TAILIEUCHUNG - mosby paramedic (1)

9/10/20121Chapter Systems: .Roles, Responsibilities, .and Professionalism2Lesson System .Development3Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Objectives.• Outline key historical events that influenced .the development of emergency medical .services (EMS) systems• Identify the key elements necessary for .effective EMS systems operations• Outline the five components of the EMS .Education Agenda for the Future: A Systems .Approach1EMS System Development.• Before 20th century.– Ancient Egyptians.– Military used first organized prehospital care .– Civilian ambulance service established in .Cincinnati, New York City in 1860s1EMS System Development.• Ancient Egyptians.– Used herbs, drugs as medicine.– Splinted fractured bones.– Performed surgeries.– Edwin Smith papyrus.– Referred to pulsation of heart, palpation, .abnormal motor functions associated with .brain injury1Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning System Development.• Military used first organized prehospital care .– Covered cart was first ambulance.– Moved injured soldiers during Napoleonic wars1EMS System Development.• Twentieth century.– Civil War.– WW I.– WW II.– Korean War.– Vietnam War.– Iraq War1EMS System Development.• Civil War.– Railroads used to evacuate casualties.– Army still used ambulances.– Death rates high.– Germs were unknown cause of infection.– Barns used as hospitals.– Army set up Medical Corps.– System‐wide approach with ambulances .on © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning System Development.• WW I .– Poor planning, excessive evacuation times.– High mortality rates.– Most died of hemorrhagic shock.– No antibiotics .– Blood transfusions introduced.– Thomas half‐ring femur splint considered best .trauma System Development.• WW II .– Evacuation time: 4–6 hours.– Antibiotics developed.– Plasma/blood transfusions common.– Hospitals closer to front line.– Fixed‐wing air transport began1EMS System Development.• Korean War .– Evacuation time: 2–4 hours.– Helicopter evacuation introduced.– Electrolyte solution use.– Better antibiotics.– Surgical hospital closer to front lines1Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning System Development.• Vietnam War.– Casualties taken directly from front lines to .surgical hospital by helicopter.– Evacuation time: 35 minutes.– Average time to surgery: 1–2 hours.• Iraq War.– Tourniquets reintroduced.– Hemostatic agents developed.– CAB concept System Development.• Early 20th century to mid‐1960s.– Care delivered mostly by urban, hospital‐based .systems.– Developed into municipal services.– Funeral directors provided care.– Little training in emergency care.– Minimal stabilization at scene.– Mostly System Development.• 1966, white paper, Accidental Death and .Disability: The Neglected Disease of .Modern Society .– Recommendations to improve care for victims.– Eleven directly related to EMS1Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company5.

• Sáng kiến kinh nghiệm
• Mosby's paramedic
• Mosby's paramedic textbook
• Medical terminology
• EMS systems
• Acute interventions
• Home care
• EMS system development
• Current health care reform
• Prehospital patient care repor
• Patient care report
• Emergency medical services
• Narrative section
• Hazardous materials awareness
• Scope of hazardous materials
• Paramedic’s practice
• Claim of negligence
• Well‐being of the paramedic
• Physical fitness
• Components of wellness