advanced EMT (AEMT) - ANSWER-An individual who has training in specific
aspects of advanced life support, such as intravenous therapy, and the
administration of certain emergency medications
advanced life support (ALS) - ANSWER-Advanced lifesaving procedures, some of
which are now being provided by the EMT
Americans With Disabilities Act (ADA) - ANSWER-Comprehensive legislation that
is designed to protect individuals with disabilities against discrimination
automated external defibrillator (AED) - ANSWER-A device that detects treatable
life-threatening cardiac arrhythmias (ventricular fibrillation and ventricular
tachycardia) and delivers the appropriate electrical shock to the patient
certification - ANSWER-A process in which a person, an institution, or a program
is evaluated and recognized as meeting certain predetermined standards to
provide safe and ethical care
continuous quality improvement (CQI) - ANSWER-A system of internal and
external reviews and audits of all aspects of an EMS system
emergency medical dispatch (EMD) - ANSWER-A system that assists dispatchers
in selecting appropriate units to respond to a particular call for assistance and in
providing callers with vital instructions until the arrival of EMS crews
,emergency medical responder (EMR) - ANSWER-The first trained individual, such
as a police officer, fire fighter, lifeguard, or other rescuer, to arrive at the scene of
an emergency to provide initial medical assistance
emergency medical services (EMS) - ANSWER-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 technician (EMT) - ANSWER-An individual who has training in
basic life support, including automated external defibrillation, use of a definitive
airway adjunct, and assisting patients with certain medications
Health Insurance Portability and Accountability Act (HIPAA) - ANSWER-Federal
legislation passed in 1996, Its main effect in EMS is in limiting availability of
patients' health care information and penalizing violations of patient privacy
intravenous (IV) therapy - ANSWER-The delivery of medication directly into a vein
licensure - ANSWER-The process whereby a competent authority, usually the
state, allows individuals to perform a regulated act
medical control - ANSWER-Physician instructions that are given directly by radio
or cell phone (online/direct) or indirectly by protocol/guidelines (off-line/indirect),
as authorized by the medical director of the service program
medical director - ANSWER-The physician who authorizes or delegates to the
EMT the authority to provide medical care in the field
National EMS Scope of Practice Model - ANSWER-A document created by the
National Highway Traffic Safety Administration (NHTSA) that outlines the skills
performed by various EMS providers
paramedic - ANSWER-An individual who has extensive training in advanced life
support, including endotracheal intubation, emergency pharmacology, cardiac
monitoring, and other advanced assessment and treatment skills
,primary prevention - ANSWER-Efforts to prevent an injury or illness from ever
occurring
primary service area (PSA) - ANSWER-The designated area in which the EMS
service is responsible for the provision of prehospital emergency care and
transportation to the hospital
public health - ANSWER-Focused on examining the health needs of entire
populations with the goal of preventing health problems
public safety access point - ANSWER-A call center, staffed by trained personnel
who are responsible for managing requests for police, firefighting, and
ambulance services
quality control - ANSWER-The responsibility of the medical director to ensure
that the appropriate medical care standards are met by EMTs on each call
secondary prevention - ANSWER-Efforts to limit the effects of an injury or illness
that you cannot completely prevent
12-lead ECG - ANSWER-An ECG that uses 12 leads attached to the patient's skin;
these include the limb leads and chest leads
4-lead ECG - ANSWER-An ECG that uses 4 leads attached to the patient's skin;
these include the limb leads
access port - ANSWER-A sealed hub on an administration set designed for sterile
access to the intravenous fluid
arrhythmia - ANSWER-An irregular or abnormal heart rhythm
asystole - ANSWER-The complete absence of any electrical cardiac activity,
appearing as a straight or almost straight line on an ECG strip
cardiac monitoring - ANSWER-The act of viewing the electrical activity of the
heart through the use of an ECG machine or cardiac monitor
, catheter - ANSWER-A flexible, hollow structure that drains or delivers fluids
catheter shear - ANSWER-The cutting of the catheter by the needle during
improper rethreading of the catheter with the needle; the severed piece can then
enter the circulatory system
chest leads - ANSWER-The leads that are used only with a 12-lead ECG and must
be placed exactly; includes leads V1, V2, V3, V4, V5, and V6
Combitube - ANSWER-A multilumen airway device that consists of a single tube
with two lumens, two balloons, and two ventilation ports; an alternative airway
device if endotracheal intubation is not possible or has failed
drip chamber - ANSWER-The area of the administration set where fluid
accumulates so that the tubing remains filled with fluid
drip sets - ANSWER-Another name for administration sets
Electrocardiogram (ECG) - ANSWER-an electronic tracing of the heart's electrical
activity through leads, which originate in the electrocardiograph machine and
contain electrodes that attach to the patient's chest and/or limbs
electrical conduction system - ANSWER-A network of special cells in the heart
through which an electrical current flows, causing contractions of the heart that
produce pumping of blood
end-tidal carbon dioxide detectors - ANSWER-Plastic, disposable indicators that
signal by color change when an endotracheal tube is in the proper place
endotracheal intubation - ANSWER-Insertion of an endotracheal tube directly
through the larynx between the vocal cords and into the trachea to maintain and
protect an airway
external jugular IV - ANSWER-IV access established in the external jugular vein of
the neck
extubation - ANSWER-Removal of a tube after it has been placed
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