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Emt

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Advanced emt (aemt) An individual who has trained in specific aspects of advanced life support such as intravenous therapy and the administration of certain emergency medications
Advanced life support (ALS) Advanced lifesaving procedures some of which are now being provided by the emt
Americans with disabilities act (ADA) Comprehensive legislation that is designed to protect people with disabilities against discrimination
Automated external defibrillator (AED) A device that detects treatable life-threading cardiac dysrhythmias (ventricular fibrillation and ventricular tachycardia) and delivers the appropriate shock to patient
Certification A process in which a person an institution or a program is evaluated and recognized provided safe and ethical care
Community paramedicine A health care model in which experienced paramedics receive advanced training to equip them to provide additional services in the prehospital environment such as health evaluations monitoring or chronic illnesses or conditions and patient advocacy
Health insurance portability and accountability act (HIPAA) Federal legislation passed in 1986 its main effect in ems is in limiting availability of patients health care information and penalizing violations of patients privacy
Intravenous (IV) therapy The delivery of medication directly into a vein
Licensure The process whereby a competent authority usually the state allows people to perform a regulated act
Medical control Physician instructions 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 The physician who authorizes or delegates to the EMT the authority to provide medical care in the field
Mobile integrated healthcare (MIH) A method of delivering health care which involves providing Heath care within the community rather than at a physicians office or hospital
national EMS scope of practice model a document created by the national highway traffic safety administered (NHTSA) that outlines the skills performed by various EMS providers
paramedic 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 prevnetion efforts to prevent an injury or illness from ever occuring
primary service area (PSA) the designated area in which ems agency is responsible for the provision of prehospital emergency care and transpotatio to the hospital
public health focused on examining the health needs of entire populations with the goal of preventing health problems
public safety access point a call center staffed by trained personnel who are responibie for managing requests for police, fire and ambulance services
quality control the responsibility of the medical director to ensure the appropriate medical care stanards are met by EMTs on each call
secondary prevention efforts to limit the effects of an injury or illness that you cannot completely prevent
14 components of the ems system 1. public access 2. communication system 3. clinical care 4.Human Resources 5. medical direction 6. legislation and reulation 7. integrattion of health services 8. mobil integrated healthcare 9. evaluation 10. information system 11.system Finance 12. education system 13.prevention and public education 14.ems research
accute stress reactions reactions to stress that occurs during a strssful situation
airborne transmission the spread of an organism via droplets or dust
bloodborne pathogens pathogenics microorganisms that are present in human blood and can cause disease in humans. these pathogens include but are no limited to hepatitis B virus and human immunodeficiency virus (HIV)
center for disease control and prevention (CDC) the primary federal agency that conducts and supports public health activities in thye united states the CDC is part of the US department of Health and Human Services
communicable disease a disease that can be spread from one person or species to another
concealment the presence of infection organisms on or in objects such as dressings,water, food, neddles, wounds, or a patients body
cover the tactical use of an impenetrable barrier for protection
critical incident stress management (CISM) a process that confronts the responses to critical incidents and defuses them, directing the emergency services personnel towards physical and emotional equilibrium
cumulative stress reactions prolonged or excessive stress
delayed stress reactions reactions to stress that occurs after a stressful situation
designated officer the indivdual in the department who is charged with the responsibility o managing exposures and infection control issues
direct contact exposure or transmission of a communicable disease from one person to another by physical contact
exposure a situation in which a person has had contact with blood, body fluids, tissues, or airborne particles in a manner that suggests disease transmission may occur
foodborne tranmission the contamination of food or water with an organism than can cause disease
general adaptation syndrome the body's response to stress that begins with an alarm response, followed by a stage of reaction and resistance, and then recovery or, if the stress is prolonged, exhaustion
hepatitis inflammation of the liver, usually caused by a virual infection, that causes fever, loss of apptite,jaundice,fatigue, and altered liver function
