welcome emt-ba course #ba54-01-11 website syllabus chapters 1 & 2
TRANSCRIPT
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WELCOMEEMT-BA COURSE #BA54-01-11
•Website
•Syllabus
•Chapters 1 & 2
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ROLES AND RESPONSIBILITES OF THE EMT-BA
Professional Characteristics• Flexible: To meet demands of the ever-
changing emergency scene• Confident leader
Excellent judgment
Ability to prioritize decisions
Develop Rapport
Function independently at an optimum level
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Relatively young, the field of emergency medicine is now recognized as a part of the health care system
As an EMT-BA YOUR ARE A TRUE HEALTH-CARE PROFESSIONAL
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• You must follow codes of professional ethics and etiquette
The evolution of EMS
Ancient times
• Good Samaritan
• Book of wounds
• Code of Hammurabi
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18th and 19th Centuries
• Napoleonic Wars
• Civil War
• First civilian ambulance service
• NYC Health Department Ambulance Service
• 20th Century
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Roles and Responsibilities
• Evidence-Based MedicineBasic physical fitness• Strength and stamina on the jobBack Safety• Keep your back fit• Proper lifting techniques• Correct posture• Heed your own body signals
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• Local protocols, policies and procedures
• Patient assessment
• Appropriate disposition
• Patient transfer
• Documentation
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• Professionalism
Conduct or qualities that characterize a practitioner in a particular field or occupation
Professional attitude
• Patients
• Staff
• Co-workers
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Professional attributes
• Self-confidence
• Established credibility
• Inner strength
• Ability to remain in control
• Ability to communicate
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• Willingness to make decisions• Willingness to accept responsibility for the
consequences of the team’s actions
all leads to the attributes of. . . . .
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L E A D E R S H I P
Professionalism also includes the qualities of………………………………………….
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• Integrity• Empathy• Self-motivation• Appearance and personal hygiene• Communication• Time management• Teamwork and diplomacy• Respect• Patient advocacy• Careful delivery of services
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Well-Being of the EMT-BA
Personal responsibilities• Self –examination
Stress and Stress Management• Eustress
Positive stress but can produce physiological and psychological signs and sx.
What is stress?...........
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A hardship or strain; a physical or emotional response to a stimulus
Adapting to stress:• Defense strategiesHelpful in the short-term but denies and distorts
the reality of a stressful situation• CopingActive process. Confronts and changes or adjust
as necessary. May not be the best for the long-term
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• Problem-solving skills: ability to analyze a problem and recognize multiple options and potential solutions
Healthiest approach to everyday concerns.
Mastery generally comes only as a result of extensive experience with similar situations
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Stressors: Stimulus that causes stress
Administrative stressors
• Waiting for calls
• Loud pagers
• Inadequate pay
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Scene-related stressors
• Violent and abusive people
• Flying debris
• Vomit
• Loud noises
• Chaos
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Emotional and physical stressors• Fear• Demanding bystanders• Abusive patients• Frustration• Exhaustion• Hunger or thirst• Heavy objects
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Environmental stress• Siren noise• Inclement weather• Confined work spaces• Difficult decision making
ALL can result in
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• Can strain family relationships
• Can lead to conflicts with supervisors and co-workers
These added to common personality traits such as the need to be liked and unrealistically high self-expectations can lead to disturbing feelings of guilt or anxiety
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You should be aware of
• Your personal stressors
• Amount of stress you can take before it becomes a problem
• Stress management strategies that work best for you
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Three phases of stress response
Stage 1: Alarm
• “fight or flight”; the body physically prepares itself against a personal threat
• Pituitary releases adrenocortiotropic hormones which continue to flood the body via the autonomic nervous system coordinated by the hypothalimus
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• Epinephrine and norepinephrine from the adrenal glands increase heart rate
increase blood pressure
dilate pupils
increase blood sugar
slow digestion
relaxes the bronchial tree
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The reaction ends when the situation is no longer perceived as dangerous
Stage II: Resistance
• Coping becoming desensitized or adapted to stressors
Stage III: Exhaustion
• Resistance to stressors declines
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Signs of stress
• Physical
• Cognitive
• Emotional
• behavioral
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Specific EMS stress:
Daily Stress
• Pay
• Working conditions
• Dealing with the public
• Administrative matters
• Other hassles of day-to-day living
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Small incidents
• Incidents involving only one or two patients
Large incidents and disasters
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MANAGING STRESS
Two main groups of defense mechanisms and techniques for managing stress
• Beneficial
• Detrimental
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Detrimental• May provide temporary sense of relief but
does not cure the problem• They only make things worseIncludes• Substance abuse• Overeating or other compulsive behaviors• Chronic complaining
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• Freezing out or cutting off others and the support they could give you
• Avoidance behaviors
• Dishonesty about your actual state of well-being- - - - “I’m just fine”
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Beneficial
Controlled breathing
• Focus attention on your breathing
• Take in a deep breath through your nose
• Exhale forcefully but steadily through your nose so that you can hear the air rush out
• Press all the air out of your lungs with your abdomen
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• Do this two or 3 times until you feel steadier
Why do this?
Helps to reduce your adrenaline levels and slows your heart rate
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Reframe
• Mentally reframe interfering thoughts such as “I can’t do this” or “I’m scared”
These thoughts however must be dealt with at some point in time
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For long-term
The best stress management technique is to
TAKE CARE OF YOUR SELF
Hence
THE WELL-BEING OF THE EMT-BA