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Foundations of Ems Systems,9781435480278
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Foundations of Ems Systems

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Edition:
2nd
ISBN13:

9781435480278

ISBN10:
1435480279
Format:
Paperback
Pub. Date:
5/19/2010
Publisher(s):
CENGAGE Delmar 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.

Table of Contents

Forewordp. xiii
Prefacep. xv
About the Authorsp. xx
Acknowledgmentsp. xxii
Feshe Correlationp. xxiv
Introductionp. xxv
Introduction to Emergency Medical Systemsp. 1
The Emergency Medical Services Systemp. 2
Components of an EMS Systemp. 3
Communicationsp. 4
Manpowerp. 4
Training of Personnelp. 4
Use of Public Safety Agenciesp. 5
Transportationp. 5
Mutual Aid Agreementsp. 5
Facilitiesp. 5
Accessibility of Carep. 6
Critical Care Unitsp. 6
Transfer of Patientsp. 6
Standard Medical Record Keepingp. 6
Independent Review and Evaluationp. 6
Consumer Information and Educationp. 6
Consumer Participationp. 6
Disaster Linkagep. 7
Revision of the 15 Componentsp. 7
Medical Directionp. 7
System Financep. 7
Regulation and Policyp. 7
Trauma Systemsp. 7
EMS Agenda for the Futurep. 8
The 14 Attributes of an EMS Systemp. 8
Integration of Health Servicesp. 9
EMS Researchp. 9
Legislation and Regulationp. 9
System Financep. 9
Human Resourcesp. 10
Medical Directionp. 10
Education Systemsp. 10
Public Educationp. 10
Preventionp. 11
Public Accessp. 11
Communication Systemsp. 11
Clinical Carep. 11
Information Systemsp. 11
Evaluationp. 11
Critical Patient Areasp. 12
History of Emergency Medical Systemsp. 14
History of Emergency Medical Systemsp. 15
Preindustrial Era (1600-1850)p. 15
Resuscitationp. 18
Anesthesiap. 20
Transportationp. 20
Industrial Era (1850-1970)p. 21
Causes of Deathp. 22
First Aid Trainingp. 22
Resuscitator Callsp. 23
Motor Vehicle Injuriesp. 23
Transportationp. 24
Militaryp. 26
Cardiac Carep. 27
Government Involvementp. 27
EMS Developmentp. 28
Modern Era (1970-2000)p. 31
1970sp. 31
1980sp. 34
1990sp. 35
Twenty-first Centuryp. 37
September 11, 2001p. 37
Institute of Medicine Reportsp. 38
Katrina and Disaster Responsep. 38
Emergency Medical Direction in the Federal Governmentp. 39
Federal Interagency Committee on EMS/National EMS Advisory Councilp. 40
Ambulance Fee Schedulep. 40
EMS Caucusp. 41
Provider Levels and Trainingp. 41
Other Developmentsp. 41
Human Resourcesp. 45
Historical Backgroundp. 46
Prehospital Providersp. 47
Emergency Medical Responderp. 47
Emergency Medical Technicianp. 49
Advanced Emergency Medical Technicianp. 49
Paramedicp. 50
Specialized Prehospital Providersp. 51
Flight Paramedics and Nursesp. 51
Critical Care Transport Specialistsp. 52
Wilderness EMTp. 52
Specialized Response Providersp. 53
Hospital-Based Providersp. 53
Nursesp. 53
Physiciansp. 54
Allied Health Professionalsp. 55
Other Providers and System Personnelp. 55
Telecommunicatorsp. 55
Emergency Medical Dispatcherp. 56
Firefightersp. 56
Police Officersp. 57
EMS Managersp. 57
EMS Educatorsp. 57
Sources of Providersp. 58
Volunteer Providersp. 59
Career Providersp. 60
Educational Systemsp. 63
Introductionp. 64
Controversies in EMS Educationp. 65
National Standard Curriculump. 66
EMS Education Agenda for the Futurep. 67
National EMS Core Contentp. 67
