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Emergency Medical Services (EMS)

Emergency Medical Services (EMS)

Creighton University's online Master of Science in Emergency Medical Services (EMS) will give you the edge in today's competitive professional world of EMS. Our program is carefully designed to provide you with the most current curriculum. You will learn from accomplished faculty members who are national and international leaders in EMS. You will benefit from their experience as you build your base of theoretical and practical knowledge. Throughout your studies you will acquire tools and techniques that will increase your effectiveness and expand your career opportunities.

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EMERGENCY MEDICAL SERVICES DATA SYSTEM STANDARDS

EMERGENCY MEDICAL SERVICES DATA SYSTEM STANDARDS

This identifier must be unique within California for the Local Emergency Medical Services Agency (LEMSA). In single-county LEMSAs, it should be the standard alphanumeric California County Code. Multi-county LEMSAs will be assigned a code. This element is considered to be a technical core element (necessary for submission of record.)

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Ethical Challenges in Emergency Medical Services

Ethical Challenges in Emergency Medical Services

substantially similar circumstances. The law also does not address the breadth of ethical imperatives which obligate emergency medical services. Finally, the law may not reflect ethical behavior. For example, case law has stated that a person who knows how to swim has no legal obligation to rescue a drowning child. While the law is limited in its ability to provide universal guidance and direction, ethical analysis should provide a frame work for determining moral duty, obligation and conduct.

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Gem County Emergency Medical Services

Gem County Emergency Medical Services

May 25, 2013, during National Emergency Medical Services Week, Gem County EMS held an open house and provided tours of the ambulances, fire vehicles, and the EMS station. We were very pleased to have over 250 interested visitors. Our providers are very dedicated to our community and will continue educating the public regarding the services Gem County EMS provides.

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Emergency Medical Services and Preparedness in Utah

Emergency Medical Services and Preparedness in Utah

departments, already filled to capacity, are challenged to respond to critical patients with traumatic injuries, heart attacks, and strokes when minutes often mean the difference between life and death. Fragmented emergency medical systems complicate patient care coordination when jurisdictional lines of authority lack effective cross-communication with fire, police, and emergency management, as well as when other municipal, county, and state boundaries are crossed. Providing Emergency Medical Services (EMS) is challenging in rural communities because of increased travel times, staff turnover, and hospital capacity to treat traumatic injuries. EMS agencies are also on the front lines when a mass casualty event strikes and effective response requires sufficient disaster preparedness training and planning. Additionally, emergency care for children presents a unique set of challenges to emergency medical providers because of the differences in the physical development between children and adults.
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Emergency Medical Services Response Time

Emergency Medical Services Response Time

Monthly reports on Rural Metro’s on-time compliance from January 2013 through August 2014, provided on the Emergency Medical Services Agency web site, show the ambulance provider has achieved more than 90 percent on-time compliance in the five zones for which the data is reported, for every month during that period. Of the five zones, Zones 2, 3 and 4 include portions of the City of San Jose. While Fire Department staff believe the overall compliance by the ambulance provider masks significant incidents of non-compliance in selected areas, which adversely affects Fire Department response times, assessment of this issue, which would have required detailed analysis of ambulance provider performance, as opposed to looking at issues within the Fire Department, was believed by Management Audit staff to be outside the scope of the review requested by the Board of Supervisors. We recommend that this claim by the Fire Department be investigated by the Emergency Medical Services Agency, and its validity reported to both the City Council and the Board of Supervisors. If the City’s claim is found to be true, additional requirements for ambulance service performance, as they effect Fire Department response times, should be developed as part of the negotiation of a new Countywide ambulance service contract that is expected to occur by 2016.
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Forecasting the Demand for Emergency Medical Services

