integration	p. 241
Information System Design Considerations	p. 242
Data Formats	p. 244
Data Collection Tools	p. 245
Paper Forms	p. 245
Stationary Computer Workstations	p. 247
Field Computers	p. 247
Mobile Data Terminals	p. 248
Data Collection	p. 249
Data Validation	p. 250
Data Transfer, Secure Storage, and Analysis	p. 250
Data Usage	p. 251
Quality and Performance Evaluation	p. 252
Quality, Cost, and Performance	p. 252
Measuring Overall Performance	p. 252
High-Performance EMS Systems	p. 254
Leadership System	p. 255
Strategic Quality Planning	p. 255
Information and Analysis	p. 257
Process Assurance and Improvement	p. 259
Scope of Performance Improvement Efforts	p. 261
Research	p. 264
What Is Research?	p. 265
Why Do Research?	p. 265
Improve Patient Care	p. 265
Improve the System	p. 266
Understand the System	p. 266
Reduce Hazards	p. 266
Provide Legal Protection	p. 266
Improve the Profession	p. 267
Introduction to the Scientific Method	p. 267
Statistics	p. 267
Research Design	p. 269
Quantitative and Qualitative Methods	p. 269
Observational Studies	p. 270
Interventional Study	p. 270
Double-Blind, Randomized Control Study	p. 270
Quasi-Experiment	p. 271
The Research Study	p. 272
Identify the Problem or Question	p. 272
Review the Literature	p. 273
Formulate a Hypothesis	p. 274
Define Your Team	p. 274
Design the Study	p. 275
Controlling for Bias	p. 276
Sample Size	p. 277
Perform the Study	p. 277
Analyze the Data	p. 278
Use the Information	p. 278
Share the Findings	p. 278
Future Challenges	p. 279
Using Research in EMS	p. 280
Glossary	p. 283
Index	p. 299
Table of Contents provided by Ingram. All Rights Reserved.

Amazon no longer offers textbook rentals. We do!

Foundations of Ems Systems

Foundations of Ems Systems

9781435480278

1435480279

Summary

Table of Contents

Supplemental Materials

Write a Review

Amazon no longer offers textbook rentals. We do!

Foundations of Ems Systems

Foundations of Ems Systems

9781435480278

1435480279

Summary

Table of Contents

Supplemental Materials

Write a Review

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