Emergency Medical Technician
The Emergency Medical Services, abbreviated EMS, was created to provide immediate medical attention to people (Purpose of EMS). The EMS has 6 principles they strive to follow which includes: “Early detection, Early reporting, Early response, Good on scene care, Care in transit and Transfer to definitive care” (Purpose of EMS). EMTs or Emergency Medical Technician(s) are trained workers in the EMS. They possess the basic knowledge and skills to stabilize and transport patients. Their purpose is to provide off-site emergency medical care and transportation for patients (Emergency Medical Technicians (EMT).
Historical Background In 1487, the Siege of Málaga was the first conflict where ambulances were used to carry the injured (The History of Ambulances). However, it was from Napoleon’s campaign which the current EMS system is derived from. Dominique-Jean Larrey, who was Napoleon’s physician, created a system designated for the transportation of those injured during battle (The Origins of EMS in Military Medicine). This system was carried over into the Civil War. During the American Civil War, Dr. Edward Dalton made improvements to the horse-drawn transports. His advancements included a hard-covered roof
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According to Prehospital Emergency Care, on duty EMTS are legally required to care for a patient who requires and consents to care (Mistovich&Karen). EMTs must remain in their scope of practice and have the appropriate license. Patient consent must be given, if the patient is a minor, consent must be given from a parent or legal guardian. They patient also can legally refuse or withdrawal treatment at any time. EMTs must follow advanced directives and legally EMTs must uphold patient confidentiality (Mistovich&Karen). EMTs can be legally protected if they have the proper documentation reported proving they followed their legal
One of Dr. Burditt arguments was that he was technically not ‘under contract’ with DeTar hospital, even though the opposite is true. On-call physicians must be made to realize that they are representing the hospital, not their private practice, therefore the hospital can be jointly liable for their actions. The procedure of providing follow up care for patients with an EMC also seem to be an issue due to its non -existence or inadequate knowledge on the part the ED staff in general and On-call doctors in particular. I recommend that:
Another thing that is in the job description is EMT training is available in most states and is offered by the fire, police, and health departments. As an EMT you have to be able to stay calm under intense pressure, but you have to be quick in getting to the victim and giving the right care, and also you have to have the right personality to be an EMT if you are stuck up and have a rude attitude then an EMT in not the job for you.
EMTALA stands for the Emergency Medical Treatment and Active Labor Act. Congress passed the legislation in 1986, making it a federal law. EMTALA states that anyone showing up into the Emergency Department of a Medicare payment receiving hospital, seeking medical attention, must be seen regardless of the individual’s ability to pay. Although, the law is directed towards Medicare accepting hospitals it addresses any and all people wanting medical attention. Relatively all hospitals in the United States participate in and receive monies from Medicare. That is relatively all hospitals in the U.S. are governed by the EMTALA legislation. The wording of “anyone” coming into an Emergency Department is EMTALA’s attempt to cover every person in the U.S. experiencing a medical crisis.
The medical advancements of WWI had a huge impact on the war; many soldiers’ lives were saved due to advances in medicine and the invention of the ambulance. The First World War had many casualties and deaths, many of these deaths were not caused by the “invisible soldier”. Most of the injuries in the war were caused by large explosions and gunshot wounds. With the invention of the ambulance, many soldiers were aided sooner rather than later, resulting in their lives being saved. At first ambulances encountered many problems that made them more of a hindrance than a help.
In the early 1900’s the United States’ medical field was stagnant causing many deaths in wartime. The majority of deaths in war times were often caused by diseases that were incurable. The United States medical field had to grow to current needs in war but it grew very slowly. The United States Army Ambulance Service was established on June 23, 1917 and the Sanitary Corps established one week later on the 30th. (David Steinert). The Sanitary Corps quickly expanded to nearly 3,000 officers during World War I but, this field was still much smaller than any other
They have implemented a new level of pre-hospital technician above a paramedic, called the community paramedic or the paramedic practitioner. It requires more education than the normal paramedic, but it greatly expands the role and ability to treat a whole spectrum of health problems. They would no longer only be there to treat emergencies; they would be able to help in everyday health issues. There are some critics of this program, Dr. Bryan Bledsoe,“ This use of advance paramedic practitioners holds promise, but it’s still to early to tell,” he says.
Limbs were being shattered and wounds were becoming infected and spreading throughout the body. Even though the Civil War was a gruesome time, many lifesaving procedures were born through it. Because of the high medical need during the American Civil War, necessary advances such as medical inventions, lifesaving procedures, and reconstructive surgery established the foundation for our current medical methods. Ambulances were further developed from the base model which already existed during the war. The ambulance’s main purpose was to speedily take injured soldiers from the battlefield to the medical and doctors in order to receive appropriate care.