Forecasting the Demand for Emergency Medical Services

Emergency Medical Services (EMS) are responsible for providing out-of-hospital medical care to people in need and also transporting them to a medical facility when needed. These services are time sensitive, i.e. the later the EMS arrive to the incident sites, the more severe the damage to the patients’ health can become, especially in cases such as trauma and cardiac arrest [22]. Therefore, it is essential to have a system capable of providing timely services. Yet, when considering issues that emergency managers face, such as resource shortages and cutbacks, and long distances between the EMS and sparsely populated areas [26], without proper management of the existing limited resources, quick and efficient service would not always be possible. For achieving an efficient resource management, access to appropriate information about
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STATE OF KANSAS A REASSESSMENT OF EMERGENCY MEDICAL SERVICES

STATE OF KANSAS A REASSESSMENT OF EMERGENCY MEDICAL SERVICES

To accomplish this goal, in 1988 NHTSA developed a Technical Assistance Team (TAT) approach which permitted States to utilize highway safety funds to support the technical evaluation of existing and proposed emergency medical services programs. Following the implementation of the Assessment Program NHTSA developed a Reassessment Program to assist those States in measuring their progress since the original assessment. The Program remains a tool for States to use in evaluating their Statewide EMS programs. The Reassessment Program follows the same logistical process, and uses the same ten component areas with updated standards. The standards now reflect current EMS philosophy and allow for the evolution into a comprehensive and integrated health management system, as identified in the 1996 EMS Agenda for the Future. NHTSA serves as a facilitator by assembling a team of technical experts who demonstrate expertise in emergency medical services
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EMERGENCY MEDICAL SERVICES INFORMATION SYSTEMS

EMERGENCY MEDICAL SERVICES INFORMATION SYSTEMS

P rehospital emergency medical services (EMS) is a system that ensures that patients with acute traumatic and medical conditions are provided medical care outside the hospital and, when necessary, are transported to an appropriate medical facility. Emergency med- ical services providers are no longer considered just an expen- sive source of transportation but are now held accountable for their response times, quality of service, and medical care provided and for their cost or value to the patient and community. As with other medical specialties, EMS providers also are being required to prove their effect on patient outcome as a justification for their existence. As part of the health care system, EMS personnel must interact at the local hospital, regional, state, and feder- al levels through the exchange of information. To facilitate this exchange, EMS systems must have methods of collecting and analyz- ing data and sharing the data with others. The development of local and state EMS information systems is an ongoing process that should facilitate improved EMS systems and improved patient care and should culminate in the establish- ment of a national EMS database.
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MUNICIPALITY OF CHATHAM-KENT FIRE AND EMERGENCY SERVICES EMERGENCY MEDICAL SERVICES INFORMATION REPORT

MUNICIPALITY OF CHATHAM-KENT FIRE AND EMERGENCY SERVICES EMERGENCY MEDICAL SERVICES INFORMATION REPORT

A request for proposal (RFP) was released in April 2013 and a total of three responses were received. However, one vendor withdrew from the review. The remaining two proposals were reviewed by representatives of Medavie EMS and the Coordinator of Emergency Medical Services, and product demonstrations took place. Subsequently, a Report to Council was prepared which recommended the software and services from Interdev Technologies Inc. be purchased for the amount of $266,718.40 plus HST.

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Fire and Emergency Medical Services FEMS (FB0)

Fire and Emergency Medical Services FEMS (FB0)

F&EMS provides emergency medical services (EMS), fire suppression, homeland security and special operations response for the District of Columbia, including planned events and activities unique to the nation’s capital. The Department is responsible for fire and life safety code enforcement, along with community based education and prevention programs. F&EMS is the lead first-response agency for managing consequences resulting from natural disasters or other catastrophic events impacting the national capital region.
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Life In Air: Helicopter Emergency Medical Services

