Note: Supplemental materials are not guaranteed with Rental or Used book purchases.
Purchase Benefits
What is included with this book?
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. |
The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.
The Used, Rental and eBook copies of this book are not guaranteed to include any supplemental materials. Typically, only the book itself is included. This is true even if the title states it includes any access cards, study guides, lab manuals, CDs, etc.