Emergency Medical Responder
Emergency Medical Responder (EMR) -: The first medically trained person to arrive on
the scene of an emergency
Emergency Medical Technician (EMT) -: Trained to provide basic life support and
perform other noninvasive procedures
Basic Life Support (BLS) -: Emergency lifesaving procedures used to stabilize patients
BLS unit -: A properly equipped vehicle and EMT staff
Paramedic -: Persons trained and certified to provide advanced life support
Advanced Life Support (ALS) -: Use of specialized equipment to stabilize patients
Emergency Department -: Patient's third contact with EMS system.
Ten Standard Components of an EMS System -: -Regulation and policy
-Resource management
-Human resources and training
-Transportation equipment and systems
-Medical and support facilities
-Communications system
-Public information and education
-Medical direction
-Trauma system and development
-Evaluation
Transport -: Patient's condition requires care by medical professionals, but speed is
not required. Patient is stable
Prompt transport -: Patient's condition is serious enough that they need to go to an
appropriate facility in a short period of time. Patient's condition may get worse and die
Rapid transport -: EMS personnel unable to give adequate life-saving care in the field.
Patient may die unless he/she is transported immediately to an appropriate medical
facility
Roles and Responsibilities of the EMR (16) -: -Respond promptly and safely to the
scene of an accident or sudden illness.
-Ensure that the scene is safe from hazards.
-Protect yourself.
-Protect the incident scene & patients from further harm.
,-Summon appropriate assistance.
-Gain access to the patient.
-Perform patient assessment.
-Administer emergency medical care.
-Provide reassurance to patients and family members.
-Move patients only when necessary.
-Seek and then direct help from bystanders, if necessary.
-Control activities of bystanders.
-Assist EMTs and paramedics as necessary.
-Maintain continuity of patient care.
-Document your care.
-Keep your knowledge and skills up to date.
Four goals of EMR training -: -Know what you should not do
-Know how to use your EMR Life Support Kit
-Know how to improvise
-Know how to assist other EMS providers
Documentation should be... -: -clear
-concise
-accurate
-readable
-according to the accepted policies of your organization
Documentation should include -: -The condition of the patient when found
-The patient's description of the injury or illness (c/c)
-Initial and later vital signs
-Treatment given
-The agency and personnel who took over treatment of the patient
-Any other helpful facts
Two types of medical direction: -: Indirect (off-line) medical control
Direct (online) medical control
Six components of the quality improvement process -: -Safety
-Effectiveness
-Patient-centeredness
-Timeliness
-Efficiency
-Equitability
Signs and symptoms of stress -: -Irritability
-Inability to concentrate
-Difficulty in sleeping or nightmares
-Anxiety, guilt, Indecisiveness
-Loss of appetite, interest in work and sexual relations
, -Alcohol and drug misuse or abuse
Critical incident stress management (CISM) -: -Pre-incident stress education
-on-scene peer support
-critical incident stress debriefings
Five stages of reaction to death and dying -: 1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
pre-incident stress education -: training about stress and stress reactions conducted
for public safety personnel before they are exposed to stressful situations
on-scene peer support -: Stress counselors at the scene of stressful incidents help to
deal with stress reduction
critical incident stress debriefing (CISD) -: A system of psychological support designed
to reduce stress on emergency personnel after a major stress-producing incident
Three most common routes for transmission of infectious diseases -: -Contact with
infected blood
-Contact with airborne droplets
-Direct contact with infectious agents
pathogens -: disease-causing agents spread through contact with infected blood
standard precautions -: -Always wear approved latex or nitrile gloves when handling
patients, and change gloves after contact with each patient.
-Wash, wash, wash your hands!
-Always wear a protective mask, eyewear or a face shield when you anticipate that
blood or other body fluids may splatter.
-Do not recap, cut or bend used needles. Put them in a sharps container.
-Never give mouth to mouth resuscitation, use a face shield, pocket mask or other
airway adjunct.