Life In Air: Helicopter Emergency Medical Services

were at great risk of dying. But in the past half century, with the advent of systems of care including modern emergency medical services, and the ncy medicine, trauma surgery, and been lowered dramatically. radiology, neonatology, pediatrics evolving specialties and sub-specialties now offer services to further improve the chances of a medical emergency. It was once common for services to be found in community in towns large and small. But over the past decades, as further specialization has occurred and the need for certain patient volumes to assure sufficient quality of those services has been established, it has become clear that sustainable at every hospital. Now, and specialists have largely disappeared . These services and practitioners are typically sustainable only in urban and suburban centers whereas the requirement is more in rural area which constitute 68% of the This reality has created a disparity between urban settings for patients who require critical-care dependent conditions. In rural areas only ground ambulances available, remoteness delays system alerting and response. An ambulance brings the patient to a local hospital for initial care. The local hospital staff initial stabilization, but they are dependent specialty care needed. These facilities then must arrange for the patient to be ferred to a specialty care center. Transfer resources are eventually transferred long distances INTERNATIONAL JOURNAL OF CURRENT RESEARCH
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Telehealth and the re design of emergency medical services

Telehealth and the re design of emergency medical services

the re-design of emergency medical services (EMS) with the emphasis being on the use of tele-consultation either for prehospital triage or for triage within the ED. Three initiatives were chosen from the literature to illustrate how telehealth can enable more timely triage activities for both emergency and non-emergency patients.

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Research and Professional Education in Emergency Medical Services

Research and Professional Education in Emergency Medical Services

Emergency Medical Services (EMS) is a critical component in the delivery of quality healthcare services. Being the first line of professionals to respond and evacuate patients to hospitals, paramedics play a major role in influencing the short term and long term health outcomes the clients with traumatic injuries. In this case, there is need to continuously empower paramedics them with up to date skills and knowledge, to enhance their competence in the profession, through continuous professional education and research in emergency medical services. However, lack of adequate repository of knowledge such as books and scholarly research studies in the field is a major hindrance. This study sought to examine the trend in EMS research, by investigating the scholarly research studies published in the filed in the last 10 years. An electronic search was conducted in the various databases to monitor the number of published scholarly research articles in 13 countries across the world. The study found that although there has been a gradual increase in the number of published research studies during the period of review, the number is so far below the required standards. This indicates low interest in continuous professional development of EMS through research, a situation that hinders delivery of improved services in the field.
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Pediatric Readiness in Emergency Medical Services Systems

Pediatric Readiness in Emergency Medical Services Systems

ACADEMY OF PEDIATRICS COMMITTEE ON PEDIATRIC EMERGENCY MEDICINE AND SECTION ON EMERGENCY MEDICINE EMS SUBCOMMITTEE, AMERICAN COLLEGE OF EMERGENCY PHYSICIANS EMERGENCY MEDICAL SERVICES COMMITTEE, EMERGENCY NURSES ASSOCIATION PEDIATRIC COMMITTEE, NATIONAL ASSOCIATION OF EMERGENCY MEDICAL SERVICES PHYSICIANS STANDARDS AND CLINICAL PRACTICE COMMITTEE, NATIONAL ASSOCIATION OF EMERGENCY MEDICAL TECHNICIANS EMERGENCY PEDIATRIC CARE COMMITTEE

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Pediatric Readiness in Emergency Medical Services Systems

Pediatric Readiness in Emergency Medical Services Systems

Administration with the focused goal of helping EMS systems (local, regional, and state) measure EMS care delivery and improve the quality of care at all 3 levels. 54 The quality metrics proposed by this program are linked to NEMSIS data variables to allow individual EMS agencies to assess quality and benchmark their care against other EMS agencies. As pediatric-relevant quality metrics are developed through EMS Compass, it is important to integrate them into local QI processes at the EMS agency level. The first pediatric-specific quality metrics focus on pediatric respiratory assessment, the administration of b-agonists for asthma, and the documentation of weight in kilograms with the use of various methods and applications, such as length-based tape. To ensure sustainability of the initial work of the EMS Compass initiative, the Joint National Emergency Medical Services Leadership Forum is working with the National Highway Traffic Safety Administration to create the National EMS Quality Alliance. 59
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Survival benefit of helicopter emergency medical services compared to ground emergency medical services in traumatized patients

Survival benefit of helicopter emergency medical services compared to ground emergency medical services in traumatized patients

