AEMT Chapter 1 Introduction to Advanced EMT.pptx

AEMT Chapter 1

1. Advanced E M T: A Clinical-Reasoning Approach Second Edition Update Chapter 1 Introduction to Advanced Emergency Medical Technician Practice Copyright © 2025, 2017, 2011 Pearson Education, Inc. All Rights Reserved

2. Advanced E M T Education Standard Applies fundamental knowledge of the E M S system, safety/well-being of the Advanced E M T , and medical/legal and ethical issues to the provision of emergency care.

3. Learning Objectives 1.1 Define key terms introduced in this chapter. 1.2 Describe the competencies, roles, responsibilities, and professional characteristics of the Advanced E M T. 1.3 Describe the scope of practice of the Advanced E M T. 1.4 Place the roles and responsibilities of the Advanced E M T in the larger contexts of emergency medical services (E M S), health care, and public health . 1.5 Discuss key issues in the contemporary practice of the Advanced E M T, including professionalism, the focus on patient safety, research, and evidence-based practice .

4. Think About It How should Jane and Kevin proceed? What are their overall goals in managing this situation? What knowledge and skills do you think Jane and Kevin will be calling on?

5. Introduction A E M T s are a critical part of the emergency medical services (E M S). provide comfort, emergency medical care, and transportation. provide a link between patients and the health care and public health systems.

6. E M S and E M S Providers Initially, training focused on patients in M V C s and/ or cardiac arrest. Over time training has evolved to meet new demands in E M S in a variety of situations.

7. Figure 1 - 1 Advanced E M T s work in a variety of settings.

8. The Contemporary E M S Profession (1 of 4) E M S knowledge defined in documents published by N H T S A. National E M S Core Content National E M S Scope of Practice National E M S Education Standards

9. The Contemporary E M S Profession (2 of 4) E M T Oath and E M T Code of Ethics describe the professional conduct expected of E M S personnel. E M S providers must be aware of activities and agendas of major E M S state and national professional agencies and organizations.

10. The Contemporary E M S Profession (3 of 4) E M S Agenda for the Future (1996) envisions E M S playing a much more important role in health care mobile integrated healthcare (M I H) community paramedicine (C P) Planning for the Future: EMS Agenda 2050 EMS provide important roles in assessment, health education, and health services Using technology to improve response, diagnosis, and care

11. The Contemporary E M S Profession (4 of 4) Figure 1-4 E M S is developing and growing to include additional components of health care and public health. Source: E M S Agenda 2050 Technical Expert Panel. (2019, January). E M S Agenda 2050: A People-Centered Vision for the Future of Emergency Medical Services (Report No. D O T H S 812 664). Washington, D C: National Highway Traffic Safety Administration. https://www.ems.gov/issues/planning-for-the-future-ems-agenda-2050/

12. E M S Provider Levels (1 of 5) Four nationally recognized levels of E M S providers Emergency medical responder (E M R) Emergency medical technician (E M T) Advanced emergency medical technician (A E M T) Paramedic

13. E M S Provider Levels (2 of 5) Emergency Medical Responders (E M R s) Provide simple, noninvasive treatments while awaiting arrival of higher trained personnel identify and manage life threats basic airway skills, C P R, A E D, bleeding control manual immobilization

14. E M S Provider Levels (3 of 5) Emergency Medical Technicians (E M T s) Provide emergency medical care and transportation. Use basic equipment supplied on an ambulance. Play a variety of roles in E M S systems. Trained to assess patients.

15. E M S Provider Levels (4 of 5) Advanced E M T (A E M T s) Training includes all knowledge and skills of E M R s and E M T s. Able to provide limited number of advanced life support (A L S) interventions. Must practice within the Scope of Practice approved by state and E M S service physician medical director.

16. E M S Provider Levels (5 of 5) Paramedics Allied health care professionals who provide complex assessments and interventions for critical and emergent patients. Complex understanding of anatomy, physiology, pathophysiology, and treatment modalities.

