1 - Introduction To EMS Systems

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Emergency Medical

Service System and


the EMR

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Objectives
Upon completion of this lesson, you will be able to:

1. Define the emergency medical services


(EMS) system.
2. Enumerate the 10 components of the EMS
system.
3. Define Emergency Medical Responder (EMR).

Emergency Medical Responder Course SL 2-1


Rev. March 2014
2
Objectives
4. Discuss the historical background of the
development of the EMS system.
5. Describe the levels of EMS training.
6. Enumerate the different EMS models.
7. Enumerate and discuss the duties and
professionalism of EMS personnel.

Emergency Medical Responder Course SL 2-2


Rev. March 2014
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Emergency Medical Services (EMS)
System
The chain of human resources and services
linked together to provide continuous
emergency care from the onset of care at the
prehospital scene, during transport, and on
arrival at the medical facility.

Emergency Medical Responder Course SL 2-4


Rev. March 2014
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A network of resources linked
together for the purpose of providing
emergency care and transport to
victims of sudden illness or injury.

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Components of EMS System
• Regulation and Policy
• Resource Management
• Human Resources and Training
• Transportation
• Facilities
• Communications
• Public Information and Education
• Medical Direction
• Trauma System
• Evaluation
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History of Emergency Medical Services
(1 of 3)

• Emergency care developed during warfare at


the beginning of the 20th century.
• By the 1960s, domestic emergency care
lagged behind.
• Staffed emergency departments were often
limited to large urban areas.
History of Emergency Medical Services
(2 of 3)

• Accidental Death and Disability: The


Neglected Disease of Modern Society (1966)
– Recommended:
• Development of training
• Development of federal guidelines and policies
• Provide emergency care and transport
• Establish staffed emergency departments
History of Emergency Medical Services (3 of 3)

• Highway Safety Act and the


Emergency Medical Act created
funding
• DOT developed the first National
Standard Curriculum for training EMTs
in the early 1970s
• EMS established in most of the United
States by 1980
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Star of Life

Emergency Medical Responder Course SL 2-7


Rev. March 2014
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• The symbol applies to all emergency medical goods
and services which are funded under the DOT/EMS
programs.
• Designed by Leo R. Schwartz, chief of the EMS
Branch, National Highway Traffic Safety
Administration(NHTSA)
• The first Symbol was an Omaha Orange Cross on a
square background of reflectorized white.
• The “Star of Life” was created after the American
Red Cross complained in 1973.

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Levels of EMS Training

Emergency Medical Responder Course SL 2-5


Rev. March 2014
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Emergency Medical Responder

Emergency Medical Responder Course SL 2-5


Rev. March 2014
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Emergency Medical Technician
(EMT)

Emergency Medical Responder Course

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Advance Emergency Medical Technician
(AEMT)

Emergency Medical Responder Course 17


Paramedic

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Emergency Medical Responder

They are usually the first medically trained


personnel to reach the patient.

Emergency Medical Responder Course SL 2-6


Rev. March 2014
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Duties of EMR
 Protect your safety and safety of your
crew, the patient, and bystanders.
Gain access to the patient.
Assess the patient to identify life
threatening problems.
Alert additional EMS resources.
Provide care based on assessment
findings.
Duties of EMR
Assist other EMS personnel.
Participate in record keeping & data
collection as received.
Act as liaison with other public safety
workers.
Perform patient packaging & preparation
for movement & transport.
EMS Models
1. Fire-based
2. Third-service
3. Hospital-based

Emergency Medical Responder Course SL 2-8


Rev. March 2014
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Activating EMS

Emergency Medical Responder Course SL 2-9


Rev. March 2014
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EMS in the Bureau of Fire Protection

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EMS in the Bureau of Fire Protection

1992 – Emergency Medical responses started through the


leadership of Ret. Gen. Mario Tanchangco
- Using L300 vans as response vehicle.

- Oplan Sagip Buhay (DILG)

1998 – thru Project EARnet 117, BFP-EMS was activated


- through the leadership of Ret. Gen. Francisco Senot

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EMS in the Bureau of Fire Protection

In line with its objective to serve the


people better, the command activated the
Emergency Medical Rescue Service (EMRS)
which delivers free rescue and ambulance
services to the people from all walks of life
in all kinds of emergency.

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• Each central fire stations and District Fire
Stations has its own Medical Service Unit
manned by highly trained Paramedics and
Nurses and state-of-the-art ambulances and
rescue vans similar to those being used by
Rescue 911 in the United States.

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• The command has a total of 25 ambulances and
rescue vans in its line force ready to be
dispatched during fire alarms and other
emergency calls with its staff of expert
paramedics prepared to conduct first aid and
rescue operations.

• To easily avail the immediate service of BFP-NCR


EMS, as well as fire protection and suppression
service, the public is advised to call the hotline
number 117

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Basic Equipment of the MFR
Basic personal protective equipment (PPE)
 Latex gloves
 Personal Mask
 Eye Protection
 Gown
 CPR mask

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Basic Equipment of the MFR
Basic equipment for pre-hospital care
 Backboard
 Dressings
 Cervical collars
 Bandages
 Sheets

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Objectives
Upon completion of this lesson, you will be able to:

1. Define the emergency medical services


(EMS) system.
2. Enumerate and differentiate the 10
components of the EMS system.
3. Define Emergency Medical Responder (EMR).

Emergency Medical Responder Course SL 2-10


Rev. March 2014
32
Objectives
4. Discuss the historical background of the
development of the EMS system.
5. Describe the levels of EMS training.
6. Enumerate the different EMS models.
7. Enumerate and discuss the duties and
professionalism of EMS personnel.

Emergency Medical Responder Course SL 2-11


Rev. March 2014
33

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