ENAMES -: Scene assessment:
Environmental dangers
Number of patients
Additional resources
Mechanism of illness
Extrication needs
Emergency Medical Responder (EMR) -: The first medically trained person to arrive on
the scene of an emergency
Emergency Medical Technician (EMT) -: Trained to provide basic life support and
perform other noninvasive procedures
Basic Life Support (BLS) -: Emergency lifesaving procedures used to stabilize patients
BLS unit -: A properly equipped vehicle and EMT staff
Paramedic -: Persons trained and certified to provide advanced life support
Advanced Life Support (ALS) -: Use of specialized equipment to stabilize patients
Emergency Department -: Patient's third contact with EMS system.
Ten Standard Components of an EMS System -: -Regulation and policy
-Resource management
-Human resources and training
-Transportation equipment and systems
-Medical and support facilities
-Communications system
-Public information and education
-Medical direction
-Trauma system and development
-Evaluation
Transport -: Patient's condition requires care by medical professionals, but speed is
not required. Patient is stable
Prompt transport -: Patient's condition is serious enough that they need to go to an
appropriate facility in a short period of time. Patient's condition may get worse and die
Rapid transport -: EMS personnel unable to give adequate life-saving care in the field.
Patient may die unless he/she is transported immediately to an appropriate medical
facility
Roles and Responsibilities of the EMR (16) -: -Respond promptly and safely to the
scene of an accident or sudden illness.
-Ensure that the scene is safe from hazards.
-Protect yourself.
-Protect the incident scene & patients from further harm.
,-Summon appropriate assistance.
-Gain access to the patient.
-Perform patient assessment.
-Administer emergency medical care.
-Provide reassurance to patients and family members.
-Move patients only when necessary.
-Seek and then direct help from bystanders, if necessary.
-Control activities of bystanders.
-Assist EMTs and paramedics as necessary.
-Maintain continuity of patient care.
-Document your care.
-Keep your knowledge and skills up to date.
Four goals of EMR training -: -Know what you should not do
-Know how to use your EMR Life Support Kit
-Know how to improvise
-Know how to assist other EMS providers
Documentation should be... -: -clear
-concise
-accurate
-readable
-according to the accepted policies of your organization
Documentation should include -: -The condition of the patient when found
-The patient's description of the injury or illness (c/c)
-Initial and later vital signs
-Treatment given
-The agency and personnel who took over treatment of the patient
-Any other helpful facts
Two types of medical direction: -: Indirect (off-line) medical control
Direct (online) medical control
Six components of the quality improvement process -: -Safety
-Effectiveness
-Patient-centeredness
-Timeliness
-Efficiency
-Equitability
Signs and symptoms of stress -: -Irritability
-Inability to concentrate
-Difficulty in sleeping or nightmares
-Anxiety, guilt, Indecisiveness
-Loss of appetite, interest in work and sexual relations
, -Alcohol and drug misuse or abuse
Critical incident stress management (CISM) -: -Pre-incident stress education
-on-scene peer support
-critical incident stress debriefings
Five stages of reaction to death and dying -: 1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
pre-incident stress education -: training about stress and stress reactions conducted
for public safety personnel before they are exposed to stressful situations
on-scene peer support -: Stress counselors at the scene of stressful incidents help to
deal with stress reduction
critical incident stress debriefing (CISD) -: A system of psychological support designed
to reduce stress on emergency personnel after a major stress-producing incident
Three most common routes for transmission of infectious diseases -: -Contact with
infected blood
-Contact with airborne droplets
-Direct contact with infectious agents
pathogens -: disease-causing agents spread through contact with infected blood
standard precautions -: -Always wear approved latex or nitrile gloves when handling
patients, and change gloves after contact with each patient.
-Wash, wash, wash your hands!
-Always wear a protective mask, eyewear or a face shield when you anticipate that
blood or other body fluids may splatter.
-Do not recap, cut or bend used needles. Put them in a sharps container.
-Never give mouth to mouth resuscitation, use a face shield, pocket mask or other
airway adjunct.
ENAMES -: Scene assessment:
Environmental dangers
Number of patients
Additional resources
Mechanism of illness
Extrication needs
