Foundations of EMS Systems / Edition 3 available in Paperback
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Foundations of EMS Systems / Edition 3
- ISBN-10:
- 1284041786
- ISBN-13:
- 9781284041781
- Pub. Date:
- 09/09/2016
- Publisher:
- Jones & Bartlett Learning
- ISBN-10:
- 1284041786
- ISBN-13:
- 9781284041781
- Pub. Date:
- 09/09/2016
- Publisher:
- Jones & Bartlett Learning
![Foundations of EMS Systems / Edition 3](http://img.images-bn.com/static/redesign/srcs/images/grey-box.png?v11.11.4)
Foundations of EMS Systems / Edition 3
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Overview
Product Details
ISBN-13: | 9781284041781 |
---|---|
Publisher: | Jones & Bartlett Learning |
Publication date: | 09/09/2016 |
Pages: | 308 |
Product dimensions: | 7.20(w) x 9.00(h) x 0.80(d) |
About the Author
Jason J. Zigmont PhD, Paramedic, is a learning innovator and founder of Learning in Healthcare. He has previously worked as the System Director of Learning Innovation for OhioHealth. In this role he provides leadership for an integrated clinical learning infrastructure that includes Simulation, Learning Consulting, Learning Management System and Continuing Medical Education (CME) and Nursing Continuing Education (CE). Jason served on the Society for Simulation in Healthcare’s Education committee and headed the sub-committee on preparation for the Certified Healthcare Simulation Educator. He holds a PhD in Adult Learning specifically focused on Experiential Learning. He is a paramedic and EMS instructor who has served in both paid and volunteer EMS and fire departments for over 15 years. He founded VolunteerFD.org, and was a regular columnist for JEMS. Jason’s mission in life is to improve healthcare through learning. His research focuses on creating learning initiatives that have demonstrated outcomes in clinical quality, customer service, work life and finance.
Table of Contents
Foreword xi
Preface xii
About the Authors xvi
Acknowledgments xvii
Introduction xviii
1 Introduction to Emergency Medical Systems 1
The Emergency Medical Services System 1
Components of an EMS System 3
Revision of the 15 Components 4
EMS Agenda for the Future 5
The 14 Attributes of an EMS System 6
Comparison of Components and Attributes 9
Critical Patient Areas 9
2 History of Emergency Medical Systems 12
History of Emergency Medical Systems 12
Preindustrial Era (1600-1850) 12
Resuscitation 16
Anesthesia 17
Transportation 18
Industrial Era (1850-1970) 19
Causes of Death 20
First Aid Training 20
Resuscitator Calls 21
Motor Vehicle Injuries 22
Transportation 22
Military 24
Cardiac Care 25
Government Involvement 26
EMS Development 27
Modern Era (1970-2000) 30
1970s 30
1980s 33
1990s 35
Twenty-First Century 36
September 11, 2001 37
Institute of Medicine Reports 38
Katrina and Disaster Response 38
Emergency Medical Direction in the Federal Government 38
FICEMS/NEMSAC 40
Ambulance Fee Schedule 40
EMS Caucus 41
Provider Levels and Training 41
Other Developments 41
Star of Life 42
3 Human Resources 46
Historical Background 46
Prehospital Provides 48
Emergency Medical Responder 48
Emergency Medical Technician 49
Advanced Emergency Medical Technician 50
Paramedic 51
Specialized Prehospital Providers 52
Hospital-Based Providers 54
Other Providers and System Personnel 56
Sources of Providers 60
Volunteer Providers 60
Career Providers 61
4 Educational Systems 65
Introduction 65
Controversies in EMS Education 67
National Standard Curriculum 68
EMS Education Agenda for the future 68
National EMS Core Content 68
National EMS Scope of Practice Model 70
National EMS Education Standards 73
National EMS Education Program Accreditation 74
National EMS Certification 74
The National Registry of EMTs 75
CoAEMSP 75
Settings for EMS Education 76
Hospitals 76
Fire Departments 77
Technical Centers 78
Community Colleges 79
Colleges and Universities 79
Military 80
Provider Courses 80
Specialized Courses 85
Continuing Education and Refresher Training 85
Technology in Education 86
Asynchronous Learning 88
Mobile Learning Applications 88
5 Transportation 91
The Transportation Attribute 91
Service Providers 92
Fire Service 92
Commercial Service 93
Third Service 95
Public Safety Agency 95
Police or Sheriff-Based Service 96
Hospital-Based Service 97
First Responder 97
Public Utility Model 98
Integrated System 99
Delivery Systems 99
Fixed-Post Staffing 99
Event-Driven Staffing 100
ALS Intercept 102
Interfacility Transport 102
