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While discussed for many years, the concept of paramedicine was first formally described in the EMS Agenda for the Future. [1] Paramedicine represents an expansion of the traditional notion of emergency medical services as simply an emergency response system. Paramedicine is the totality of the roles and responsibilities of individuals trained ...
The most notable examples of this model in the United States are Pittsburgh Bureau of Emergency Medical Services, Boston EMS, New Orleans Emergency Medical Services, and Cleveland EMS. Government ambulance services also have to take civil service exams just like government fire departments and police.
It is used for alert (conscious) people, but often much of this information can also be obtained from the family or friend of an unresponsive person. In the case of severe trauma, this portion of the assessment is less important. A derivative of SAMPLE history is AMPLE history which places a greater emphasis on a person's medical history. [2]
The show's technical advisor was a pioneer of paramedicine, James O. Page, [18] then a Battalion Chief responsible for the Los Angeles County Fire Department 'paramedic' program, but who would go on to help establish other paramedic programs in the U.S., and to become the founding publisher of the Journal of Emergency Medical Services. [19]
Paramedic (see Paramedics in the United States): Paramedic is specialist health care provider, autonomous practitioner , providing advanced assessment and management skills, various invasive skills, and extensive pharmacology interventions, Paramedic is the highest level in EMS and its extension to the emergency physician .
Advanced Paramedic [58] (Critical Care Paramedics endorsed under the pre-2015 state curriculum are grandfathered at this level) Critical Care Paramedic [ 59 ] (Requires IBSC CCP-C or FP-C certification or UBMC CCEMT-P course)
Nationally Registered Emergency Medical Responder (NREMR): This is the entry level into emergency medical services (EMS). They are trained in CPR, advanced first aid, automated external defibrillator usage, and patient assessment. Most police and fire services require their employees to be emergency medical responders at a minimum.
The medical first response program is a program that responds personnel to a life-threatening emergency situation if they are closer than the paramedics to rapidly stabilize the scene and/or patient(s), to provide relevant medical information to paramedics before they arrive, and to support paramedic care on scene after paramedics arrive.
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