host the organism or individual that is attacked by the infecting agent
human immunodeficiency virus (HIV) acquired immunodeficiency syndrome (AIDS) is caused by HIV, which damages the cells in the bodys immune system so that the body is unable to fight infection or certain cancers
immune the body's ability to protect itself from acquiring a disease
indirect contact exposure or transmission of disease from one person to another by contact with a contaminated object
infection the abnormal invasion of a host or host tissues by organisms such as bacteria, viruses,or parasites,with or without signs or symptoms of disease
infection control procedures to reduce transmission of infection among patients and health care personnel
infectious disease a medical condition caused by the growth and spread of small, harmful organisms within the body
occupational safety and Health administration (OSHA) the federal regulatory compliance agency that develops, publishes, and enforces guidelines concerning safety in the workplace
pathogen a microorganism that is capable fo causing disease in a susceptible host
personal protective equipment (PPE) protective equipment that blocks exposure to a pathogwn or a hazardous material
posttraumatic stress disorder (PTSD) a delayed stress reaction to a prior incident. often the result of one or more unresolved issues concerning the incident, and may relate to an incident that involved physical harm or the threat or physical harm
transmission the way in which an infectious disease is spread contact, airborne, by vehicles, or by vectors
standard precautions protective measures that have traditionally been developed by the CDC for use in dealing with objects, blood, body fluids, and other potential exposure risks of communicable disease
vector-borne transmission the use of an aniaml to spread an organism from one person or place to another
abandonment unilateral termination of case by the EMT witout the patient's consent and without making provisions for transferring care to another medical professional with the skills and training necessary to meet the needs of the patient
advance directive written document that specifies medical treatment for a competent patient should the patient become unable to make decisions: also called a living will or health care directive
applied ethics the manner in which principles of ethics are incorporated into professional conduct
assault unlawfully placing a patient in fear of bodily harm
battery unlawfully touching a patient or providing emergency care without consent
bioethic the study of ethics related to issues that arise in health care
breach of confidentiality disclosure of information without proper authorization
compensatory damages damages awarded in a civil lawsuit that are intended to restore the plainriff to the same condition that he or she was in prior to the incident
competent able to make rational decisions about personal well-being
conent permission to render care
contributory negligence a legal defense that may be raised when the defendant feels that the conduct of the plaintiff somehow contributed to any injuries or damages that were sustained by the plaintiff
credentialing an established process to determine the qualifications necessary to be allowed to practice a practicular profession, or a function as an organization
decision making capacity ability to understand and process information and make a choice regarding appropriate medical care
defamation the communication of false information about a person that ios damaging to that perosn's reputation or standing in the community
dependent lividity blood settling to thev lowest point of the body, causing discoloration of the skin, a definitive sign of death
depositions oral questions asked of partiesand witnesses under oath
discovery the phase of a civil lawsuit where the plaintiff and defense obtain information from each other that will enable the attorneys to have a better understanding of the case and which will assist in negotiating a possible settlement or in preparing for trail, discovery includes depositions, interrogatories, and demands for production of record
do not resuscitate (DNR) order written documentation by a physician giving permission to medical personnel not to attempt resuscitation in the event of cardiac arrest
durable power of attorney for health care a type of advance directive executed by a competent adult that appoints another individual to make medical treatment decisions on his or her behalf, in the event that the person making the appointment loses decision making capacity
duty to act a medicolegal term relating to certain pesonnel who either by statue or by function have a responsibility to provide care
emancipated minors a person who is under the legal age in a given state but, because of other circumstances, is legally considerd an adult
emergency a serious situation, such as injury or illness that threatens the life or welfare of a person or group of people andrequires immediate intervention
emergency doctrine the principle of law tha tpermits a health care provider to treat a patient in an emergency situation whjen the patient is incapable of granting consent because of an altered level of conssciousness, disability, the effects of drugs or alcohol, or the patient's age
emergency medical care immediate care or treatment
