Paramedicine Minimum Test Scores: Degree Diploma ATC Uses the Accuplacer Exam for Measuring Proficiency in Reading, Writing and Math
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EMS Medical Director Guidebook
Medical Director Guidebook May 2016 Maine Emergency Medical Services Department of Public Safety 152 State House Station Augusta, ME 04333 www.maine.gov/ems Authors Christopher Paré, Paramedic J. Matthew Sholl, M.D., M.P.H. Eric Wellman, Paramedic Contributors Jay Bradshaw Jonnathan Busko, MD Myles Block, Paramedic Emily Carter, Paramedic Marlene Cormier, M.D. Shawn Evans, Paramedic Kevin Kendall, M.D. Rick Petrie, Paramedic Tim Pieh, M.D. Kerry Pomelow, Paramedic Mike Schmitz, D.O. Nate Yerxa, Paramedic Table of Contents Foreword 1 The Maine EMS System Structure 2 Legal Aspects & System Rules 6 EMS Systems 18 Maine EMS Medical Director Qualifications 23 Medical Oversight 31 EMS Personnel & Providers 36 EMS Operations 38 Interfacility Patient Transport 49 EMS Education 51 Grants & System Funding 55 Quality Assurance & System Improvement 57 Maine EMS Protocols & Standing Orders 65 Appendix A: Disaster Planning 70 Appendix B: Wilderness EMS 80 Appendix C: Tactical EMS 82 Appendix D: Death Situations for Medical Responders 83 Appendix E: Maine EMS Scope of Practice by License Level 88 Appendix F: Maine EMS Interfacility Transport: Decision Tree and Scope of Practice for Transfer by 93 License Level Appendix G: Recommended Service Policies 99 Appendix H: Checklist for the new medical director 100 References 101 Glossary of Acronyms 103 Index 104 FOREWORD The Maine EMS Medical Director’s Guidebook was designed to provide physicians and EMS services with direction on how to navigate the Maine EMS system. Our goal with this guidebook is to educate and in- form all users of the system to the role of EMS physician medical direction. -
Paramedic Treatment Protocols
Paramedic Treatment Protocols West Virginia Office of Emergency Medical Services EMS Protocols Paramedic Treatment Protocol TABLE OF CONTENTS Preface Acknowledgments Using the Protocols INITIAL TREATMENT / UNIVERSAL PATIENT CARE TRAUMA 4100 Severe External Bleeding 4101 Selective Spinal Immobilization 4102 Chest Trauma 4104 Abdominal Trauma 4105 Musculoskeletal Trauma 4106 Head Trauma 4107 Hypoperfusion / Shock 4108 Traumatic Arrest 4109 Burns 4110 Eye Injuries 4111 Tranexamic Acid (TXA) 4112 CARDIAC 4200 Chest Pain 4202 Severe Hypertension 4203 Cardiac Arrest 4205 Tachycardia 4208 Symptomatic Bradycardia 4211 Right Ventricular AMI 4213 Return of Spontaneous Circulation - ROSC 4214 RESPIRATORY 4300 Bronchospasm 4302 Pulmonary Edema 4303 Inhalation Injury 4304 Airway Obstruction 4305 PEDIATRIC 4400 Medical Assessment 4401 Hypoperfusion / Shock 4402 Seizures 4403 Child Neglect / Abuse 4404 Sudden Infant Death Syndrome 4405 Cardiac Arrest 4406 West Virginia Office of Emergency Medical Services – Statewide Protocols Page 1 of 3 Paramedic Treatment Protocol TABLE OF CONTENTS Cardiac Dysrhythmias 4407 Trauma Assessment 4408 Fever 4409 Newborn Infant Care 4410 Pediatric Diabetic Emergencies 4411 Allergic Reaction / Anaphylaxis 4412 Bronchospasm 4413 ENVIRONMENTAL 4500 Allergic Reaction / Anaphylaxis 4501 Heat Exposure 4502 Cold Exposure 4503 Snake Bite 4504 Near Drowning / Drowning 4505 MEDICAL 4600 Hypoperfusion / Shock 4601 Stroke / TIA 4602 Seizures 4603 Diabetic Emergencies 4604 Unconscious / Altered Mental Status 4605 Overdose / Ingestion -
Emergency Medical Services EMT and Paramedicine
DIVISION OF HEALTH SCIENCES STUDENT HANDBOOK AND POLICY MANUAL With the EMS Programs Addendum Revised by faculty in April 2020 for the 2020-2021 Academic Year Table of Contents SECTION I: Introduction and Overview .........................................................................................7 Division of Health Sciences Mission Statement and Overview ..........................................8 Mission .....................................................................................................................8 Philosophy................................................................................................................8 Core Values ..............................................................................................................8 Division of Health Science Goals ........................................................................................9 Division of Health Sciences Program Accrediting Agencies ............................................10 SECTION II: Division of Health Sciences Policies ......................................................................12 Section A: Academic Policies ............................................................................................12 A.1.0 Attendance ...................................................................................................12 A.2.0 Student Progress ...........................................................................................12 A.3.0 Testing Policy ..............................................................................................13 -
Paramedicine Role Descriptions
