Advanced Emergency Medical Technician (AEMT) |
Provides both basic and limited advanced medical care and transportation in pre-hospital environments. Can monitor blood glucose levels, initiate IV and IO infusions, and administer some medications |
Americans with Disabilities Act (ADA) |
Protects individuals who have a documented disability from being denied initial or continued employment based on their disability. |
Community Paramedicine (CP) |
services provided by the EMS agency and personnel that are administratively and clinically integrated with other healthcare entities |
Emergency Medical Responder (EMR) |
Provides immediate lifesaving care to patients while they are waiting for higher level responders to arrive on scene. Uses basic airway, ventilation, and oxygen therapy devices; take vital signs and provides spine stabilization. |
Emergency Medical Technician (EMT) |
Provides basic emergency medical care and transportation to patients. Uses more advanced oxygen therapy and ventilation equipment than the EMR, pulse oximetry, use of automatic blood pressure monitoring equipment and limited medication administration |
EMS System |
Permits patient care to begin at the scene of injury or illness, and extends from time of injury or illness to the time of rehabilitation or discharge. |
Evidence-based Guidelines (EBG) |
Development of medical guidelines based on scientific evidence and research studies |
Evidence-based Medicine |
Medical practice based on scientific evidence that certain procedures, medications, and equipment improve patient outcome |
Direct Medical Oversight |
Real-time oversight or medical direction provided by a physician to an EMS provider seeking immediate feedback or direction; can be online or on-scene |
Indirect Medical Oversight |
The routine duties and responsibilities of the EMS medical director, including the creation of protocols and standing orders |
Medical Direction |
Medical policies, procedures, and practices that are available to EMS providers either off-line or on-line |
Medical Director |
Physician who is legally responsible for the clinical and patient care aspects of the EMS system |
Medical Oversight |
The medical director's broad responsibilities, including all clinical and administrative functions and activities necessary to exercise ultimate responsibility for the emergency care provided by individual personnel and the entire EMS system. |
Mobile Integrated Healthcare (MIH) |
Provision by a variety of healthcare entities and practitioners of patient-centered health care in the out-of-hospital environment using mobile technology and resources and integrated administratively or clinically with the EMS system |
Off-Line Medical Direction |
Medical policies, procedures, and practices that medical direction has established in written guidelines. |
On-Line Medical Direction |
Direct orders from a physician to a prehospital care provider given by radio or telephone |
On-Scene Medical Direction |
Medical direction provided by an EMS medical director physician who is on scene with the EMS crew |
Paramedic |
Provides the highest level of prehospital care. Perform advanced patient assessments, forms a field impression, and provides invasive and drug interventions as well as transport. Their care is designed to reduce disability and death of patients. |
Prehospital Care |
Emergency treatment given to patients before they are transported to a hospital or other facility. |
Protocols |
the policies and procedures for all components of an EMS system |
Quality Improvement (QI) |
A system of internal and external reviews and audits of an EMS system to ensure a higher quality of care |
Standing Orders |
Preauthorized treatment procedures; a type of treatment protocol |
