EMT Notes PDF

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Summary

EMT course day 1 notes...

Description

Contact Information Sean Graves 

Main teacher

Lauren Hartnett 

Email: [email protected]

Kevin Mahoney 

Person to ask if above two can’t handle something

Materials  

Sat May 29, 2021 o Glen Oaks - 10am to Noon Wednesday June 2, 2021 o John Jay – 5pm to 7pm

Certification  

Will be valid for 3 years. After that, recertification Basic Life-support protocols o A reference document o What you are doing when you are with patients o Will be emailed as a pdf

“Arms” of Program  

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Textbook is primary source of learning o Will be expected to remember and understand material LMS takes the textbook to the next level. You will begin to apply knowledge and analyze correct clinical pathway o We do not have access yet; email will be sent out tmw (5/27/21) o Learning Management System o Has modules that have lectures with LMS next to them Zoom session = mostly case-based discussions o Algorithmic way to respond to patients will be taught

Textbook (Website: https://www2.jblearning.com/my-account/login)   

Has sections, each of which has chapters Tests will be on sections Back of chapters have questions o There are slides that go with every chapter, and the slides have the answers to the questions

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How to Study: use knowledge objectives at the beginning of chapters to review

Practice Skill Sessions 

Glen Oaks VAC: o 257-02 Union Turnpike

Exams and Grades 

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 FEMA

Exams: o 8 sections (25 to 50 questions per test; online) – 50% o Midterm (100 questions on sections 1 to 6; online) – 20% o Final (in-person) – 30% Passing GPA = 75% o Also have to pass the Practical Skill Exam (which are at Glen Oaks VAC), and pass NYS Certifying Exam with 70% This is what the interface looks like and how to login: Grou p/Cla ss

Number: G#11 EMT-Original NYS Exam o Liner exam o 110 Questions Multiple Choice – You come out of testing center EMT o 2.5 hours o 70% passing o You can retake the NYS Exam twice National Registry Exam o For contract work or if you are going to move to another state

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Training.fema.gov ICS 100, IS 200, IS 5.a, IS 700 Email to: [email protected] o Include full name and class # in subject line and make sure they are pdfs Fifth form: Mandated Reporter Resource Center o Include this in the email to Sean along with the FEMA certificate

Payment (7:21pm) 

Vouchers – $300 Admin fee; Signed Voucher o Within the next week

Course Documents (7:25pm)    

Deadline: Wednesday Will be emailed tomorrow Policies and procedures First Document: o NYS Student Application

Unit 1: Emergency Medical Services (EMS)     

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Lots of branches in EMS Korean War – EMS had big spike in its theory Napoleon’s chief general conceptualized the idea of taking a battlefield casualty, and put them into a vehicle (horse-drawn carriage), and delivered them to higher level care Money needed for American Healthcare System – however, ER and the EMTs care for everyone regardless of socioeconomic status EMS took shape during the 1950s to 1960s o Early EMS run by funeral directors (because they had stretchers) – EMS was focused on transport rather than care o Early EMS had no real training The Feds take notice o “The White Paper”  Real Name: Accidental Death and Disease smth smth  Whole report that was presented to the US Congress, which causes a federal act to be passes: High Safety Act of 1966  There was a problem, the White Paper was the answer to this problem  Congress solved this problem with the Highway Safety Act  ***Birthed the EMS in 1966 o Highway Safety Act of 1966  Places EMS under NHTSA (National Highway Traffic Safety Administration; pron: nitsa) and DOT  Was not good – didn’t create a uniform, national system, or anything  The problem this act solved was people dying on the highway o Another act: Emergency Medical Service Development Act of 1973  Mandated states to develop their own EMS  States start to get money  The TV show “Emergency” inspired the Congress to take this action Levels of Care – Each level has a scope of practice (the stuff you can do for a patient) o Paramedic – Advanced Life Support (AET and Paramedic) o Advanced Emergency Technician – Advanced Life Support o Emergency Medical Technician – have to be an EMT to transport a patient to a hospital; Basic Life Support o Emergency Medical Responder – Basic Life Support EMT vs Paramedic o Paramedic can read EKG o Paramedic can administer pain medication – ketamine, morphine, fentanyl o Paramedic can administer more medications in general When to talk to a doctor: o When patients refuse care, and they are in dire need o Clarification of protocols Continuous Quality Improvement (CQI)

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o PCR (Patient Care Report) -> QA/QI -> Training Director and Medical Director -> Retraining  Medical Director – top person on an agency. QA/QI can flag a PCR, and if serious enough, the Medical Director decides what to do, and could lead to retraining or removal Things EMTs do on a call o Answer call that are dispatched; stabilize and treat patient within scope of practice o Collect billing information from patients o Facilitate hand of to hospital staff o Complete a Patient Care Report (PCR) for every call o Keep up to date with policies National EMS Scope of Practice Model o The National Highway Traffic Safety Administration releases this every yearish o Scope of Practice = State Law EMS Agenda 2050 o A people-centered vision for the future of Emergency Medical Services

Medical and Trauma 4 Pillars of Assessment    

Scene Size up Primary Assessment Second Assessment Reassessment (ongoing)

Scene Size Up     

“I have my BSI” (Body substance isolated) “Is my scene safe” “What is my MOI/NOI?” (Mechanism of injury/nature of illness) “How many patients do I have?” Call for additional resources (e.g., ALS, More BLS, PD, FD)

Primary Assessment LISA (purpose of practicing, can be in scene size up)   

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Obvious Life Threats Impression of patient – age, sex, position found, and repeat MOI/NOI Spine – the EMT will make a decision to have a partner hold the C-spine o Temporarily must hold the patients head before we know what is going on *if someone has fallen AVPU (Mental Status) – Alert, Voice, Pain, Unresponsive

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What’s your name? Where are you right now? What time is it? Baseline Mental Status: AO x3

ABCD     

Airway Breathing Circulation Decision Report

Secondary Assessment  

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Past Medical History Vital Signs o Blood Pressure o Eyes o Respirations  Number of beats per minute (pulse rate), normal effort (quality), regular (regularity) o Pulse o Skin (CTC)  Color, temperature, and moisture (normal skin is pink, warm, and dry)  For people of darker pigmentation, check under their knees, lips, or under eyes Physical Exam (positives or negatives) Treatment o Use protocols to know what to do/what not to do

Reassessment (ongoing)  

The EMT will state how often they will reassess the patient (5 or 15 minutes) Final (verbal) hand off (report to the hospital)...