Paramedicine Role Descriptions The following paramedical role descriptors have been developed by Paramedics Australasia to provide an introduction to the current clinical roles within Paramedicine in Australia and New Zealand. Within Paramedicine there are a variety of different clinical roles and scopes of practice. This work covers the broad classifications of professional, technical and communications streams of practice. Due to the current absence of national regulation in Australia and New Zealand, the scope of practice for individuals engaged within Paramedicine varies between jurisdictions, practice settings and engaging organisations. The different legislative frameworks in Australia and New Zealand give rise to local variations in practice such as, for example, controlled substances legislation. A paramedic serving in the Australian or New Zealand Defence Forces operates in accordance with the activities for which they have been given the authority to perform. This is determined by the individual’s education and competence, the environment in which they practice and the requirements of the relevant defence service. For those seeking employment within Paramedicine it is important to be aware that each organisation sets its own employment criteria and selects applicants on merit. The clinical roles currently found within Paramedicine are described below. PROFESSIONAL STREAM • Paramedic (Paramedic) • Intensive Care Paramedic (ICP) • Retrieval Paramedic (RP) • General Care Paramedic (GCP) TECHNICAL STREAM • First Responder (FR) • Patient Transport Attendant – Level 1 (PTA1) • Patient Transport Attendant – Level 2 (PTA2) • Basic Life Support Medic (BLSM) AMBULANCE COMMUNICATIONS STREAM • Emergency Medical Dispatch Support Officer (EMDSO) • Emergency Medical Dispatcher (EMD) Descriptor Sections Other vocational titles: A list of vocational titles used by Australasian paramedical services: public, private and defence. -
Kern County Sheriff's Office Search and Rescue Policies and Procedures Table of Contents
KERN COUNTY SHERIFF'S OFFICE SEARCH AND RESCUE POLICIES AND PROCEDURES ______________________________________________________________________________ TABLE OF CONTENTS ______________________________________________________________________________ A -- INTRODUCTION A-100 Introduction-Mission Statement A-110 Manual Revisions A-200 Definitions A-300 Organizational Structure B -- RESPONSIBILITIES OF PERSONNEL B-100 Duties of Search and Rescue Coordinator B-200 Duties of Search and Rescue Members C -- SELECTION OF SEARCH AND RESCUE MEMBERSHIP C-100 Selection of Members C-200 Probationary Period C-300 Leave of Absence C-400 Termination D -- SEARCH AND RESCUE RANK STRUCTURE D-100 Rank Structure and Responsibilities D-200 Rank Insignia E -- SEARCH AND RESCUE TRAINING E-100 Training E-200 Training Forecast E-300 Training Documentation F -- SEARCH AND RESCUE MEETINGS F-100 Meetings Page 1 of 1 _____________________________________________________________________________ TABLE OF CONTENTS ______________________________________________________________________________ G -- ADMINISTRATIVE POLICIES G-100 Call-Out Procedures - In County G-200 Call-Out Procedures - Mutual Aid G-300 Aircraft Operations G-400 Incident Command System G-500 Uniforms and Appearance G-600 Donations and Grants G-700 Discipline G-800 Firearms G-900 Injuries G-1000 Media Relations G-1100 Medical Responsibilities G-1200 Member Compensation G-1300 Vehicle Operation G-1400 SAR BLS Policy Page 2 of 2 Page 3 of 3 KERN COUNTY SHERIFF'S OFFICE SEARCH AND RESCUE POLICIES AND PROCEDURES -
CEMS Paramedic Ambulance CFD Rescue Squad Conclusions
CEMS Paramedic Ambulance CFD Rescue Squad Annual cost with topped out medics: Annual cost with topped out firefighters: $664,082 $1,370,349 Personnel per ambulance: 2 Firefighters per rescue squad: 4 Top out paramedic pay: $60,254 Firefighter top out pay: $63,683 Vehicle Cost 2020: $276,930 Vehicle Cost 2020: $676,943 Dual response with CFD: YES Dual response with CEMS: YES Statistics for 2012 (the last year rescue squads transported) Total ambulances: 15 Total rescue squads: 4 Total patient transports: 63,444 Total patient transports: 649 Average annual transports per unit: 4,229 Average annual transport per unit: 162 Average transports per unit per day: 11.5 Average transports per unit per day: 0.4 Paitents transported by ambulance in 2012 1% 99% CEMS transports Rescue transports Conclusions: While they provide important technical rescue capabilities such as collapse, water, and rope rescue, CFD Rescue Squads are not an efficient means of providing ambulance transport to the hospital. Although the annual cost of each CFD Rescue Squad is double the cost of CEMS ambulance, all 4 rescue squads combined transported only 1% of the patient volume during 2012, the last year that Rescue Squads provided patient transport services. Heavy and Technical Rescue Units across the United States Heavy Rescue or Technical Rescue Units are often elite units where members are specially trained in many disciplines such as rope rescue, scuba, swift water rescue, advanced auto extrication, and collapse rescue. Many are assigned to respond to every working fire and technical rescue incident. There are slight variations on this model, as illustrated by some examples below. -
MASS CASUALTY TRAUMA TRIAGE PARADIGMS and PITFALLS July 2019
