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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. 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The manual also details the steps from public education and 911 activation through on-scene care and transfer to hospital care.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What are the roles and responsibilities of a CFR in patient care?",{"text":118,"@type":114},"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.",{"name":120,"@type":111,"acceptedAnswer":121},"How does the manual distinguish direct and indirect medical control?",{"text":122,"@type":114},"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.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},363381,1790193893,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146},1099529839202,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","January 2016-v.3  \nTable of Contents  \nPreparatory:  \nIntroduction to EMS Systems  \nResearch / Public Health  \nCommunications and Documentation  \nWellness and Lifts & Carries  \nMedical / Legal  \nAnatomy and Physiology  \nThe Human Body  \nMedical Terminology  \nMedical Terminology  \nPhysiology  \nPathosphysiology  \nLife Span Development  \nLife Span Development  \nAirway Management, Respiration, and Ventilation:  \nA&P, Management, Respiration, and Ventilation  \nShock and Resuscitation:  \nNasal Noloxone  \nCirculation and CPR  \nLeft Ventricular Assist  \nDevice CPR Study Guide  \nShock  \nPage:  \n3 6  \n8  \n11  \n15  \n21  \n30  \n31  \n35  \n39  \n46  \n53  \n55  \n57  \n58  \nPatient Assessment:  \nPatient Assessment 59  \nPatient Assessment Flow Sheet 68  \n1  \nCFR Handout Manual – NYS DOH EMR Compliant – 2012-v.3 January 2016  \nMedicine:  \nMedical Emergencies 69  \nTrauma:  \nTraumatic Emergencies 86  \nEnvironmental Emergencies 95  \nSpecial Patient Populations:  \nObstetrics 100  \nNeonatal 103  \nPediatrics 106  \nSpecial Challenges 109  \nGeriatrics 114  \nEMS Operations:  \nOperations 117  \nSTART 120  \nAdditional Assessment Study Guides: 122 NYS Skill Sheets 131  \n2  \nCFR Handout Manual – NYS DOH EMR Compliant – 2012-v.3 January 2016  \nIntroduction to EMS System  \nEmergency Medical Services System = A network of resources to provide emergency care and transport to victims of sudden illness or injury  \nHow Does It Work?  \n• Prevention of injury through public education  \n• Recognition of the emergency and activation of 911  \n• Bystander care following instructions given by dispatcher/call receiving operator  \n• Arrival of First Responders  \n• Arrival of additional EMS resources/transport unit  \n• Emergency medical care at the scene  \n• Transport to receiving hospital  \n• Transfer to in-hospital care  \nThe 10 Classic Components of an EMS System:  \n1. regulation & policy  \n2. resource management  \n3. human resources training  \n4. transportation  \n5. facilities  \n6. communications  \n7. public information and education  \n8. medical oversight  \n9. trauma systems  \n10.evaluation  \nCFR Handout Manual – NYS DOH EMR Compliant – 2012-Revised May 2014  \n3  \nHospital Systems:  \nEmergency Departments and Specialty Referral Centers  \n• Trauma Centers (adult & pediatric)  \n• Burn Centers  \n• Pediatrics  \n• Venomous Bite Centers  \n• Replantation Centers  \n• Hyperbarics  \nNew York State Levels of Training:  \nCertified First Responder (CFR)  \nEmergency Medical Technician – Basic (EMT – B)  \nEmergency Medical Technician – Intermediate (EMT – I)  \nEmergency Medical Technician – Critical Care (EMT – CC)  \nEmergency Medical Technician – Paramedic (EMT – P)  \nThe Roles of the CFR:  \n• Scene Safety – personal, the crew, the patients & the bystanders…in that order  \n• Gaining access to the patient  \n• Assessment of the patient to identify life threatening conditions  \n• Patient care  \n• Record keeping & documentation  \n• Liaison with other public safety workers  \nMedical Oversight:  \n• A formal relationship between the EMS providers and the physician responsible for the out-of-hospital emergency medical care provided in a community  \n• Every EMS System must have medical oversight.  \n• FDNY EMS operates under the license of the FDNY Medical Director.  \nCFR Handout Manual – NYS DOH EMR Compliant – 2012-Revised May 2014  \n4  \nDirect 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.  \nIndirect Medical Control (“off-line medical control”) = everything that is not direct medical control: standing orders, protocols, quality management, education, etc.  \nCFR Handout Manual – NYS DOH EMR Compliant – 2012-Revised May 2014  \n5  \nResearch & Public Health  \n• Findings are important in identifying  \n– Changes in EMS assessment and management techniques  \n– Methods to improve patient care and outcome  \n– Ways to improve service de","cbCaib6Psm4yEfGH","https://ap.wps.com/l/cbCaib6Psm4yEfGH","pdf",4955624,145,"English","# Preparatory\n## Introduction to EMS Systems\n## Research / Public Health\n## Communications and Documentation\n## Wellness and Lifts & Carries\n## Medical / Legal\n## Anatomy and Physiology\n## The Human Body\n## Medical Terminology\n## Physiology\n## Pathosphysiology\n## Life Span Development\n## Airway Management, Respiration, and Ventilation\n## Shock and Resuscitation\n# Patient Assessment\n## Patient Assessment\n## Patient Assessment Flow Sheet\n# Medicine\n## Medical Emergencies\n# Trauma\n## Traumatic Emergencies\n## Environmental Emergencies\n# Special Patient Populations\n## Obstetrics\n## Neonatal\n## Pediatrics\n## Special Challenges\n## Geriatrics\n# EMS Operations\n## Operations\n## START\n# Additional Assessment Study Guides","[{\"question\":\"What is the overall EMS system purpose described in the manual?\",\"answer\":\"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.\"},{\"question\":\"What are the roles and responsibilities of a CFR in patient care?\",\"answer\":\"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.\"},{\"question\":\"How does the manual distinguish direct and indirect medical control?\",\"answer\":\"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.\"}]","join-cfr-manual - CFR Handout Manual - NYS DOH EMR Compliant - 2012 v.3 January 2016 | PDF",1790151016,365]