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Chapter 01: Introduction to Emergency Medical Care


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Advanced lifesaving procedures, such as cardiac monitoring, administration of IV fluids and medications, and use of advanced airway adjuncts.
advanced life support (ALS)
The responsibility of the medical director to ensure that the appropriate medical care standards are met by EMT-Bs on each call.
quality control
An EMT who has extensive training in advanced life support, including IV (intravenous) therapy, pharmacology, cardiac monitoring, and other advanced assessment and treatment skills.
A multidisciplinary system that represents the combined efforts of several professionals and agencies to provide prehospital emergency care to the sick and injured.
emergency medical services (EMS)
The physician who authorizes or delegates to the EMT the authority to perform medical care in the field.
medical director
Comprehensive legislation that is designed to protect individuals with disabilities against discrimination.
Americans with Disabilities Act (ADA)
An EMT who has training in basic emergency care skills, including automated external defibrillation, use of a definitive airway adjunct, and assisting patients with certain medications.
Physician instructions that are given directly by radio (online/direct) or indirectly by protocol/guidelines (off-line/indirect), as authorized by the medical director of the service program.
medical control
An EMS professional who is trained and licensed by the state to provide emergency medical care in the field.
emergency medical technician (EMT)
The designated area in which the EMS service is responsible for the provision of prehospital emergency care and transportation to the hospital.
primary service area (PSA)
An EMT who has training in specific aspects of advanced life support, such as IV (intravenous) therapy, interpretation of cardiac rhythms and defibrillation, and orotracheal intubation.
The first trained individual, such as a police officer, fire fighter, or other rescuer, to arrive at the scene of an emergency to provide initial medical assistance.
first responder
A system of internal and external reviews and audits of all aspects of an EMS system.
continuous quality improvement (CQI)

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