1 Mass Casualty Trauma Triage - Paradigms and Pitfalls EXECUTIVE SUMMARY Emergency medical services (EMS) providers arrive on the scene of a mass casualty incident (MCI) and implement triage, moving green patients to a single area and grouping red and yellow patients using triage tape or tags. Patients are then transported to local hospitals according to their priority group. Tagged patients arrive at the hospital and are assessed and treated according to their priority. Though this triage process may not exactly describe your agency’s system, this traditional approach to MCIs is the model that has been used to train American EMS As a nation, we’ve got a lot providers for decades. Unfortunately—especially in of trailers with backboards mass violence incidents involving patients with time- and colored tape out there critical injuries and ongoing threats to responders and patients—this model may not be feasible and may result and that’s not what the focus in mis-triage and avoidable, outcome-altering delays of mass casualty response is in care. Further, many hospitals have not trained or about anymore. exercised triage or re-triage of exceedingly large numbers of patients, nor practiced a formalized secondary triage Dr. Edward Racht process that prioritizes patients for operative intervention American Medical Response or transfer to other facilities. The focus of this paper is to alert EMS medical directors and EMS systems planners and hospital emergency planners to key differences between “conventional” MCIs and mass violence events when: • the scene is dynamic, • the number of patients far exceeds usual resources; and • usual triage and treatment paradigms may fail. -
Paramedic Physical Demands Analysis
Paramedic Shysical Gemands Dnalysis Prepared by: %UHQGDQ&RIIH\5HQpH0DF3KHHDQGSteve Fischer Queen’s University 8QLYHUVLW\$YH .LQJVWRQ21 ./1 3:*6&&RQWUDFW1XPEHU&663&' &RQWUDFWScientific Authority: Doug Socha DRDC Centre for Security Science 613-947-1113 The scientific or technical validity of this Contract Report is entirely the responsibility of the Contractor and the contents do not necessarily have the approval or endorsement of the Department of National Defence of Canada. DRDC-RDDC-2014-C JuO\2014 IMPORTANT INFORMATIVE STATEMENTS CSSP-2013-CD-1088Paramedic Physical Demands Analysis was supported by the Canadian Safety and Security Program (CSSP) which is led by Defence Research and Development Canada’s Centre for Security Science, in partnership with Public Safety Canada. The project was led by Paramedic Association of Canada in collaboration with Paramedic Chiefs of Canada CSSP is a federally-funded program to strengthen Canada’s ability to anticipate, prevent/mitigate, prepare for, respond to, and recover from natural disasters, serious accidents, crime and terrorism through the convergence of science and technology with policy, operations and intelligence © Her Majesty the Queen in Right of Canada, as represented by the Minister of National Defence, 2014 © Sa Majesté la Reine (en droit du Canada), telle que représentée par le ministre de la Défense nationale, 2014 Abstract …….. Paramedics must complete many physically demanding activities in order to provide essential emergency medical care. While most paramedic and emergency medical services have an indication of the physical demands faced by their own paramedics, a national physical demands profile does not exist. A national profile would help to identify points of commonality and difference between services that might be useful to know when considering process and practice improvements. -
JOURNAL of Health & Life Sciences
Journal of Health & Life Sciences Law VOLUME 4, NUMBER 2 FEBRUARY 2011 TABLE OF Meet the Fraud Busters: Program Safeguard Contractors CO N TE N TS and Zone Program Integrity Contractors ................................. 1 by Sara Kay Wheeler, Stephanie L. Fuller, and J. Austin Broussard The Link Between Quality and Medical Management: Physician Tiering and Other Initiatives .................................. 36 by Rakel Meir and Paul W. Shaw Medical Control of Emergency Medical Services .................. 65 by Rick L. Hindmand and W. Ann Maggiore Quality in Action: Paradigm for a Hospital Board- Driven Quality Program .......................................................... 95 by Elisabeth Belmont, Claire Cowart Haltom, Douglas A. Hastings, Robert G. Homchick, Lewis Morris, Robin Locke Nagele, Kathryn C. Peisert, Brian M. Peters, Beth Schermer, and Julie Taitsman NOTES A N D The Employee Exceptions to the Anti-Kickback and COMME N TS Stark Laws After Tuomey: What’s a Physician’s Employer To Do? ..................................................................... 146 by Susan O. Scheutzow and Steven A. Eisenberg PRACTICE Data Privacy Concerns for U.S. Healthcare RESOURCE Enterprises’ Overseas Ventures ............................................. 173 by Vadim Schick Journal of Health & Life Sciences Law 65 Medical Control of Emergency Medical Services Rick L. Hindmand and W. Ann Maggiore ABSTRACT: Effective medical control by medical directors and other medical oversight professionals is an essential element in providing appropri- ate emergency medical services (EMS). Within an EMS system, EMS medical directors have a supervisory rather than agency relationship with the emer- gency medical technicians (EMTs). Contrary to some commentary on the legal framework of this relationship, EMTs do not practice “under the license” of the medical director, but instead practice pursuant to their own state or county licenses, which generally require physician supervision. -
