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Introduction to Ems Systems,9780766819849
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Introduction to Ems Systems

by
Edition:
1st
ISBN13:

9780766819849

ISBN10:
0766819841
Format:
Paperback
Pub. Date:
8/1/2001
Publisher(s):
CENGAGE Delmar Learning

Questions About This Book?

What version or edition is this?
This is the 1st edition with a publication date of 8/1/2001.
What is included with this book?
  • 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 CDs, lab manuals, study guides, etc.

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Summary

Any student enrolled in a collegiate EMS course will benefit from this broad, contemporary overview of EMS with its real-world focus on the field provider. Readers will appreciate the case studies that introduce chapter topics, as well as the learning objectives, glossary of terms, and study questions that make learning easier. The material offers a national perspective and follows the fourteen attributes of a modern EMS system identified in the EMS Agenda for the Future. Whether you're studying to become an EMS provider or need a general EMS reference tool for your medical library, this book will meet your needs. Key features: *Focuses on pre-hospital delivery of EMS *Presents material in an historical perspective *Offers a national perspective on EMS *Follows the fourteen attributes of an EMS system presented in EMS Agenda for the Future *Provides perspective for the future (EMS, EMS Systems, history, Agenda for the Future, reference)

Table of Contents

Preface xv
About This Book xv
How To Use This Book xvi
About the Author xvi
Acknowledgements xvii
Contributors xviii
Reviewers xix
Foreword xxi
Introduction to Emergency Medical Systems
1(14)
The Emergency Medical Services System
4(4)
Components of an EMS System
5(1)
Communications
6(1)
Manpower
6(1)
Training of Personnel
6(1)
Use of Public Safety Agencies
6(1)
Transportation
6(1)
Mutual Aid Agreements
6(1)
Facilities
6(1)
Accessibility of Care
6(1)
Critical Care Units
6(1)
Transfer of Patients
7(1)
Standard Medical Record Keeping
7(1)
Independent Review and Evaluation
7(1)
Consumer Information and Education
7(1)
Consumer Participation
7(1)
Disaster Linkage
7(1)
Revision of the 15 Components
7(1)
Medical Direction
7(1)
System Finance
7(1)
Regulation and Policy
8(1)
Trauma Systems
8(1)
EMS Agenda for the Future
8(3)
The 14 Attributes of an EMS System
8(1)
Integration of Health Services
9(1)
EMS Research
9(1)
Legislation and Regulation
9(1)
System Finance
9(1)
Human Resources
9(1)
Medical Direction
9(1)
Education Systems
10(1)
Public Education
10(1)
Prevention
10(1)
Public Access
10(1)
Communication Systems
10(1)
Clinical Care
10(1)
Information Systems
10(1)
Evaluation
11(1)
Critical Patient Areas
11(1)
EMS Lead Agency
11(4)
History of Emergency Medical Systems
15(26)
History of Emergency Medical Systems
16(1)
Preindustrial Era 1616 --- 1850
16(5)
Resuscitation
19(1)
Anesthesia
20(1)
Transportation
20(1)
Industrial Era 1850 --- 1970
21(7)
Causes of Death
22(1)
First Aid Training
22(1)
Resuscitator Calls
23(1)
Motor Vehicle Injuries
23(1)
Transportation
24(1)
Military
25(1)
Cardiac Care
25(1)
Government Involvement
26(1)
EMS Development
27(1)
Modern Era (1970 --- Present)
28(13)
1970s
28(4)
1980s
32(1)
1990s
33(1)
Twenty-First Century
34(1)
Other Developments
35(6)
Legislation and Regulation
41(16)
Overview of Legislation and Regulation
42(2)
The Federal Role
44(6)
Legislation
45(1)
Funding
46(2)
COBRA Statute
48(1)
Federal Regulations
48(2)
Federal Lead Agency
50(1)
The State Role
50(7)
Components of a State Lead Agency
52(1)
State Legislation
53(4)
Human Resources