17. Advanced E M T Roles and Responsibilities (1 of 7) Advanced E M T’s authorization to practice is based on state legislation employer policies and procedures guidance by a physician medical director

18. Advanced E M T Roles and Responsibilities (2 of 7) Emergency vehicle readiness and operations Emergency vehicle must be in good mechanical repair and driven safely. Vehicle must have adequate amount of required equipment and supplies.

19. Figure 1 - 5 Advanced E M T responsibilities include making sure equipment and the emergency vehicle are prepared to respond to emergency calls.

20. Advanced E M T Roles and Responsibilities (3 of 7) Safety responsibilities own safety, and safety of coworkers, patients, and others medical errors account for between 44,000 and 98,000 deaths annually Cost of medical errors can reach 29 billion annually EMS is not immune to medical errors

21. Figure 1-6 Teamwork is required to integrate the tasks of patient care and patient transportation.

22. Box 1-1: Select E M S Tasks with High Risk for Errors and Patient Injury Transferring care from one provider to another at the scene or at the hospital Communicating, either in writing or verbally Identifying and using medications Assessing and managing the airway Lifting and moving patients Responding and transporting by ambulance Assessing the need for and taking spinal precautions Source: O’Connor, R. E., C. M. Slovis, R. C. Hunt, R. G. Pirallo, and M. R. Sayre. 2002. “Eliminating Errors in Emergency Medical Services: Realities and Recommendations.” Prehospital Emergency Medicine 6, no. 1: 107–13.

23. Box 1-2: Ways to Minimize the Risk of Mistakes and Patient Injury Maintain current knowledge and competence in skills. Make the environment as conducive as possible to quality care (maximize space and light, minimize distractions). Have a clear understanding of protocols. Organize drugs to minimize mistakes. Reflect on actions and question assumptions. Obtain feedback on performance. Ask for help when needed (contact medical direction, consult with your partner). Source: O’Connor, R. E., C. M. Slovis, R. C. Hunt, R. G. Pirallo, and M. R. Sayre. 2002. “Eliminating Errors in Emergency Medical Services: Realities and Recommendations.” Prehospital Emergency Medicine 6, no. 1 (January–March): 107–13.

24. Advanced E M T Roles and Responsibilities (4 of 7) Scene leadership, management, teamwork Be confident and in control Be empathetic Carry out the plan

25. Advanced E M T Roles and Responsibilities (5 of 7) Patient assessment and management Ability to assess and manage patients who have a variety of illnesses and injuries, from minor to critical. Be aware of the most current trends and practices in E M S. Be willing to discard outdated knowledge and practice to add new ones. spinal motion restriction vs. spinal immobilization practices

26. Advanced E M T Roles and Responsibilities (6 of 7) Maintaining certification or licensure Individual professional obligation of each health care provider Requirements include documentation of mandatory continuing education activities medical director verification of skills submission of C P R card payment of a fee

27. Figure 1-7 Advanced E M T s work closely with other health care and public safety providers.

28. Advanced E M T Roles and Responsibilities (7 of 7) Working with other public safety and health care personnel Emergency medical services are cross-disciplinary; both public safety and health care personnel. Strive to maintain cooperative relationships with other professionals.

29. Advanced E M T Professional Characteristics (1 of 2) Professional characteristics defined by Expectations of public Professional group itself Other related professional groups Most visible way patients and families can judge professionalism is through interactions with them

30. Advanced E M T Professional Characteristics (2 of 2) Integrity Empathy Self-motivation Appearance and hygiene Self-confidence Communications Time management Teamwork Patient advocacy Careful delivery of service

31. Figure 1-8 Why is it so important that E M S personnel wear uniforms? Appearance and demeanor are critical elements of professionalism.

32. Chapter Summary A E M T s are an essential part of E M S and of the health care and public health systems. A E M T s are health care professionals of whom the public has high expectations.

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