In the prehospital setting, helicopters have been used to transport trauma patients for the past 40 years despite inconsistent evidence of the benefits of helicopter emer- gency medical systems (HEMS) in civilian trauma systems [1-5]. Since the introduction of helicopters into the civilian trauma system in the 1970s, an ongoing controversy has been provoked as to whether potential benefits outweigh the associated costs [2]. In Germany, a dense network of emergency medical services, including rescue helicopter bases, covers Germany nationwide [6]. Contrary to other countries, HEMS in Germany is exclusively physician- staffed [7]. Therefore, this rescue system is connected to a high financial burden discussed for its presumable benefits [6]. In general, the benefits of HEMS compared to ground emergency medical systems (GEMS) could be: first, trans- porting a medical team experienced in managing trauma patients. HEMS is commonly accepted to allow a small number of highly skilled and experienced healthcare professionals to perform advanced lifesaving procedures for patients with traumatic injuries [1,8]. Second, facilitat- ing rapid transport from the scene to the hospital based on increased transport velocity has been discussed as an additional benefit of HEMS [1]. Especially so, as helicop- ters can fly directly to the scene, cover long distances and transport patients from areas inaccessible by ground vehicles, thereby providing severely injured trauma patients with an opportunity to gain access to high level trauma care when this care would otherwise not be in close proximity [9]. Improved triaging of traumatized patients has been mentioned as a third benefit. As HEMS has the ability to travel greater distances, HEMS might be suggested to transport patients directly to a specialist trauma center where definitive treatment can be guaran- teed and secondary transfers are avoided [1,2].
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EMERGENCY MEDICAL SERVICES (EMS)

EMERGENCY MEDICAL SERVICES (EMS)

The present publication is aimed at helping the decision makers and the policy makers to develop a comprehensive approach to deal with the creation and/or the strengthening of existing emergency medical services. The recommendations here presented have been prepared so as to have a logical sequence. In developing countries too often the lack of sufficient material resources is said to be the most important limiting factor for running efficient and effective EMS. In deed not rarely the real problem is the lack of managerial expertise in the organization of the available resources, services and the lack of trained staff. The present document will help those having to manage the development and the strengthening of EMS to select priorities and to develop an action plan that will lead to sustainability of the system and its integration into the overall organization of the services offered by the health sector. The Ministry of Health in any country has a normative role and a guidance role to play. It is far from being the only service provider when EMS are under discussion. The private sector and some major NGOs are key stakeholders for ambulances services for instance.
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Definitions and Assessment Approaches for Emergency Medical Services for Children

Definitions and Assessment Approaches for Emergency Medical Services for Children

In 2014, an Emergency Medical Services for Children Task Force was formed to establish consensus on definitions of key terms and the basic approach to pediatric assessment in Pediatric Life Support (PLS). The goal was to identify differences in terminology and pediatric assessment in the existing educational courses and develop common terminology and assessment components that would create a standard approach to care of the child who is critically ill or

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The Role of the Pediatrician in Rural Emergency Medical Services for Children

The Role of the Pediatrician in Rural Emergency Medical Services for Children

ABSTRACT. In rural America, pediatricians can play a key role in the development, implementation, and ongo- ing supervision of emergency medical services for chil- dren. Pediatricians may represent the only source of pe- diatric expertise for a large region and are a vital resource for rural physicians (eg, general and family medicine, emergency medicine), other rural health care profession- als (physician assistants, nurse practitioners, emergency medical technicians), and local emergency medical ser- vices medical directors. They can provide education about management and prevention of pediatric illness and injury; appropriate equipment for the acutely ill or injured child; and acute, chronic, and rehabilitative care. In addition to providing clinical expertise, the pediatri- cian may be involved in quality assurance, clinical pro- tocol development, and advocacy and may serve as a liaison between emergency medical services and other entities working with children (eg, school nurses, child care centers, athletic programs, and programs for chil- dren with special health care needs). Pediatrics 2005;116: 1553–1556; rural health, pediatric emergency, EMSC, rural pediatrician.
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