Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 ›...

26
Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed. © 2009 by Pearson Education, Inc. Upper Saddle River, NJ Paramedic Care: Principles & Practice Volume 1 Introduction to Advanced Prehospital Care

Transcript of Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 ›...

Page 1: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Paramedic Care:

Principles & Practice

Volume 1

Introduction to Advanced

Prehospital Care

Page 2: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Chapter 1

Introduction to Advanced

Prehospital Care

Page 3: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Topics

Description of the Profession

Paramedic Characteristics

The Paramedic: A True Health Professional

Expanded Scope of Practice

Page 4: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Introduction

EMS has made significant advances over the

last 30 years

The role of the paramedic has advanced

accordingly

The modern ambulance is truly a mobile

emergency room

Page 5: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Introduction

The paramedic is a highly trained health care professional

Provides comprehensive, compassionate, and efficient prehospital emergency medical care

Page 6: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Description of the Profession

Page 7: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Description of the Profession

The primary task of a paramedic is to

provide emergency medical services in an

out-of-hospital setting.

All paramedics must be licensed, registered,

or otherwise credentialed.

Page 8: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Description of the Profession

Roles and responsibilities encompass

disciplines of health care, public health, and

public safety.

Page 9: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

EMS Professional

Click here to view a video on emergency medical technicians.

Page 10: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Description of the Profession

To function as a paramedic:

– Licensing or credentialing

Fulfilled requirements of licensing body

Register with area they work in

– Medical Direction

You must recognize that you are an

essential component in the continuum of

care

Page 11: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Description of the Profession

Paramedics will continue to fill the well-

defined and traditional role of 911 response.

Emerging roles include public education,

health promotion, and participation in illness

prevention programs.

Page 12: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Description of the Profession

Patient advocacy

Paramedics are

responsible to the

system medical

director, their

employer, the

public, and their

peers

© Craig Jackson/In the Dark Photography

Page 13: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Paramedic Characteristics

Page 14: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Paramedic Characteristics

As a paramedic you should:

Have excellent judgment

Be able to prioritize decisions

Be a confident leader

Be able to function independently

Page 15: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

The Paramedic:

A True Health Professional

Page 16: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Paramedic:

A True Health Professional Emergency medical services are now

recognized as an important part of the

health care system.

Paramedics are now highly respected

members of the health care team. – Do not take professionalism for granted

– Strive to maintain your professional status

Page 17: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Paramedic:

A True Health Professional The completion of your initial paramedic

course is the start of your professional

education. – Continuing education

– Ongoing skills practice

– Peer-evaluation

– Professional and community organizations

Page 18: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Paramedic:

A True Health Professional A major advance in professionalism was the 1998 EMT-Paramedic National Standard Curriculum.

The 1998 DOT paramedic curriculum is the guideline for this textbook.

Page 19: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Paramedic:

A True Health Professional Need for research

– Little or no scientific data to support many of our

prehospital practices

Adherence to a code of professional ethics

and etiquette – Ethics are standards of right or honorable

behavior

– Etiquette refers to good manners

Page 20: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Expanded Scope of Practice

Page 21: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Expanded Scope of Practice

Paramedics are now stepping into non-

traditional roles such as:

– Critical Care Transport

– Primary Care

– Industrial Medicine

– Sports Medicine

Page 22: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Critical Care Transport

Specialization of health care facilities requires transport of patients – Includes specialized

ground ambulances, fixed-wing aircraft, and helicopters

Paramedics have been educated in various aspects of critical care medicine

© Eddie Sperling

Page 23: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Primary Care

Many patients receive primary care outside

the hospital at far less cost.

Paramedics, in close contact with medical

direction, can provide care at the scene

without transport to the hospital.

Page 24: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Industrial Medicine

Paramedics are

principal health care

providers on oil rigs,

movie sets, and

similar industrial

operations.

Training is specific to

the operation.

Page 25: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Sports Medicine

Paramedics in sports medicine deal with

injuries specific to the sport in question.

They assist in pregame training and provide

emergency medical care during games.

Page 26: Paramedic Care: Principles & Practice Volume 1 ...fd.valenciacollege.edu › file › rholborn1 › Chapter 1 Introduction.pdf · Bledsoe et al., Paramedic Care: Principles & Practice,

Bledsoe et al., Paramedic Care: Principles & Practice, Volume 1: Introduction to Advanced Prehospital Care, 3rd Ed.

© 2009 by Pearson Education, Inc. Upper Saddle River, NJ

Summary

Description of the Profession

Characteristics of a Paramedic

The Paramedic: A True Health Professional

Expanded Scope of Practice