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Medical Control may take place on-line, with the EMS personnel having to contact the physician for direction delegation [clarification needed] for all Advanced Life Support procedures, or off-line, with EMS personnel performing some or all of their ALS procedures on the basis of protocols or "standing orders". The NHTSA curriculum remains the ...
Direct medical direction, often called on-line medical direction, is when care is rendered under direct orders of the base station physician, usually over the radio or telephone. The other is indirect medical direction, or off-line medical direction, which includes the development of a set of written medical guidelines, or standing orders.
Standing orders cannot surpass a provider's scope of practice. Scopes of practice represent the degree to which providers are trained. [35] The following is derived NHTSA's "National EMS Scope of Practice model". Without federal mandate, each state's office of emergency medical services may alter their respective standing orders.
EMT-CCs, like all EMS providers, follow a set of protocols for patient care under the guidance of a medical director. These protocols are typically listed in an algorithm format and consist of either routine standing orders or orders that require direct, on-line communication with medical control via radio or telephone.
An emergency medical technician (often, more simply, EMT) is a medical professional that provides emergency medical services. [1] [2] EMTs are most commonly found serving on ambulances and in fire departments in the US and Canada, as full-time and some part-time departments require their firefighters to at least be EMT certified.
In almost all cases, the medical director will be charged with the creation of all protocols and standing orders, [12] and with any research that goes into their creation. [13] The medical director will also, assisted by others, be responsible for the creation and development of the Standards of Practice for their EMS system.
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Emergency medical services (EMS), ... This may include off-line medical control, where they devise protocols or 'standing orders' (procedures for treatment). This may ...