EMS Systems Planning and Development Show The EMS Authority provides statewide coordination and leadership for the planning, development, and implementation of local EMS systems. California has 33 local EMS systems that are providing emergency medical services for California’s 58 counties. Seven regional EMS systems comprised of thirty-three counties and twenty-six single county agencies provide the services. Regional systems are usually comprised of small, more rural, less-populated counties and single-county systems generally exist in the larger and more urban counties. Responsibilities for EMS systems planning and development include the following:
Trauma Care System Planning and Development The EMS Authority provides statewide coordination and leadership for the planning, development, and implementation of local trauma care systems. LEMSAs are responsible for planning, implementing, and managing local trauma care systems, including assessing needs, developing the system design, designating trauma care centers, collecting trauma care data, and quality assurance. Responsibilities for trauma care systems planning and development include the following:
Emergency Medical Services For Children The overall goal of the emergency medical services for children (EMSC) program is to ensure that acutely ill and injured children have access to high quality, coordinated, and comprehensive emergency and critical care services appropriate for children’s special needs. The EMS Authority, using a grant from the Maternal and Child Health Bureau, U.S. Department of Health and Human Services, and with the assistance of subcommittees of experts in various aspects of pediatric care, has developed guidelines, standards, and key products that make up a comprehensive model for EMSC services. The EMSC Model provides a continuum of care, beginning with the detection of an illness or injury to emergency department care and rehabilitation. Responsibilities for EMS for Children systems planning and development include the following:
Poison Control System The EMS Authority oversees the operation of California’s statewide poison control system. Poison control services, which can save lives, prevent disabilities, and reduce health care costs, are provided free of charge and can be accessed 24 hours a day, 7 days a week, 365 days a year by calling 1-800-222-1222 or visiting the California Poison Control website. Responsibilities for California’s poison control system include the following:
Prehospital Emergency Medical Care Personnel Standards The EMS Authority is mandated by statute to develop and implement regulations that set training standards and the scope of practice for emergency medical personnel, including Emergency Medical Technician (EMT), Advanced EMTs, Paramedics, Mobile Intensive Care Nurses (MICN), Firefighters, Peace Officers and Lifeguards. Responsibilities for prehospital emergency medical care personnel standards include the following:
Emergency Medical Dispatcher Standards and EMS Communications Systems The EMS Authority is developing standards for emergency medical dispatcher (EMD) training and for the provision of pre-arrival emergency care instructions (emergency medical care advice given over the telephone by EMDs to persons at the scene of a medical emergency for the provision of emergency care until qualified prehospital medical care personnel arrive at the scene and take over care of the patient). The EMS Authority is also working with experts to evaluate the status of EMS communications systems in California and to develop a state plan for EMS communications systems. Responsibilities for emergency medical dispatcher standards and EMS communications systems planning and development include the following:
First Aid and CPR Training Programs for Child Day Care Providers and School Bus Drivers The EMS Authority is required by statute to set standards for and approve training programs in pediatric first aid, CPR, and preventive health practices for child day care providers and school bus drivers. Licensed child day care facilities in California are required to have at least one staff member certified in pediatric first aid, CPR and preventive health practices on duty whenever children are present. School bus drivers in California are required to have basic knowledge of pediatric medical emergencies and to be certified in first aid and CPR. The CHP tests school bus drivers in first aid and CPR; however, the test may be waived if drivers take a training course from the American Red Cross or from a training course approved by the EMS Authority. Responsibilities for the child day care provider and school bus driver first aid and CPR training program unit include the following:
Paramedic Licensure and Enforcement The EMS Authority operates the State Paramedic Licensure program. This program licenses and conducts disciplinary investigations of paramedics to ensure that the care they provide meets California’s high standards for prehospital care. Responsibilities for paramedic licensure and enforcement include the following:
Disaster Medical Services Preparedness and Response The EMS Authority, as the lead agency responsible for coordinating California’s medical response to disasters, provides medical resources to local governments in support of their disaster response. This may include the identification, acquisition and deployment of medical supplies and personnel from unaffected regions of the state to meet the needs of disaster victims. Response activities may also include arranging for evacuation of injured victims to hospitals in areas/regions not impacted by a disaster. The medical response to disasters requires the contributions of many agencies. The EMS Authority works closely with the Governor’s Office of Emergency Services, California Department of Public Health, California National Guard, Department of Health Services and other local, state, and federal agencies to improve disaster preparedness and response. The EMS Authority also works closely with the private sector: hospitals, ambulance companies, and medical supply vendors. Responsibilities for disaster medical services preparedness and response include the following:
Pre-Hospital Data, Injury Prevention, and Public Education The EMS Authority is working to increase and improve LEMSA and state EMS data capacities and capabilities; to standardize the collection of prehospital and trauma data in LEMSAs; to study the efficacy of EMS systems and traffic safety measures/conditions; and to reduce morbidity and mortality associated with traffic injuries in California by increasing the role/activity of EMS personnel in injury control activities. Injury prevention is part of EMSA’s mission to coordinate and integrate emergency medical care and preventive services. Responsibilities for data collection and injury prevention include the following:
Which of the following is a goal of scene sizeThe purpose of scene size-up is to expeditiously ensure that there is a safe scene on which to provide care, and that the proper resources are summoned to the scene according to the number of patients and their specific care needs.
What does the EMS professional evaluate during the primary assessment?The primary assessment as taught to EMS students generally involves some combination of the ABC's, level of consciousness, a general impression of the patient's condition and a definition of treatment priorities for the call.
How can EMS professionals assess a patient's perfusion?Assess the patient's perfusion by evaluating skin color, temperature and condition. 1. Perform rapid trauma assessment on patients with significant mechanism of injury to determine life threatening injuries.
Which of the following elements should be completed only after the EMS has finished the scene sizeWhich of the following elements should be completed only after the EMT has finished the scene size-up? Identify and manage life-threatening conditions.
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