Chapter 1
1
Chapter 1 – EMS Systems
1 - Define emergency medical services (EMS) systems . (p 5)
System contains of a team of health care professionals who are responsible for and provide emergency
care and transportation to the sick and injured.
2. Name the four levels of EMT training and licensure. (pp 6–8)
EMR – Emergency medical responder
EMT – Emergency medical technician
AEMT – Advanced EMT
Paramedic
3. Describe EMT licensure criteria; include how the Americans with Disabilities Act (ADA) applies to
employment as an EMT. (p 8)
High school diploma or equivalent
Proof of immunization against certain communicable diseases
Successful completion of a background check and drug screening
Valid driver's license
Successful completion of a recognized health care provider basic life support
(BLS)/cardiopulmonary resuscitation (CPR) course
Successful completion of a state-approved EMT course
Successful completion of a state-recognized written certification examination
Successful completion of a state-recognized practical certification examination
Demonstration of the mental and physical ability necessary to safely and properly perform all the
tasks and functions described in the defined role of an EMT
Compliance with other state, local, and employer provisions
4. Discuss the historical background of the development of the EMS system. (pp 9–10)
WWI – Volunteer ambulances were organized and personnel went to overseas to provide care
for the wounded.
WWII – The military trained special corpsmen to provide care in the field and bring casualties to
aid stations staffed by nurses and physicians.
Korean Conflict
#1 – Evolution of the field medic and rapid helicopter evacuation to Mobile Army Surgical units
where immediate surgical intervention could be performed.
#2 – Advances in the immediate care of trauma pts.
Domestic emergency care-pre 1970s
#1 – As recently as the 1960s and early 1970s, emergency ambulance service and care varied
widely across the US.
#2 – In most cases, emergency vehicles were staffed with a driver and an attendant who had
some basic first aid training.
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