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Prehospital
Emergency medical services (EMS), also known as ambulance services, pre-hospital care or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. They may also be known as a first aid squad, FAST squad, emergency squad, ambulance squad, ambulance corps, life squad or by other acronym, initialisms such as EMAS or EMARS. In most places, EMS can be summoned by members of the public (as well as medical facilities, other emergency services, businesses and authorities) via an emergency telephone number (such as 911 in the United States) which puts them in contact with a dispatching centre, which will then dispatch suitable resources for the call. Ambulances are the primary vehicles for delivering EMS, though Nontransporting EMS vehicle, squad cars, Motorcycle ambulance, motorcycles, Air medical services, aircraft, Water ambulance, boats, Firefighting apparatus, fire appara ...
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Paramedic
A paramedic is a healthcare professional trained in the medical model, whose main role has historically been to respond to emergency calls for medical help outside of a hospital. Paramedics work as part of the emergency medical services (EMS), most often in ambulances. They also have roles in emergency medicine, primary care, transfer medicine and remote/offshore medicine. The scope of practice of a paramedic varies between countries, but generally includes autonomous decision making around the emergency care of patients. Not all ambulance personnel are paramedics, although the term is sometimes used informally to refer to any ambulance personnel. In some English-speaking countries, there is an official distinction between paramedics and emergency medical technicians (or emergency care assistants), in which paramedics have additional educational requirements and scope of practice. Functions and duties The paramedic role is closely related to other healthcare positions, ...
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Nontransporting EMS Vehicle
A nontransporting EMS vehicle is a vehicle that responds to and provides emergency medical services (EMS) without the ability to transport patients. For patients whose condition requires transport (e.g. to a hospital), an ambulance is necessary. In some cases they may fulfill other duties when not participating in EMS operations, such as Police, policing or Fire department, fire suppression. Vehicle types Non-transporting EMS vehicles come in many sizes and types, from bicycles and golf-carts that can access pedestrian walkways; to motorcycles that are able to fit through stopped or slow traffic; to Sedan (automobile), sedans, station wagons, SUVs and Pickup truck, pickups that can carry almost as much equipment as an ambulance; to All-terrain vehicle, ATVs or Side-by-side (vehicle), UTVs that are capable of off-road rescue; to fire engines and Rescue squad, rescue squads that may carry large crews and may carry specialized equipment. Essentially, any vehicle that lacks the abi ...
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Emergency Medical Technician
An emergency medical technician (often, more simply, EMT) is a medical professional that provides emergency medical services. 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 English-speaking countries, paramedics are a separate profession that has additional educational requirements, qualifications, and scope of practice. EMTs are often employed by public ambulance services, municipal EMS agencies, governments, hospitals, and fire departments. Some EMTs are paid employees, while others (particularly those in rural areas) are volunteers. EMTs provide medical care under a set of protocols, which are typically written by a physician. Hazard controls EMTs are exposed to a variety of hazards such as lifting patients and equipment, treating those with infectious disease, handling hazardous substances, and transportation via g ...
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Air Medical Services
Air medical services are the use of aircraft, including both fixed-wing aircraft and helicopters to provide various kinds of urgent medical care, especially prehospital, emergency and critical care to patients during Medical evacuation, aeromedical evacuation and search and rescue, rescue operations. History During World War I, air transport was used to provide medical evacuation – either from frontline areas or the battlefield itself. In 1928, in Australia, John Flynn (minister), John Flynn founded the Royal Flying Doctor Service, Flying Doctor Service (later the Royal Flying Doctor Service), to provide a wide range of medical services to civilians in remote areas; these included from routine consultations with travelling general practitioners, to air ambulance evacuations and other emergency medical services. Fixed-wing aircraft, Fixed wing military air ambulances came into regular use during World War II. Helicopters became more commonly used for such purposes during th ...
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Emergency Hospital Service
During Home front during World War II, World War II, a centralised state-run Emergency Hospital Service was established in the United Kingdom.Paul Addison, "The Road to 1945", Jonathan Cape, 1975, pp. 178–81. It employed doctors and nurses to care for those injured by enemy action and arrange for their treatment across the range of local and charity hospitals that existed at that time. It was also known as the Emergency Medical Service, although this was, strictly speaking, the medical staff of the service. Planning According to David Stark Murray "Until war became imminent it was only with the greatest difficulty that anyone could be persuaded to regard the chaotic and anachronistic structure of medical practice and hospital services as of any real importance to the nation." In 1938 London County Council seconded staff to the Ministry of Health to assist planning of medical and ambulance services. The London Voluntary Hospitals Committee negotiated with the Ministry. One of th ...
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Point Of Care
Clinical point of care (POC) is the point in time when clinicians deliver healthcare products and services to patients at the time of care. Clinical documentation Clinical documentation is a record of the critical thinking and judgment of a health care professional, facilitating consistency and effective communication among clinicians. Documentation performed at the time of clinical point of care can be conducted using paper or electronic formats. This process aims to capture medical information pertaining to patient's healthcare needs. The patient's health record is a legal document that contains details regarding patient's care and progress. The types of information captured during the clinical point of care documentation include the actions taken by clinical staff including physicians and nurses, and the patient's healthcare needs, goals, diagnosis and the type of care they have received from the healthcare providers. Such documentations provide evidence regarding safe, effecti ...