ethics the philosophy of the right and wrong of moral duties and of ideal professional behavior
expressed consent a type of consent in which a patient gives verbal or nonerbal authorization for provision of care or transport
false imprisonment the confinement of a person without legal authority or the person's consent
forcible restraint the act of physically preventing an individual from initiating any physical action
good samaritan law statutory provisions enactedby many states to protect citizens from liability for errors and omissions in giving good faith emergency medical care unless there is wanton,gross or willful negligence
governmental immunity legal doctrine that can protect an EMS provider from being sued or which may limit the amount of the amount of the monetary judgement that the palintiff may recover, generally applies only yo EMS systems that are operated by municipalities or other governmental entities
gross negligence conduct that constitutes a willful or reckless disregard for a duty or standard of care
health care directive a written documnt thatspecifies medical trearment for a competent patent should he or she become unable to make decisions. Also known as an advance directive living will
health care proxies a type of advance directive executed by a acompetent adult that appoints another individual to make medical treament decisions on his or her behalf int he event that the person making the appointment loses decision making capacity. also known as a durable power of attorney for health care
implied consent type of consent in which a patient who is unable to give consent is given treatment under the legal assumption that he or she would want treatment
informed consent permission for treatment given by a competent patient after the potential risks, benefits, and alternatives to treatment have been explained
in loco parentis refers to the legal responsibility of a person or organization to take on some of the functions and responsibilities of a parent
interrogatories written questions that the defense and plaintiff send to one another
kidnapping the seizing, confining, abducting, or carrying away a person by force, including transportinga competenht adult for medical treatment without his or her consent
libel false and damaging information about a person that is communicated in writting
licensure the process wereby a competent authority usually the state alows peopleto perform a regulated act
medicolegal a term relating to medical jurisprudence (law) or forensic medicine
morality a code of conduct that can be defined by society, reigion, or a person, affecting character, conduct,and conscience
negligence failure to provide the same care that a person with similar training would provide
negligence per se a theory that may be used when the conduct of the person being sued is alleged to have occured in clear violation of a statute
patient autonomy the right of a patient to make informed choices regarding his or her health care
protected health information (PHI) any information about health status provision of health care or payment for health care that can be linked to an indivdual. this is interpreted rather broadly and includes any part of a patient's medical record or payment history
proximate causation when a person who has a duty abuses it, and causes harm to another indivdual, the EMT, the agency, and/or the medical director may be sued for negligence
punitive damages damages that are sometimes awarded in a civil lawsuit when the conduct of the defenant was intentional or constituted a reckless disregard for the safety of the public
putrefaction decomposition of the body tissues: a definitive sign of death
res ipsa loquitor when the EMT or an EMS system is held liable even when the palintiff is unable to clearly demonstrate hoe the injury occured
rigor mortis stiffening of the body muscles a definitive sign of death
scope of practice most commomly defined by state law, otlined the care that the EMTis able to provide for the patient
slander false and damaging information about a pefrson that is communicated by the spoken word
stanard of care written accepted levels of emergency care expected by reason of training and profession., written by legal or professional organizations so that patients are not exposed to unreasonable risk or harm
statute of limitaions the time within which a cse must be commenced
tort a wrongful act that gives rise to a civil lawsuit
base station any radio hardware containing a transmitter and reciever that is located in a fixed place
cellular telephone a low power portable radio that communicates throgh an interconnected series of repeater stations called "cells"
channel an assigned freguency or frequecies that are used to carry voice and / or dat communications
closed-ended questions questions that can be answered in short or single word responses
communication the transmission of information to another person- verbally or through body language
cultural imposition when one person imposes his or her beliefs, values,and practices on another because he or she believes his or her ideals are superior
dedicated lines a special telephone line tha tis used for specific point to point communications, also known as a hotline
documentation the recorder portion of the EMT's patient interaction, either written or elecronic. This becomes part of the patients permanent medical record