57(22)
Historical Background
59(1)
Prehospital Providers
60(5)
First Responder
60(1)
Emergency Medical Technician --- Basic
61(1)
Emergency Medical Technician --- Intermediate
61(1)
Emergency Medical Technician --- Paramedic
62(1)
Specialized Prehospital Providers
62(1)
Flight Paramedics and Nurses
62(3)
Critical Care Transport Specialists
65(1)
Wilderness EMT
65(1)
Specialized Response Providers
65(1)
Hospital - Based Providers
65(3)
Nurses
66(1)
Physicians
66(1)
Allied Health Professionals
67(1)
Other Providers
68(1)
Telecommunicators
68(1)
Emergency Medical Dispatcher
68(1)
Firefighters
68(1)
Police Officers
69(1)
Sources of Providers
69(2)
Volunteer Providers
69(1)
Career Providers
70(1)
Organized Labor in EMS
71(1)
Provider Stress
72(7)
Critical Incident Stress Management
73(6)
Transportation
79(20)
The Transportation Attribute
80(6)
Service Providers
80(1)
Fire Service
81(1)
Commercial Service
81(2)
Third Service
83(1)
Public Safety Agency
83(1)
Hospital Based
84(1)
First Responder
85(1)
Ambulance Trust
85(1)
Public Utility Model
86(1)
Integrated
86(1)
Delivery Systems
86(3)
Fixed - Post Staffing
86(1)
Event - Driven Staffing
87(2)
ALS Intercept
89(1)
Staffing Configuration
89(2)
BLS Staffing
89(1)
ALS Staffing
90(1)
Mobile Health Care
91(1)
EMS Vehicles
91(4)
Type I
92(1)
Type II
92(1)
Type III
93(1)
Medium Duty
94(1)
Air Medical Transport
95(1)
Ambulance Equipment
95(4)
Basic Level Provider Essential Equipment
96(1)
Advanced Level Provider Essential Equipment
96(3)
Medical Oversight
99(14)
Historical Background
100(2)
Models of Medical Oversight
102(7)
Indirect Medical Oversight
103(1)
System Design
103(1)
Protocols
103(1)
Education
104(3)
Quality Systems
107(1)
Direct Medical Oversight
108(1)
Regulation and Legislation
109(4)
Educational Systems
113(24)
Historical Background
114(1)
Controversies in EMS Education
115(1)
National Standard Curriculum
116(1)
The National EMS Education and Practice Blueprint
117(1)
EMS Education Agenda for the Future
118(2)
National EMS Core Content
118(1)
National EMS Scope of Practice Model
119(1)
National EMS Education Standards
119(1)
National EMS Education Program Accreditation
119(1)
National EMS Certification
119(1)
The National Registry of EMTs
120(1)
CoAEMSP
120(1)
Settings for EMS Education
121(4)
Hospitals
121(1)
Fire Departments
122(1)
Technical Centers
123(1)
Community Colleges
123(1)
Colleges and Universities
123(1)
Military
124(1)
Provider Courses
125(4)
First Responder
125(1)
Emergency Medical Technician --- Basic
126(1)
Emergency Medical Technician --- Intermediate
127(1)
Emergency Medical Technician --- Paramedic
128(1)
Specialized Courses
129(1)
Continuing Education and Refresher Training
129(3)
Technology in Education
132(1)
Asynchronous Learning
132(5)
Public Education
137(10)
Public Education
138(1)
Forms of Public Education
138(1)
Public Information
139(1)
Public Education
139(1)
Public Relations
139(1)
Benefits of Public Education
139(1)
Public Education Process
139(8)
Public Service Announcements
141(3)
Public Education and Technology
144(3)
Prevention
147(16)
Injury Process
148(1)
The Injury Event
148(2)
Injury Types
150(3)
Falls
150(1)
Drowning
151(1)
Poisonings
151(1)
Violence
152(1)
Motor Vehicles
152(1)
Bicycles
152(1)
Injury Prevention Concepts
153(2)
Interventions
154(1)
Surveillance
155(1)
EMS and Injury Prevention
155(8)
Developing an Injury Prevention Program
158(5)
Public Access
163(14)
Public Access
164(4)
911
165(2)
911 Operation
167(1)
Public Safety Answering Point (PSAP)
168(1)
Call Processing
168(4)
Call Taking
168(1)
Dispatch Center
169(1)
Dispatch Life Support
170(1)
Emergency Medical Dispatch
171(1)
Priority Dispatching
171(1)
Prearrival Instructions
171(1)