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New Testament
The New Testament (NT) is the second division of the Christian biblical canon. It discusses the teachings and person of Jesus in Christianity, Jesus, as well as events relating to Christianity in the 1st century, first-century Christianity. The New Testament's background, the first division of the Christian Bible, is called the Old Testament, which is based primarily upon the Hebrew Bible; together they are regarded as Sacred Scripture by Christians. The New Testament is a collection of 27 Christianity, Christian texts written in Koine Greek by various authors, forming the second major division of the Christian Bible. It includes four Gospel, gospels, the Acts of the Apostles, epistles attributed to Paul the Apostle, Paul and other authors, and the Book of Revelation. The Development of the New Testament canon, New Testament canon developed gradually over the first few centuries of Christianity through a complex process of debate, rejection of Heresy, heretical texts, and ...
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Europe
Europe is a continent located entirely in the Northern Hemisphere and mostly in the Eastern Hemisphere. It is bordered by the Arctic Ocean to the north, the Atlantic Ocean to the west, the Mediterranean Sea to the south, and Asia to the east. Europe shares the landmass of Eurasia with Asia, and of Afro-Eurasia with both Africa and Asia. Europe is commonly considered to be Boundaries between the continents#Asia and Europe, separated from Asia by the Drainage divide, watershed of the Ural Mountains, the Ural (river), Ural River, the Caspian Sea, the Greater Caucasus, the Black Sea, and the waterway of the Bosporus, Bosporus Strait. "Europe" (pp. 68–69); "Asia" (pp. 90–91): "A commonly accepted division between Asia and Europe ... is formed by the Ural Mountains, Ural River, Caspian Sea, Caucasus Mountains, and the Black Sea with its outlets, the Bosporus and Dardanelles." Europe covers approx. , or 2% of Earth#Surface, Earth's surface (6.8% of Earth's land area), making it ...
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Nurse
Nursing is a health care profession that "integrates the art and science of caring and focuses on the protection, promotion, and optimization of health and human functioning; prevention of illness and injury; facilitation of healing; and alleviation of suffering through compassionate presence". Nurses practice in many specialties with varying levels of certification and responsibility. Nurses comprise the largest component of most healthcare environments. There are shortages of qualified nurses in many countries. Nurses develop a plan of care, working collaboratively with physicians, therapists, patients, patients' families, and other team members that focuses on treating illness to improve quality of life. In the United Kingdom and the United States, clinical nurse specialists and nurse practitioners diagnose health problems and prescribe medications and other therapies, depending on regulations that vary by state. Nurses may help coordinate care performed by other provide ...
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Physician
A physician, medical practitioner (British English), medical doctor, or simply doctor is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through the Medical education, study, Medical diagnosis, diagnosis, prognosis and therapy, treatment of disease, injury, and other physical and mental impairments. Physicians may focus their practice on certain disease categories, types of patients, and methods of treatment—known as Specialty (medicine), specialities—or they may assume responsibility for the provision of continuing and comprehensive medical care to individuals, families, and communities—known as general practitioner, general practice. Medical practice properly requires both a detailed knowledge of the Discipline (academia), academic disciplines, such as anatomy and physiology, pathophysiology, underlying diseases, and their treatment, which is the science of medicine, and a decent Competence (human resources ...
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Advanced Life Support
Advanced Life Support (ALS) is a set of life-saving protocols and skills that extend basic life support to further support the circulation and provide an open airway and adequate ventilation (breathing). Components Key aspects of ALS level care include: * Tracheal intubation * Rapid sequence induction * Cardiac rhythm monitoring by ECG * Cardioversion and defibrillation using a manual or automated external defibrillator * Transcutaneous pacing * Ultrasonography * Intravenous cannulation (IV) * Intraosseous (IO) access and intraosseous infusion * cricothyrotomy, Surgical cricothyrotomy * Needle cricothyrotomy * Needle or finger thoracostomy of tension pneumothorax * Pericardiocentesis * Advanced medication administration through parenteral and enteral routes (IV, IO, PO, PR, ET, SL, topical, and transdermal) * Advanced cardiac life support (ACLS) * Pediatric Advanced Life Support (PALS) or Pediatric Education for Pre-Hospital Providers (PEPP) * Pre-Hospital Trauma Life Support (PH ...
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Basic Life Support
Basic life support (BLS) is a level of medical care which is used for patients with life-threatening condition of cardiac arrest until they can be given full medical care by advanced life support providers (paramedics, nurses, physicians or any trained general personnel). It can be provided by trained medical personnel, such as emergency medical technicians, qualified bystanders and anybody who is trained for providing BLS and/or ACLS. Background The International Liaison Committee on Resuscitation (ILCOR) was formed in 1992 to coordinate the efforts of resuscitation worldwide. The ILCOR representatives come from various countries such as the United States, Canada, Australia, New Zealand, and from the European, Asian, and African continents. In 2000, the committee published the first resuscitation guideline. In 2005, the committee published International Consensus on Cardiopulmonary resuscitation (CPR) and Emergency Cardiovascular Care (ECC) Science with Treatment Recommendatio ...
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