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What Diminishes Joy
Published in Eve Shapiro, Joy in Medicine?, 2020
EMS is the name of the field—emergency medical services. When people use the term “EMT” they’re talking about emergency medical technicians who practice EMT basics, which is what I do. Being an EMT requires taking a three- to four-month class to learn the general skills. There’s a different level called “paramedics,” which is usually a course of about a year or so; that is a bit more rigorous, allowing them to deliver more advanced levels of care. Paramedics and other EMTs work together in the general realm of EMS.
EMS support of executive protection and counter-terrorism operations
Published in Jan de Boer, Marcel Dubouloz, Handbook of Disaster Medicine, 2020
David M. La Combe, Christopher M. Grande
The decision to provide medical training to individual team members versus recruiting or contracting with a physician, an EMT (emergency medical technician) or Paramedic to provide support is complex. Selecting a physician for these types of ‘special operations’ is often centred around items such as specialty training, cost, and availability. In reality, participation in these types of activities involves ‘hours of boredom, and seconds of terror’. It thus is sometimes difficult to select a single individual who would be able to provide all of the essential skill levels and capabilities. During routine activities, a family practitioner, internal medicine specialist or even someone with a preventative medicine background is often more useful. However, during the time of threat exposure, specialists in trauma/EMS (i.e. anaesthesiologists, surgeons, etc.) have proven value.
Taser—Conducted Electrical Weapons
Published in Darrell L. Ross, Gary M. Vilke, Guidelines for Investigating Officer-Involved Shootings, Arrest-Related Deaths, and Deaths in Custody, 2018
Mark W. Kroll, Michael A. Brave
□ Treat the EMTs (Emergency Medical Technicians) and Paramedics at the scene like any other witnesses. Get complete readable, detailed, time chronological statements from them about what they observed and what interventions they made. EMTs do not always perfectly document the event. However, they can make medical observations that the LEOs (Law Enforcement Officers) might not realize are important but they will have forgotten by the time their depositions are taken two or three years later. Where did the probes land? Don't assume that their standard report has enough information—it does not.
Developing a Cancer Care and Community Paramedicine Partnership
Published in Oncology Issues, 2022
Michele Goodman, Scott A. Kasper
Paramedics or emergency medical technicians (EMTs) are traditionally trained to deal with acute medical emergencies. When these professionals arrive on scene, they take charge, quickly develop a plan of care, implement and execute that plan, and then move on to the next patient. This is in contrast to the world of mobile integrated health, in which clinical practice is more akin to nursing than to traditional paramedicine. However, because the Albuquerque Ambulance Service’s Mobile Integrated Health EMTs are among the senior-most staff, their ability to adapt to a different modality of care was quickly demonstrated. In addition, the Mobile Integrated Health team easily understood the value that their expertise offered the healthcare system and patients. Therefore, the staff’s support for the program and their comfort level performing the required skills was high.
Emergency Ambulance Utilization in Harlem, New York (July 1985)
Published in Prehospital Emergency Care, 2022
Studies concerning what is most beneficial and successful for prehospital care have implications for decisions concerning appropriate levels of training for ambulance personnel. It has been suggested that a level of training intermediate between that of the EMT and the paramedic might be more cost-effective and better serve the public (34). As Pons, the Journal of Emergency Medicine Section Editor for Prehospital Care, suggests in a recent editorial: “Certainly the cost of training everyone to a paramedic level is prohibitive, and perhaps not necessary. It may well be that a basic EMT with certain additional skills, i.e., defibrillation, may provide the optimal answer” (35). Chaiken and Gladstone emphasize that “research on the impact of training programs on patient outcomes, costs, and personnel turnover is necessary” (36).
EMS Program Graduates Who Did Not Retest after Initial Attempt on the National Certification Exam
Published in Prehospital Emergency Care, 2021
Jonathan R. Powell, Rebecca E. Cash, Madison K. Rivard, Ashish R. Panchal
Emergency medical services (EMS) professionals are an essential workforce that provides acute, lifesaving medical care in the prehospital setting (1–3). To become credentialed to practice, EMS candidates undergo didactic and clinical skills training at an approved or accredited program, followed by confirmation of entry-level competency (4). For most EMS professionals, this process involves attainment of National Certification to obtain state-level credentials to practice. There are four Nationally Registered Certification levels: emergency medical responder (EMR), emergency medical technician (EMT), advanced EMT (AEMT), and paramedic (4). At the EMT, AEMT and paramedic levels, competency for National Certification is verified by successful completion of a cognitive and psychomotor examination (4, 5).