3 different attributes for EMT are communication skills, time management, and teamwork. When it comes to communication skills and delivering to other people, I make sure to make sure to give out clear, quick commands to other people and make sure it is also delivered to other people if it needs to be. As well, I have a complete understanding and completion of any command that could be given to me. Time management is key to being able to move quickly and be able to take care of things in a quick matter. When it comes to me being able to managing time and assessing things, i am able to balance my school life. Like making sure things for school become finished and assessed first and then anything after comes next. What's most important comes
Wake County EMS responds to almost 90,000 requests for service annually and serves almost 1 million people, which places the WCEMS system in the top fifty EMS systems in the country based on call volume and size of population served. ("Wake county department," 2012) In response to ever-increasing call volume, a decrease in primary care, and the universal changes in healthcare, which have resulted in more people using EMS and the local emergency room for primary care and non-life threatening events, the EMS Department elected to change their service structure. The department would move away from the traditional EMS mantra of “you call we haul” and having a system being designed around reactive responses to healthcare issues in the community to an evidenced based incident prevention structure. No longer, would it be considered prudent or correct to just continue to add transport resources to address the increasing call volume and continue to place the actual burden of care on the local hospitals, it would become the burden of the EMS system to provide alternatives to properly address the actual healthcare needs of those who called 911. Wake County EMS had already utilized evidenced based ...
Growing up, I was never really sure what career would fit best for me. I didn’t know which direction I was going to take and I always ended up pushing it aside because truly, it scared me. Coming into high school, I ended up with multiple injuries – I sprained my left ankle twice and my right ankle once; I also ended up spraining my elbow. This all happened through cheerleading and lacrosse. I was continually going to the hospital and started to realize what my passion was – being in the medical field. My passion for being in the medical field grew even more when my brother married his girlfriend, Yuko. She happened to be a nurse, as well as my other brother who worked as a physical therapist. Though I didn’t know what field I necessarily wanted to go into, and I still am a little conflicted, I knew my heart was in the medical field. One that I’ve specifically looked into recently has been emergency room nurses.
I chose a career as a medical assistant because of the rewards I knew I would experience on a daily basis. Seeing a patient smile because I have helped them understand, or just making them feel comfortable with their visit, is just one of the many perks of my job. Upon graduating from an accredited college such as The College of Health Care Professions (CHCP), I now work for one of the most reputable hospitals in my area. Within two short years of committed studies, I obtained my associate of applied science degree, and then went on to obtain my certification as a medical assistant. There is nothing I have found more fulfilling, strong, secure, or rewarding then choosing to become a medical assistant,
Physician Assistant is a career choice that entails various specialties and flexibilities that attracts many. Those who desires a path to practice medicine as soon as possible, PA 's lateral mobility allows that to happen. Compared to medical school, PA school requires less time and amount less debt. As the population grows and chronic diseases spreads, The future projection of PA is growing faster than the average careers.
This attribute is important because it affects several aspects of EMS. Legislation and regulations can affect government funding, research, personnel credentials and their scope of practice (NHTSA, 1996). Within EMS systems, there is a lead federal agency as well a state level agencies. The federal leads nationwide EMS development, serves as a central source for federal EMS research and oversees development of national guidelines (NHTSA, 1996). State lead agencies oversee the statewide EMS system (NHTSA, 1996). According to the EMS Agenda, all states have laws that establish a statutory basis for EMS activities and programs (NHTSA, 1996). Legislation and regulation of EMS vary greatly between states. This makes it difficult for providers to practice in multiple areas. For example, the national protocol may differ from state law when regarding the administration of a medication. This means that EMS personnel are taught to practice one way but may contradict their local protocols. In order to improve EMS legislation and regulation, states governments must pass legislation that supports EMS advancements, integration of health services and EMS funding (NHTSA, 1996). This will enable the EMS to grow and become a more efficient health care
My overall learning experience during my preceptor shifts was amazing. The first day I walked into the Emergency Department for my shift, I was having anxiety through the roof and very nervous. I felt like I did not know anything and it was a completely new environment then I am use to. At this point I feel very comfortable in the environment and felt like I have gained the knowledge to be a competent nurse in practice. I owe a lot of the success I have had in the ED to my preceptor Sam. He was seriously great and very patient with me when I was trying to learn something. He really pushed me every day to be confident and comfortable taking care of patients on my own. I have gained a vast knowledge of skills, procedures, policies, documentation,
First Aid is the initial care for an illness or injury. First Aid is usually performed in emergency situations by a non-professional person. First Aid can be performed on animals although it is generally meant for the care of humans. Going back to the beginning of the practice of First Aid, it was first practiced by the religious knights in the Eleventh Century. Care was provided to the Pilgrims and Knights as well as training on how to care for common battle wounds. Aid came to a halt during the High Middle Ages and organizations were not seen again until 1859. A few years later, a few nations met in Geneva and formed what we know to be the Red Cross. The main purpose of the Red Cross was to give Aid to the sick and wounded soldiers during battle. In 1878, the formation of St. John Ambulance was put into effect. The ambulance was generally for aid to people in emergencies. Large railway centers, mining districts and police forces were the first to pair with ambulances. Also in 1878 the concept of teaching First Aid to civilians was announced. Surgeon-Major Peter Shepherd and Dr. Coleman performed the first First Aid class with a curriculum that they had formed. First Aid training began to grow in the UK with high risk activities.