join-cfr-manual - CFR Handout Manual - NYS DOH EMR Compliant - 2012 v.3 January 2016

Sep 23, 2026

CFR Handout Manual for NYS DOH EMR compliant emergency medical services training, organized by EMS system fundamentals, patient assessment, medical and trauma emergencies, and special patient populations. It covers how EMS works, the 10 classic components of an EMS system, hospital system roles, New York State levels of training, and the responsibilities of CFRs, including scene safety, patient access, assessment, care, record keeping, and liaison duties. It also outlines medical oversight, direct versus indirect medical control, and EMS-related public health, research, communication, and documentation practices.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages145

Reading Time6 h 5 min

AccessFree to download

Preparatory

Introduction to EMS Systems

Research / Public Health

Communications and Documentation

Wellness and Lifts & Carries

Medical / Legal

Anatomy and Physiology

The Human Body

Medical Terminology

Physiology

Pathosphysiology

Life Span Development

Airway Management, Respiration, and Ventilation

Shock and Resuscitation

Patient Assessment

Patient Assessment Flow Sheet

Medicine

Medical Emergencies

Trauma

Traumatic Emergencies

Environmental Emergencies

Special Patient Populations

Obstetrics

Neonatal

Pediatrics

Special Challenges

Geriatrics

EMS Operations

Operations

START

Additional Assessment Study Guides

January 2016-v.3 Table of Contents Preparatory: Introduction to EMS Systems Research / Public Health Communications and Documentation Wellness and Lifts & Carries Medical / Legal Anatomy and Physiology The Human Body Medical Terminology Medical Terminology Physiology Pathosphysiology Life Span Development Life Span Development Airway Management, Respiration, and Ventilation: A&P, Management, Respiration, and Ventilation Shock and Resuscitation: Nasal Noloxone Circulation and CPR Left Ventricular Assist Device CPR Study Guide Shock Page: 3 6 8 11 15 21 30 31 35 39 46 53 55 57 58 Patient Assessment: Patient Assessment 59 Patient Assessment Flow Sheet 68 1 CFR Handout Manual – NYS DOH EMR Compliant – 2012-v.3 January 2016 Medicine: Medical Emergencies 69 Trauma: Traumatic Emergencies 86 Environmental Emergencies 95 Special Patient Populations: Obstetrics 100 Neonatal 103 Pediatrics 106 Special Challenges 109 Geriatrics 114 EMS Operations: Operations 117 START 120 Additional Assessment Study Guides: 122 NYS Skill Sheets 131 2 CFR Handout Manual – NYS DOH EMR Compliant – 2012-v.3 January 2016 Introduction to EMS System Emergency Medical Services System = A network of resources to provide emergency care and transport to victims of sudden illness or injury How Does It Work? • Prevention of injury through public education • Recognition of the emergency and activation of 911 • Bystander care following instructions given by dispatcher/call receiving operator • Arrival of First Responders • Arrival of additional EMS resources/transport unit • Emergency medical care at the scene • Transport to receiving hospital • Transfer to in-hospital care The 10 Classic Components of an EMS System: 1. regulation & policy 2. resource management 3. human resources training 4. transportation 5. facilities 6. communications 7. public information and education 8. medical oversight 9. trauma systems 10.evaluation CFR Handout Manual – NYS DOH EMR Compliant – 2012-Revised May 2014 3 Hospital Systems: Emergency Departments and Specialty Referral Centers • Trauma Centers (adult & pediatric) • Burn Centers • Pediatrics • Venomous Bite Centers • Replantation Centers • Hyperbarics New York State Levels of Training: Certified First Responder (CFR) Emergency Medical Technician – Basic (EMT – B) Emergency Medical Technician – Intermediate (EMT – I) Emergency Medical Technician – Critical Care (EMT – CC) Emergency Medical Technician – Paramedic (EMT – P) The Roles of the CFR: • Scene Safety – personal, the crew, the patients & the bystanders…in that order • Gaining access to the patient • Assessment of the patient to identify life threatening conditions • Patient care • Record keeping & documentation • Liaison with other public safety workers Medical Oversight: • A formal relationship between the EMS providers and the physician responsible for the out-of-hospital emergency medical care provided in a community • Every EMS System must have medical oversight. • FDNY EMS operates under the license of the FDNY Medical Director. CFR Handout Manual – NYS DOH EMR Compliant – 2012-Revised May 2014 4 Direct Medical Control (“on-line medical control”) = direction given by the medical director to a field provider at the time that care is being given. Communication can be via radio, telephone or actual contact on the scene. Indirect Medical Control (“off-line medical control”) = everything that is not direct medical control: standing orders, protocols, quality management, education, etc. CFR Handout Manual – NYS DOH EMR Compliant – 2012-Revised May 2014 5 Research & Public Health • Findings are important in identifying – Changes in EMS assessment and management techniques – Methods to improve patient care and outcome – Ways to improve service de

FAQs

What is the overall EMS system purpose described in the manual?

EMS is defined as a network of resources that provides emergency care and transport to victims of sudden illness or injury. The manual also details the steps from public education and 911 activation through on-scene care and transfer to hospital care.

What are the roles and responsibilities of a CFR in patient care?

The manual lists CFR responsibilities including scene safety, gaining access to the patient, assessing for life-threatening conditions, providing patient care, record keeping and documentation, and serving as a liaison with other public safety workers.

How does the manual distinguish direct and indirect medical control?

Direct medical control is direction given by the medical director to a field provider at the time care is being given, communicated via radio, telephone, or in-person contact. Indirect medical control covers everything else, including standing orders, protocols, quality management, and education.

Sep 23, 2026

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