National EMS Scope of Practice Modelp. 67
National EMS Education Standardsp. 72
National EMS Education Program Accreditationp. 73
National EMS Certificationp. 73
The National Registry of EMTsp. 74
CoAEMSPp. 74
Settings for EMS Educationp. 75
Hospitalsp. 75
Fire Departmentsp. 76
Technical Centersp. 78
Community Collegesp. 78
Colleges and Universitiesp. 78
Militaryp. 79
Provider Coursesp. 80
Specialized Coursesp. 80
Continuing Education and Refresher Trainingp. 84
Technology in Educationp. 86
Asynchronous Learningp. 88
Transportationp. 90
The Transportation Attributep. 91
Service Providersp. 91
Fire Servicep. 91
Commercial Servicep. 92
Third Servicep. 94
Public Safety Agencyp. 94
Police or Sheriff-Based Servicep. 95
Hospital-Based Servicep. 95
First Responderp. 96
Public Utility Modelp. 97
Integrated Systemp. 97
Delivery Systemsp. 98
Fixed-Post Staffingp. 98
Event-Driven Staffingp. 98
ALS Interceptp. 100
Interfacility Transportp. 101
Staffing Configurationp. 101
BLS Staffingp. 102
ALS Staffingp. 102
Mobile Health Carep. 103
EMS Vehiclesp. 104
Type Ip. 105
Type IIp. 106
Type IIIp. 107
Medium Dutyp. 107
Air Medical Transportp. 107
Alternate Transport Modesp. 109
Ambulance Equipmentp. 109
Basic Level Provider Essential Equipmentp. 109
Advanced Level Provider Essential Equipmentp. 110
Medical Oversightp. 112
Historical Backgroundp. 113
Models of Medical Oversightp. 115
Indirect Medical Oversightp. 116
System Designp. 116
Protocolsp. 117
Educationp. 121
Quality Systemsp. 121
Direct Medical Oversightp. 123
Regulation and Legislationp. 124
Public Access and Communicationsp. 126
Public Accessp. 127
9-1-1p. 127
9-1-1 Operationp. 128
Public Safety Answering Pointp. 129
Call Processingp. 131
Call Takingp. 131
Dispatch Centerp. 131
Dispatch Life Supportp. 132
Emergency Medical Dispatchp. 132
Priority Dispatchingp. 133
Prearrival Instructionsp. 133
Nonemergency Access Numbersp. 133
Pathway Managementp. 133
Public Educationp. 134
Communicationsp. 135
Role of Communicationsp. 135
Occurrencep. 136
Detectionp. 136
Notificationp. 136
Dispatchp. 137
Prearrival Instructionsp. 137
Responsep. 137
Scene Communicationsp. 137
Medical Communicationsp. 137
Transportp. 137
Hospital Arrivalp. 137
Return to Servicep. 138
Systems Communications Technologyp. 138
Systems Communicationsp. 138
Medical Communicationsp. 139
Telemedicinep. 140
Clinical Care and Hospital Emergency Medicinep. 142
Clinical Carep. 143
History of Emergency Medicinep. 143
Scope of Emergency Medicinep. 144
The Emergency Departmentp. 146
Level Ip. 147
Level IIp. 147
Level IIIp. 147
Level IVp. 147
Overcrowded Emergency Departmentsp. 148
Approaches to Relieving ED Overcrowdingp. 149
Freestanding EDsp. 150
Categorization and Designationp. 151
Trauma Carep. 152
Trauma Care Systemp. 153
The Trauma Centerp. 154
Specialty Referral Centersp. 156
Trauma Registryp. 156
EMTALA Legislationp. 157
Critical Care Transportp. 158
Expanded Scope of Practice and Servicesp. 159
System Financesp. 162
System Financep. 163
System Organizationp. 165
Nongovernmental Organizationsp. 165
Government Servicesp. 166
Volunteer Companiesp. 166
Sources of Fundsp. 166
Nongovernmental Organizationsp. 167
Government Servicesp. 168
Volunteer Organizationsp. 169
Financing Other EMS Componentsp. 170
Accounting and Budgetingp. 173