Vaccination Toolkit for EMS Medical Directors
VaccinationVaccination ToolkitToolkit forfor EMSEMS MedicalMedical DirectorsDirectors George Lindbeck, MD Virginia State EMS and Trauma Systems Medical Director HistoricalHistorical PerspectivePerspective In the past, vaccine administration has not been considered part of the routine scope of practice of EMS providers in the Commonwealth EMS providers have generally been held to function within a scope of practice that enables them to provide immediate care in emergencies, not elective or preventive care HistoricalHistorical PerspectivePerspective EMS providers could administer vaccine only in the circumstance of an emergency declared by the Governor and following specific authorization and direction provided by the Commissioner of Health HistoricalHistorical PerspectivePerspective During the recent H1N1 epidemic concerns arose regarding the ability of existing mechanisms and resources to adequately meet the needs for delivery of influenza vaccine both to first responders, including fire/rescue personnel and law enforcement, and to the general public raising the possibility of utilizing EMS providers as vaccinators CurrentCurrent LegalLegal BasisBasis Recent changes in the Code of Virginia amended the previous language of laws pertaining to the administration of vaccines, including language specific to the administration of vaccine to minors, that included certain EMS providers as approved vaccinators CurrentCurrent LegalLegal BasisBasis § 32.1-46.02. Administration of influenza vaccine to minors. The Board shall, together with the Board -
Blueprint for Community Paramedicine Programs
Contents South Carolina Office of Rural Health ........................................................................................................... 5 Credits ........................................................................................................................................................... 6 The Purpose and the “How To” Section ....................................................................................................... 7 Purpose: .................................................................................................................................................... 7 How To: ..................................................................................................................................................... 7 Version 1: The Abbeville Experience ............................................................................................................. 8 Abbeville Community Paramedicine Program .......................................................................................... 8 Abbeville's Community Paramedics .......................................................................................................... 8 The Abbeville Story ................................................................................................................................... 9 Introduction to Community Paramedicine Programs ................................................................................. 10 Community Paramedicine ...................................................................................................................... -
Paramedicine and Telemedicine Resources
ASPR TRACIE Technical Assistance Request Requestor: Requestor Phone: Requestor Email: Request Receipt Date (by ASPR TRACIE): 21 February 2017 Response Date: 23 February 2017 Type of TA Request: Standard Request: The ASPR TRACIE Team was asked to collect resources related to the methods in which healthcare personnel and emergency medical service (EMS) providers are assessing and more efficiently providing needed services to the community. Response: The ASPR TRACIE team conducted an online search for community access to healthcare, barriers to healthcare access, improving healthcare access, telemedicine to improve healthcare access, and community paramedicine. We also reviewed existing ASPR TRACIE Topic Collections for materials on these subjects; namely, the Pre-Hospital and Virtual Medical Care Topic Collections. Resources gathered are listed below. Section I: Community Paramedicine Section II: Telemedicine Resources: Applications for Telemedicine and Lessons Learned Section III: Telemedicine Resources: Call Centers and Triage Lines Section IV: Telemedicine Resources: General Information Section V: Telemedicine Resources: Plans, Tools, and Templates Section VI: Resources Related to Community Access to Health Care Section VII: Agencies and Organizations Section VIII: Subject Matter Experts I. Community Paramedicine Resources Beck, E., Craig, A., Beeson, J., et al. (n.d.). Mobile Integrated Healthcare Practice: A Healthcare Delivery Strategy to Improve Access, Outcomes, and Value. American College of Emergency Physicians. (Accessed 2/22/2017.) The authors of this document propose a delivery strategy for an inter-professional practice of medicine – Mobile Integrated Healthcare Practice (MIHP). It is intended to serve a range of patients in the out-of-hospital setting by providing 24/7 needs based at- home, integrating acute care, chronic care, and prevention services.