Bledsoe v1 ch01_lecture
- 1. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Paramedic Care: Principles & Practice Volume 1, 5e Chapter 1 Introduction to Paramedicine
- 2. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Standard • Preparatory (EMS Systems)
- 3. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Competency • Integrates comprehensive knowledge of EMS systems, the safety and well-being of the paramedic, and medical–legal and ethical issues, which is intended to improve the health of EMS personnel, patients, and the community.
- 4. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Introduction • Emergency Medical Services (EMS) • Paramedic: – Highly trained health care professional – Provides comprehensive, compassionate, efficient prehospital emergency medical care
- 5. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Figure 1-1 The paramedic of the twenty-first century is a highly trained health care professional.
- 6. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Introduction • Description of the Profession – Levels of EMS Providers Emergency Medical Responder (EMR): immediate lifesaving care to critical patients. Emergency Medical Technician (EMT): basic emergency medical care; transportation for critical and emergent patients.
- 7. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Introduction • Description of the Profession – Levels of EMS Providers Advanced Emergency Medical Technician (AEMT): basic and limited advanced emergency medical care; transportation for critical and emergent patients. Paramedic: advanced emergency medical care for critical and emergent patients; complex decision making.
- 8. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Introduction • The Modern Paramedic – Encompass the disciplines of health care, public health, and public safety – Provides emergency medical care in out-of-hospital setting – Makes accurate independent judgments – Has appropriate licensing or credentialing
- 9. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Figure 1-2 Modern EMS is a combination of public health, public safety, and health care.
- 10. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Introduction • The Modern Paramedic – Functions under direction of EMS system's medical director – Knowledge, skills, attitudes consistent with expectations of public and profession – Component in continuum of care
- 11. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Introduction • The Modern Paramedic – Link between health resources – Maintains high-quality health care at reasonable cost – Advocates for patient – Ensures patient receives best possible care without regard to ability to pay or insurance status
- 12. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Introduction • The Modern Paramedic – Public education, health promotion, participation in injury and illness prevention programs – Mobile integrated health care (community paramedicine): function outside customary emergency response and transport roles
- 13. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Introduction • Paramedic Characteristics – Flexible – Confident leader – Excellent judgment – Prioritizes decisions – Develop rapport with wide variety of patients – Functions independently
- 14. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Introduction • The Paramedic: A True Health Professional – Continuing education programs – Reviews and practice skills and procedures – Peer evaluation – Active role in professional and community organizations
- 15. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Figure 1-5a Public education is an important part of the paramedic’s job.
- 16. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Introduction • The Paramedic: A True Health Professional – National Emergency Medical Services Education Standards: Paramedic Instructional Guidelines – Participates in research – Acceptance and adherence to code of professional ethics and etiquette
- 17. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Introduction • The Paramedic: A True Health Professional – Emergency patient always the primary concern – Cross training: fire fighter and police officer; participate in rescue operations, directing traffic, and other tasks on emergency scene
- 18. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Expanded Scope of Practice • 911 response • Critical care transport • Helicopter air ambulance • Tactical EMS
- 19. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Expanded Scope of Practice • Mobile integrated health care • Industrial medicine • Sports medicine • Corrections • Hospital emergency departments
- 20. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Expanded Scope of Practice • Critical care transport (CCT): vehicles to move patients between facilities. – Specialized ground ambulances – Fixed-wing aircraft – Helicopters – Large vehicles mounted on truck chassis
- 21. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Figure 1-6 The modern critical care transport vehicle provides virtually all the capabilities of the hospital intensive care unit.
- 22. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Expanded Scope of Practice • Helicopter Air Ambulance (HAA) – Staff with two medical crew members and often include paramedics. – Flight paramedic typically will respond to both scene calls and interfacility transfers.
- 23. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Figure 1-8 The helicopter has become an important part of the modern EMS system. (© REACH Air medical Services, LLC)
- 24. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Expanded Scope of Practice • Tactical EMS – Enhance safety of special operations personnel and public – Cross trained as police officers; carry weapons – Life-saving care (dangerous environments); patient safely evacuated to EMS
- 25. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Expanded Scope of Practice • Mobile Integrated Health Care – In close contact with medical direction, provide care at scene without transport to hospital – Specialized crews to periodically assess and monitor high-risk patients in community
- 26. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Expanded Scope of Practice • Industrial Medicine – Safety inspection – Accident prevention – Medical screening of employees – Vaccinations and immunizations – Increased employee safety – Decreased time lost from work
- 27. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Figure 1-11 The industrial paramedic provides several important services in addition to emergency care.
- 28. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Expanded Scope of Practice • Sports Medicine – Injury prevention – Injuries specific to sports • Corrections Medicine – Initial prisoner medical intake assessment – Oversee medical needs of prison population; emergencies
- 29. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Expanded Scope of Practice • Hospital Emergency Departments – Role varies state to state – Assist medical and nursing staff with skills and responsibilities within scope of paramedicine
- 30. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Summary • EMS recognized as staple in health care system. • Paramedics identified as underutilized medical experts. • As scope of practice for paramedicine continues to expand, so will demand for skilled practitioners.
- 31. Copyright © 2017, 2013, 2009 Pearson Education, Inc. All Rights Reserved. Bryan E. Bledsoe Richard A. Cherry Robert S. Porter Summary • Paramedic first member of health care system with whom patient interacts. • Results can affect patient's opinion of health care system in general. • EMS is a profession in which you can make a difference. • Every call and every patient interaction has the potential to make the difference between life and death.
Editor's Notes
- #5: Teaching Tips Before starting the Introduction, ask students to list on the board what roles the paramedic serves, and how they help the public.
- #7: Discussion Topics List the four levels of EMS, what each level can do, and the skills each level is not permitted to perform.
- #13: Class Activities Ask students to list all the illness and injury prevention programs they can think of. Discuss with them the ways they can participate in these programs as paramedics. Examples include but are not limited to: - DARE - Safety Town - Bike Rodeos - Blood Pressure Screenings - MADD - Mock Auto Accidents at Schools - First Aid/CPR - Babysitting Courses - No Texting and Driving
- #14: Class Activities Have students give examples of situations where they had to be flexible in their job. Class Activities Have students list skills they learned as EMTs that they have not used since class. If time permits, pull that equipment out and have a few students attempt to use it only by memory.
- #15: Class Activities Have one student change into a dirty shirt (an old shirt that you provide, spill coffee on it, ink stains, etc.) and perform a patient assessment. Have another student perform an assessment using a poor attitude and no listening skills. Discuss with students their initial impressions. Class Activities Have students give examples of how they can review their performance. Take students through a mock run review using an imaginary call that you make up.
- #17: Teaching Tips Just briefly touch on research, since this will be discussed in later chapters. Focus on the changes research initiated, such as CPR and compressions first, O2 for chest pain/MI patients with low PSO2 saturations, rapid transport, and decreased scene time for stroke victims and trauma victims, etc.
- #18: Teaching Tips Stress to students that, even if they are cross trained, they will be providing only one service at a time.
- #19: Teaching Tips See if you can have a paramedic who is trained in extended scope of practice speak to students briefly about their positions.
- #20: Teaching Tips See if you can have a paramedic who is trained in extended scope of practice speak to students briefly about their positions.