Nongovernmental For-Profit Companyp. 173
Government Servicesp. 173
Nonprofit and Volunteer Organizationsp. 174
Issues for the Futurep. 175
Legislation and Regulationp. 176
Overview of Legislation and Regulationp. 177
The Federal Legislative Rolep. 179
Legislationp. 180
Fundingp. 181
EMTALAp. 183
Federal Regulationsp. 184
Congressional EMS Caucusp. 185
Federal Lead Agencyp. 185
The State Rolep. 187
Components of a State Lead Agencyp. 188
State Legislationp. 189
Model State EMS Systemsp. 190
Advocacyp. 190
Public Education and Injury Preventionp. 193
Introductionp. 194
Forms of Public Educationp. 195
Benefits of Public Educationp. 197
Public Education Processp. 197
Public Service Announcementsp. 200
Public Education and Technologyp. 200
Injury Preventionp. 200
The Injury Eventp. 201
Injury Typesp. 202
Fallsp. 205
Drowningsp. 205
Poisoningsp. 206
Violencep. 206
Motor Vehicle Crashesp. 206
Bicycle Crashesp. 207
Injury Prevention Conceptsp. 207
Interventionsp. 208
Surveillancep. 209
EMS and Injury Preventionp. 209
Developing an Injury Prevention Programp. 212
Emergency Medical Services and Disaster Responsep. 215
Disastersp. 216
What Is a Disaster?p. 217
Natural Disastersp. 218
Technological Disastersp. 219
Disaster Managementp. 220
Mitigationp. 222
EMS Rolep. 222
Hazardsp. 222
Hazard Analysisp. 223
Preparednessp. 224
EMS Rolep. 224
Responsep. 226
EMS Rolep. 226
Incident Command Systemp. 227
Recoveryp. 231
EMS Rolep. 231
Mass Eventsp. 232
Federal Role in Disastersp. 233
Presidential Declaration of a Disasterp. 233
Federal Role and EMSp. 234
Information Systems and Evaluationp. 238
Information Systemsp. 239
Strategic Information Planningp. 239
Information System Integrationp. 241
Information System Design Considerationsp. 242
Data Formatsp. 244
Data Collection Toolsp. 245
Paper Formsp. 245
Stationary Computer Workstationsp. 247
Field Computersp. 247
Mobile Data Terminalsp. 248
Data Collectionp. 249
Data Validationp. 250
Data Transfer, Secure Storage, and Analysisp. 250
Data Usagep. 251
Quality and Performance Evaluationp. 252
Quality, Cost, and Performancep. 252
Measuring Overall Performancep. 252
High-Performance EMS Systemsp. 254
Leadership Systemp. 255
Strategic Quality Planningp. 255
Information and Analysisp. 257
Process Assurance and Improvementp. 259
Scope of Performance Improvement Effortsp. 261
Researchp. 264
What Is Research?p. 265
Why Do Research?p. 265
Improve Patient Carep. 265
Improve the Systemp. 266
Understand the Systemp. 266
Reduce Hazardsp. 266
Provide Legal Protectionp. 266
Improve the Professionp. 267
Introduction to the Scientific Methodp. 267
Statisticsp. 267
Research Designp. 269
Quantitative and Qualitative Methodsp. 269
Observational Studiesp. 270
Interventional Studyp. 270
Double-Blind, Randomized Control Studyp. 270
Quasi-Experimentp. 271
The Research Studyp. 272
Identify the Problem or Questionp. 272
Review the Literaturep. 273
Formulate a Hypothesisp. 274
Define Your Teamp. 274
Design the Studyp. 275
Controlling for Biasp. 276
Sample Sizep. 277
Perform the Studyp. 277
Analyze the Datap. 278
Use the Informationp. 278
Share the Findingsp. 278
Future Challengesp. 279
Using Research in EMSp. 280
Glossaryp. 283
Indexp. 299
Table of Contents provided by Ingram. All Rights Reserved.


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