Nonemergency Access Numbers
172(1)
Pathways Management
172(2)
Public Education
174(3)
Communications
177(14)
Communications
179(3)
Role of Communications
180(1)
Occurrence
180(1)
Detection
181(1)
Notification
181(1)
Dispatch
181(1)
Prearrival Instructions
181(1)
Response
181(1)
Scene Communications
181(1)
Medical Communications
181(1)
Transport
181(1)
Hospital Arrival
182(1)
Return to Service
182(1)
Role of the Dispatcher
182(1)
Dispatcher Training
183(1)
Systems Communications Technology
183(5)
Systems Communications
183(3)
Medical Communications
186(1)
Cellular Communications
187(1)
Telemedicine
188(3)
Disasters
191(24)
Disasters
193(1)
What is a Disaster?
194(3)
Natural Disasters
195(1)
Technological Disasters
196(1)
Disaster Management
197(7)
Mitigation
198(1)
EMS Role
198(1)
Preparedness
199(1)
EMS Role
199(2)
Response
201(1)
EMS Role
201(1)
Recovery
202(1)
EMS Role
203(1)
Hazards
204(2)
Hazard Analysis
205(1)
Incident Command System
206(4)
Federal Role in Disasters
210(5)
Presidential Declaration of a Disaster
210(5)
Clinical Care
215(20)
Clinical Care
217(7)
History of Emergency Medicine
218(1)
Scope of Emergency Medicine
219(1)
The Emergency Department
219(4)
Freestanding EDs
223(1)
Categorization and Designation
224(1)
Trauma Care
225(4)
Trauma Care System
225(1)
The Trauma Center
226(1)
Specialty Referral Centers
227(1)
Trauma Registry
228(1)
COBRA Legislation
229(1)
Critical Care Transport
230(1)
Expanded Scope of Practice
231(1)
The Future
232(3)
Information Systems
235(14)
Information Systems
236(1)
Strategic Information Planning
236(2)
Information System Integration
238(1)
Information System Design Considerations
239(2)
Data Formats
241(1)
Data Collection Tools
241(2)
Paper Forms
242(1)
Stationary Computer Workstations
242(1)
Field Computers
243(1)
Data Collection
243(1)
Data Validation
244(1)
Data Transfer, Storage, and Analysis
244(1)
Data Usage
245(4)
System Finances
249(12)
System Finance
250(1)
System Organizations
251(1)
For-Profit Companies
251(1)
Government Services
251(1)
Not-for-Profit Companies
252(1)
Sources of Funds
252(4)
For-Profit Companies
252(2)
Government Services
254(1)
Not-for-Profit Companies
254(2)
Accounting and Budgeting
256(2)
For-Profit Company
256(1)
Government Services
257(1)
Not-for-Profit Companies
257(1)
Issues and Tension
258(3)
Evaluation
261(14)
Quality and Performance Evaluation
262(1)
Quality, Cost, and Performance
262(1)
Measuring Overall Performance
263(1)
High Performance EMS Systems
264(5)
Leadership System
265(1)
Strategic Planning
266(1)
Information and Analysis
267(2)
Process Assurance and Improvement
269(2)
Scope of Performance Improvement Efforts
271(4)
Research
275(16)
What is Research?
276(1)
Why do Research?
276(2)
Improve Patient Care
277(1)
Improve the System
277(1)
Reduce Hazards
277(1)
Provide Legal Protection
277(1)
Improve the Profession
278(1)
Introduction to the Scientific Method
278(1)
Statistics
278(1)
Research Design
279(3)
Observational Studies
280(1)
Interventional Studies
280(1)
Double-Blind, Randomized Control Study
280(1)
Quasi-Experiment
281(1)
The Research Study
282(5)
Identify the Problem or Question
282(1)
Review the Literature
282(1)
Formulate a Hypothesis
283(1)
Define Your Team
283(1)
Design the Study
284(1)
Controlling for Bias
285(1)
Sample Size
285(1)
Perform the Study
286(1)
Analyze the Data
286(1)
Use the Information
286(1)
Share the Findings
286(1)
Future Challenges
287(4)
Appendix A: EMS Systems Act of 1973 291(13)
Appendix B: Resource List 304(3)
Appendix C: Physician Medical Direction in EMS 307(18)
Appendix D: Creating an Injury Prevention Program 325(10)
Glossary 335(16)
Index 351


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