EMT 100EMT 100

EMERNECY MEDICAL RESPONDEREMERNECY MEDICAL RESPONDERADVANCED FIRST AID AND CPRADVANCED FIRST AID AND CPR

Dan Farrell, M.Ed, RRT-NPS, CPFT, Dan Farrell, M.Ed, RRT-NPS, CPFT, EMT-BEMT-B

*PETITIONERS BY LOTTERY*

Goals of Emergency Goals of Emergency Medical Responder Medical Responder TrainingTraining

Know what you should not do.Know what you should not do. Know how to use available resources.Know how to use available resources. Know how to improvise.Know how to improvise. Know how to assist other EMS providers.Know how to assist other EMS providers.

Roles and Roles and Responsibilities of the Responsibilities of the Emegency Medical Emegency Medical ResponderResponder Respond promptly.Respond promptly. Protect yourself.Protect yourself. Protect scene and patients from further Protect scene and patients from further

harm.harm. Summon appropriate resources.Summon appropriate resources. Gain access to patient.Gain access to patient.

Roles and Roles and Responsibilities of the Responsibilities of the Emergency Medical Emergency Medical Responder Responder (cont.)(cont.)

Perform patient assessment.Perform patient assessment. Administer emergency medical care and Administer emergency medical care and

reassurance.reassurance. Move patients only when necessary.Move patients only when necessary. Seek and then direct help from bystanders, Seek and then direct help from bystanders,

if necessary.if necessary.

Roles and Roles and Responsibilities of the Responsibilities of the Emergency Medical Emergency Medical Responder (cont.)Responder (cont.) Control activities of bystanders.Control activities of bystanders. Assist EMTs and paramedics, as Assist EMTs and paramedics, as

necessary.necessary. Document your care.Document your care. Keep your knowledge and skills up to Keep your knowledge and skills up to

date.date.

Scene SafetyScene Safety• Infectious diseasesInfectious diseases• Body substance isolation (BSI)Body substance isolation (BSI)• Universal precautionsUniversal precautions• ImmunizationsImmunizations• Hazards of the sceneHazards of the scene

Legal and Ethical Legal and Ethical IssuesIssues

Ethical Responsibilities Ethical Responsibilities and Competenceand Competence Conform to accepted professional Conform to accepted professional

standards of conduct.standards of conduct. Maintain up-to-date skills and Maintain up-to-date skills and

knowledge.knowledge. Review your performance.Review your performance. Give complete, correct reports.Give complete, correct reports.

Good Samaritan LawsGood Samaritan Laws Laws intended to minimize liability for Laws intended to minimize liability for

any errors or omissions in rendering any errors or omissions in rendering care in good faith.care in good faith.

Legal experts agree they provide little or Legal experts agree they provide little or no legal protection for a rescuer.no legal protection for a rescuer.

NegligenceNegligence Occurs when patient suffers injury or Occurs when patient suffers injury or

harm due to care that did not meet harm due to care that did not meet standards.standards.

Doing something you are not supposed Doing something you are not supposed to do or neglecting to do something to do or neglecting to do something that you are supposed to dothat you are supposed to do

Consent for Treatment Consent for Treatment 1 of 21 of 2 Expressed consentExpressed consent

Permission given by patient to treat.Permission given by patient to treat.

Implied consentImplied consent Assumed consent when patient doesn’t Assumed consent when patient doesn’t

refuse care as a result of being refuse care as a result of being unconscious, or unable to respond.unconscious, or unable to respond.

Consent for Treatment Consent for Treatment 2 of 22 of 2

Consent for minorsConsent for minors Minors are not capable of legally speaking Minors are not capable of legally speaking

for themselves. for themselves.

Consent of mentally illConsent of mentally ill Usually will involve law enforcement. Usually will involve law enforcement.

Check local protocols.Check local protocols.

Patient Refusal of CarePatient Refusal of Care Competent Competent

Able to make rational decisions about Able to make rational decisions about personal well-being.personal well-being.

A competent person has the legal A competent person has the legal right to refuse care.right to refuse care.

AbandonmentAbandonment

A situation in which a trained person A situation in which a trained person begins emergency care and leaves begins emergency care and leaves patient before another person of equal patient before another person of equal or higher training arrives to take over.or higher training arrives to take over.

ConfidentialityConfidentiality

Most patient information is confidential.Most patient information is confidential. Information should be shared with other Information should be shared with other

medical or law enforcement personnel medical or law enforcement personnel only.only.

Reportable Events:Reportable Events: Assault (knife, gunshot wounds)Assault (knife, gunshot wounds) Auto collisionsAuto collisions Suspected child/elder abuseSuspected child/elder abuse Domestic violenceDomestic violence RapeRape ChildbirthChildbirth Animal BitesAnimal Bites

Activating the next level responder usually takes care of this requirement

The Emergency Medical The Emergency Medical Services System (EMS)Services System (EMS)

Reporting: Reporting: Emergency Medical Responder Emergency Medical Responder assesses scene and patient and activates EMS assesses scene and patient and activates EMS by calling 911by calling 911

Dispatch:Dispatch: Appropriate equipment and personnel Appropriate equipment and personnel are dispatched to scene.are dispatched to scene.

First response:First response: Firefighters or law enforcement Firefighters or law enforcement personnel are often first on scene.personnel are often first on scene.

EMS response:EMS response: EMT-Bs, EMT-Is, or paramedics EMT-Bs, EMT-Is, or paramedics arrive shortly thereafter.arrive shortly thereafter.

Hospital care:Hospital care: Patient is taken to hospital if Patient is taken to hospital if necessary.necessary.

911911

Can be called from any phone (including pay Can be called from any phone (including pay phones without inserting money)phones without inserting money)

Give exact nature and location of emergencyGive exact nature and location of emergency Exact address including building and room numbers, Exact address including building and room numbers,

floor, etcfloor, etc

Hang up last!Hang up last! If called by mistake, stay on line and explain.If called by mistake, stay on line and explain.

Don’t just hang up! Don’t just hang up!