Intro to EMS

8/8/2019 Intro to EMS

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Introduction to Emergency

Medical Services (EMS)

Introduction to Emergency

Medical Services (EMS)


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Welcome to Emergency Medical

Services..

Welcome to Emergency Medical

Services..

EMS a coordinated network of

Professionals whose function is toprovide a variety of medical services

to people in need of emergency care.


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Emergency is a situation that poses an

immediate risk to health, life, property or

environment. Most emergency require urgent

intervention to prevent a worsening of the

situation, although in some situations,

mitigation may not be possible and

agencies may only be able to offer

palliative care for the aftermath.

Defining EmergencyDefining Emergency


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In order to be defined as an emergency,

the incident should be one of the following:

1. Immediately threatening to life, health,property or environment.

2. Have already caused loss of life, health

detriments, property damage or

environmental damage.3. Have a high probability danger to life, health,

property or environment.


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In our system of emergency care

providers:

In our system of emergency care

providers:

Most emergency cases are handled by: Pertahanan Awam / Bomba & Rescue

Bulan Sabit Merah / St. John

MA Paramedic (Hospital & Clinic base)


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CPR trained at the health careprofessional level

Required minimum training.

Usually the first on the scene in anemergency

Trained to treat life-threatening

emergencies with a minimum amount ofequipment

Pertahanan Awam / BombaPertahanan Awam / Bomba


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All of the skills of the first responder plus:

Trained in the use and operation of the

ambulance

Certified to treat non-invasive procedures,

such as splinting, bandaging ect.

Bulan Sabit / St JohnBulan Sabit / St John


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Assistant Medical Officer (MA)Assistant Medical Officer (MA)

Invasive and non-invasive procedures:

Capable of starting an intravenous line and

infusing volume-replacing normal saline

Trained to place an endotracheal tube in a

patients windpipe to create a secure means

of ventilating the lungs


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Administration of intravenous medications for

cardiac, diabetic and other medical conditions

under either off-line or on-line direction

Many other optional and advanced skills such

as chest decompression and needle

crichothyrotomy, etc.


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Basic or Advanced?Basic or Advanced?

Basic life support called BLS describes the

care given by First Responders and EMT-

Basics

Advanced life support, called ALS, is the

higher level of care performed by MAs

and Paramedics

Permitted to perform invasive procedures

Procedures that introduce foreign substances or

equipment into the patients body


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The MA respects and holds in confidence

all information of a confidential nature

obtained in the course of professional

work unless required by law to divulge

such information.

The MA shall maintain professional

competence and demonstrate concern forthe competence of other members of the

emergency medical services.


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Roles & ResponsibilitiesRoles & Responsibilities

1. TRIAGE

- sorting out patient according to urgency

of treatment.- RED for critically ill

- YELLOW for urgent cases

- GREEN for stable / walk-in cases.


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2. RESUSCITATION, STABILIZATION and

Treatment ofUnstable patients


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3. Immediate Zone


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4. Non-Critical Zone

- Those could be discharged after some

procedures done, eg. bandaging,

dressing etc.

5. PRE HOSPITAL CARE

- site management

- on the route management (ambulance)


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Intro to EMS

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