AAOS EMT Chapter 1 Terms: EMS Systems (Citrus College)

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Advanced EMT (AEMT)
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An individual who has training in specific aspects of advanced life support, such as intravenous therapy, and the administration of certain emergency medications
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Advanced life support (ALS)
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Advanced lifesaving procedures, some of which are now being provided by the EMT
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Americans With Disabilities Act (ADA)
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Comprehensive legislation that is designed to protect people with disabilities against discrimination
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Automated external defibrillator (AED)
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A device that detects treatable life-threatening cardiac dysrhythmias (ventricular fibrillation and ventricular tachycardia) and delivers the appropriate electrical shock to the patient
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Certification
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A process in which a person, an institution, or a program is evaluated and recognized as meeting certain predetermined standards to provide safe and ethical care.
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Community paramedicine
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A health care model in which experienced paramedics receive advanced training to equip them to provide additional services in the prehospital environment , such as health evaluations, monitoring of chronic illness or conditions, and patient advocacy.
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Continuous quality improvement (CQI)
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A system of internal and external reviews and audits of all aspects of EMS system.
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Emergency medical dispatch (EMD)
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A system that assists dispatchers in selecting appropriate units to respond to a particular call for assistance and provides callers with vital instructions until the arrival of EMS crews.
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Emergency medical responder (EMR)
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The first trained professional, such as a police officer, firefighters, lifeguards, or other rescuer, to arrive at the scene of an emergency to provide initial medical assistance.
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Emergency medical services (EMS)
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A multidisciplinary system that represents the combined efforts of serval professionals and agencies to provide prehospital emergency care to the sick and injured.
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Emergency medical technician
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An individual who has training in basic life support, including automated external defibrillation, use of definitive airway adjunct, and assisting patients with certain medications.
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Health Insurance Portability And Accountability Act (HIPPA)
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Federal legislation passed in 1996. Its main effect in EMS is in limiting availability of patients' health care information and penalizing violations of patient privacy
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Intravenous (IV) therapy
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The delivery of medication directly into a vein.
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Licensure
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The process whereby a competent authority, usually the state, allows people to perform a regulated act.
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Medical control
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Physician instructions given directly by radio or cellphone (online/direct) or indirectly by protocol/guidelines (off-line/indirect), as authorized by the medical director of the service program.
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Medical director
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The physician who authorized of delegates to the EMT the authority to provide medical care in the field.
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Mobile integrated healthcare (MIH)
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A method of delivering health care which involves providing health care within the community rather than at a physician's office or hospital.
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National EMS Scope of Practice Model
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A document created by the National Highway Traffic Safety Administration (NHTSA) that outlines the skills performed by various EMS providers.
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Paramedic
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An individual who has extensive training in advanced life support, including endotracheal intubation, emergency pharmacology, cardiac monitoring, and other advanced assessment and treatment skills.
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Primary prevention
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Efforts to prevent an injury or illness from ever occurring.
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Primary service area (PSA)
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The designated area in which the EMS agency is responsible for the provision of prehospital emergency care and transportation to the hospital.
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Public health
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Focused on examining the health needs of entire populations with the goal of preventing health problems.
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Public safety access point
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A call center, staffed by trained personnel who are responsible for managing requests for police, fire, and ambulance services.
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Quality control
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The responsibility of the medical director to ensure the appropriate medical standards re met by EMTs on each call.
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Secondary prevention
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Efforts to limit the effects of an injury or illness that you cannot completely prevent.
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