Emergency Health Services (EHS) Combined Study Guide

Chapter 1: Bolded Terms: - EMS: - emergency services system - EMR: - provides immediate lifesaving care to patients - EMT: - provides basic emergency medical care and transportation to patients - AEMT: - provides both basic and limited advanced emergency medical care and transportation to patients - Paramedic: - includes the skills performed by the EMT and AEMT with the addition of more advanced assessment and patient management skills and provision - Prehospital care: - emergency medical treatment given to patients before they are transported to a hospital or other facility - Americans with Disabilities Act (ADA): - protects individuals who have a documented disability from being denied initial or continued employment based on their disability - Medical oversight: - responsibilities of the EMS system’s medical director - Indirect medical oversight: - routine duties and responsibilities of the EMS medical director, including the creation of protocols and standing orders - Direct medical oversight: - real-time oversight or medical direction provided by a physician to an EMS provider seeking immediate feedback or direction; can be online or on-scene - On-line medical direction: - direct orders from a physician to a prehospital care provider given by radio or telephone - On-scene: - medical direction provided by an EMS medical director physician who is on scene with the EMS crew - Medical director: - physician who is legally responsible for the clinical and patient care aspects of an EMS system - Medical direction: - medical policies, procedures, and practices that are available to EMS providers either off-line or on-line - Protocols: - policies and procedures for all components of an EMS system - Off-line medical direction: - medical policies, procedures, and practices that medical direction has established in written guidelines - Standing orders: - preauthorized treatment procedures; a type of treatment protocol - Quality improvement (QI): - system of internal and external reviews and audits of an EMS system to ensure a high quality of care - Evidence-based medicine: - medical practice based on scientific evidence that certain procedures, medications, and equipment improve patient outcome - Evidence-based guidelines: - development of medical guidelines based on scientific evidence and research studies - Mobile integrated healthcare (MIH): - provision by a variety of health care entities and practitioners of patient-centered health care in the out-of-hospital environment using mobile technology and resources and integrated administratively or clinically with the EMS system - Community paramedicine (CP): - services provided by the EMS agency and personnel that are administratively and clinically integrated with other health care entities