Staffing Configuration 103
BLS Staffing 103
ALS Staffing 104
Mobile Health Care 105
EMS Vehicles 105
Type I 106
Type II 106
Type III 108
Medium Duty 109
Air Medical Transport 109
Alternative Transport Modes 111
Ambulance Equipment 111
6 Medical Oversight 114
Historical Background 114
Models of Medical Oversight 117
Indirect Medical Oversight 117
Direct Medical Oversight 125
Regulation and Legislation 126
7 Public Access and Communications 128
Public Access 128
9-1-1 129
9-1-1 Operation 130
Public Safety Answering Point 131
Call Procesing 132
Call Taking 132
Dispatch Center 133
Dispatch Life Support 133
Nonemergency Access Numbers 134
Pathway Management 135
Public Education 136
Communications 136
Role of Communications 137
Systems Communications Technology 139
Systems Communications 139
Medical Communications 141
Telemedicine 142
National Emergency Response Communication System 142
8 Clinical Care and Hospital Emergency Medicine 144
Clinical Care 144
History of Emergency Medicine 145
Scope of Emergency Medicine 146
The Emergency Department 146
Overcrowded Emergency Departments 150
Approaches to Relieving ED Overcrowding 151
Categorization and Designation 153
Trauma Care System 154
The Trauma Center 155
Specialty Referral Centers 156
Trauma Registry 157
EMTALA Legislation 158
Critical Care Transport 159
Expanded Scope of Practice and Services 160
9 System Finances 163
System Finance 163
System Organization 164
Nongovernmental Organizations 165
Governmental Services 166
Volunteer Companies 166
Sources of Funds 167
Nongovernmental Organizations 167
Governmental Services 168
Volunteer Organizations 169
Financing Other EMS Components 170
Accounting and Budgeting 173
Nongovernmental For-Profit Company 173
Governmental Services 173
Nonprofit and Volunteer Organizations 174
Issues for the Future 174
10 Legislation and Regulation 176
Overview of Legislation and Regulation 176
The Federal Legislative Role 179
Legislation 180
Funding 181
EMTALA 183
Federal Regulations 184
Congressional EMS Caucus 184
Federal Lead Agency 185
Field EMS Modernization and Innovation Act (2015) 186
Patient Protection and Affordable Care Act 187
The State Role 188
Components of a State Lead Agency 189
State Legislation 190
Model State EMS Systems 191
Advocacy 192
11 Public Education and Injury Prevention 194
Introduction 194
Forms of Public Education 196
Benefits of Public Education 198
Public Education Process 198
Public Service Announcements 200
Public Education and Technology 201
Injury Prevention 201
The Injury Event 202
Injury Types 203
Injury Prevention Concepts 207
Interventions 208
Surveillance 208
EMS and Injury Prevention 209
Developing an Injury Prevention Program 212
12 Emergency Medical Services and Disaster Response 215
Disasters 215
What is a Disaster? 216
Natural Disasters 217
Technological Disasters 218
Disaster Management 220
Mitigation 220
Preparedness 223
Response 225
Recovery 230
Mass Event 231
Federal Role in Disasters 231
Presidential Declaration of a Disaster 232
Federal Role and EMS 233
13 Information Systems and Evaluation 237
Information Systems 238
Strategic Information Planning 238
Information System Integration 239
Information System Design Considerations 240
Data Formats 242
Data Collection Tools 243
Data Collection 245
Data Validation 247
Data Transfer, Secure Storage, and Analysis 247
Data Usage 248
Quality and Performance Evaluation 249
Quality, Cost, and Performance 249
Measuring Overall Performance 249
High Performance EMS Systems 251
Leadership System 252
Strategic Quality Planning 252
Information and Analysis 253
Process Assurance and Improvement 255
Scope of Performance Improvement Efforts 257
14 Research 261
What is Research? 261
Why Research? 261
Improve Patient Care 262
Improve the System 262
Understand the System 262
Reduce Hazards 263
Provide Legal Protection 263
Improve the Profession 263
Introduction to the Scientific Method 263
Statistics 264
Research Design 265
Quantitative and Qualitative Methods 265
Observational Studies 266
Interventional Studies 266
The Research Study 268
Identify the Problem or Question 268
Review the Literature 269
Formulate a Hypothesis 269
Define The Team 270
Design the Study 271
Perform the Study 272
Analyze the Data 273
Use the Information 273
Share the Findings 273
Future Challenges 274
Using Research in EMS 274
Appendix: Fire and Emergency Services Higher Education (FESHE) Course Correlation Grid 277
Glossary 278
Index 298