duplex the ability to transmit and reciev simultaneously
ethnocentrism when a persn considers his or her own cultural values as more important when interacting with people of a different culture
federal communications commission (FCC) the federal agengy has jurisdiction over interstate and international telephone and telegraph services and satelite communications, al of which may involve EMS activity
interoperable communications system a communication system that uses voice-over-internet-protocol (voip) technology to allow mulyiple agencies to communicate and transmit data
med channels VHF and UHF channels that federal communications commision has designated exculusively for EMS use
mobile data terminal (MDT) a small computer terminal inside the ambulance that directly recieves data from the dispatch center
multiplex the ability to transmit audio and data signals through theuse of more than one communications channel
noise anything that dampens or obscures the true meaning of a message
open-ended question question for which the patient must provide detail to give an answer
paging the use of a radio signal and a voice or digital message that is transmitted to pagers (beepers) or desktop monitor radios
patient care report (PCR) the legal document used to record all patient care activities. this report has direct patient care functions but also administrative and quality control functions. PCRs are also known as prehosiptal care reports
rapport a trusting relationship that you build with your patient
repeater a special base station radio that recieves messages and signals on one frequency and then automatically retransmits them on a second frequency
scanner a radio reciever that searches or scans across several frequencies until the message is complete the process is then repeated
simplex single frequency radio transmissions can occur in either direction but not simultaneously in both. when one partyu transmits the other can only recieve and the party that is transmitting is uable to recieve
standing orders writtwen documents signed by the EMS systems medical director that outline specific directions, permissions, and sometimes prohibitions regarding patient care, also called protocols
telemetry a process in which electronic signals are converted into coded audiblesignals, these signakls xan then be transmitted by radio or telephone to a reciever with a decoder at the hospital
therapeutic communication verbal and nonverbal communication techniques that encourage patients to express their feelings and to achieve a posititve relationship
trunking telecommunication systems that allow a comuter to maximize utilization of a groupof frequencies
uhf (ultra high frequency) radio frequencies between 300 and 3000 mhz
vhf (very high frequency) radio frequencies between 30 and 300 mhz the VHF spectrum is further diivided into high and low bands
cardi heart
tachycardia fast heart rate
hepat liver
hepatomegaly enlargement of the liver
nephr kidney
nephropathy disease of the kidney
neur nerves
neurologist physician who specializes in disease of the nervous system
psych mind
psychology study of the mind
thorac chest
thoracic pertaining to the chest or thorax
hyper over, excessive,high
hyperventilation fast ventilations
hypo under, below normal
hypoperfusion below normal blood flow to vital organs
tachy rapid,fast
tachycardia fast heart rate
brady slow
bradypnea slow breathing
pre before
prenatal occurring before birth
post after, behind
postsurgical occuring after surgery
al pertaining to
syncopal pertaining to syncope
algia pertaining to pain
arthralgia joint pain
ectomy surgical removal of
appendectomy surgical removal of the appendix
ic pertaining to
diaphoretic pertaining to diaphoresis
itis inflammation
epigipttitis inflammation of the epiglottis
logy study of
cardiology the study of the heart
logist specialist
pulmonologist specialist in disease of the lung
megaly enlargement
cardiomegaly enlargement of the heart
meter measuring instrument
sphygmomanometer instrument to measure blood pressure
oma tumor (usually referring to cancel)
lymphoma cancer of the lymphstic system
pathy disease
nephropathy disease of the kidneys
cardio heart
gastro stomach
hepato liver
arthro joint
ostro bone
pulmono lungs
unilateral one, one side
diplopia dipl, two, double vision
nullipara null, none , never given birth
primigravida first, pregnant for the first time
multiparous many, giving birth to more than one offspring at a time
bilateral two, bi, pertaining to both sides
trigeminy three, tri, irregular of two normal beats followed by one premature beat
quadriplegic quad, four, paralysis of all four extremities
tetralogy of fallot a congenital defect involving four anatomic adnornalities of the heart, tetra,four
quintipara five, quint, five pregnancies resulting in five live births
sextuplets six offspring of the same pregnancy, six, sexti
septuplets septi, seven, seven offspring of the same pregnancy
octigravida oct, eight, pregnant for the eighth time
nonan nona, nine, occuring on the ninth-day
decagram deca, ten, measurement of ten grams
semiconscious semi, half; partial, partially conscious
hemiplegia hemi, half,one sided, paralysis on one side of the body
ambidextrous ambi,both, able to use either hand equally well
pandemic pan,all, entire, an epidemic over a wide area