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EMS

Emergency medical services

From Wikipedia, the free encyclopedia

An ambulance in Lausanne(Switzerland) marked with multipleStars of Life (representing emergency medical services).

Emergency medical services prepare to airlift the victim of a car accident to hospital

Emergency medical services (abbreviated to the initialism EMS in some countries) are a type of emergency service dedicated to providing out-of-hospitalacute medical care, transport to definitive care, and other medical transport to patients with illnesses and injuries which prevent the patient from transporting themselves.[1] Emergency medical services may also be locally known as a paramedic service, a first aid squad,[2] emergency squad,[3] rescue squad,[4]ambulance squad,[5] ambulance service,[6] ambulance corps,[7] or life squad.[8]

The goal of most emergency medical services is to either provide treatment to those in need of urgent medical care, with the goal of satisfactorily treating the presenting conditions, or arranging for timely removal of the patient to the next point of definitive care. This is most likely an emergency department at ahospital. The term emergency medical service evolved to reflect a change from a simple system of ambulances providing only transportation, to a system in which preliminary medical care is given on scene and during transport. In some developing regions, the term is not used, or may be used inaccurately, since the service in question does not provide treatment to the patients, but only the provision of transport to the point of care.[9]

In most places in the world, the EMS is summoned by members of the public (or other emergency services, businesses, or authorities) via an emergency telephone number which puts them in contact with a control facility, which will then dispatch a suitable resource to deal with the situation.[10]

In some parts of the world, the emergency medical service also encompasses the role of moving patients from one medical facility to an alternative one; usually to facilitate the provision of a higher level or more specialized field of care but also to transfer patients from a specialized facility to a local hospital or nursing home when they no longer require the services of that specialized hospital, such as following successful cardiac catheterization due to a heart attack. In such services, the EMS is not summoned by members of the public but by clinical professionals (e.g. physicians or nurses) in the referring facility. Specialized hospitals that provide higher levels of care may include services such as neonatal intensive care (NICU),[11] pediatric intensive care (PICU), state regional burn centres,[12] specialized care for spinal injury and/or neurosurgery,[13] regional stroke centers,[14] specialized cardiac care[15][16] (Cardiac catheterization),[17] and specialized/regional trauma care.[18]

In some jurisdictions, EMS units may handle technical rescue operations such as extrication, water rescue, and search and rescue.[19] Training andqualification levels for members and employees of emergency medical services vary widely throughout the world. In some systems, members may be present who are qualified only to drive the ambulance, with no medical training.[9] In contrast, most systems have personnel who retain at least basic first aid certifications, such as Basic Life Support (BLS). Additionally many EMS systems are staffed with Advanced Life Support (ALS) personnel, includingparamedics, nurses, or, less commonly, physicians.[citation needed]

History of Mountain West Ambulance:
Although our name is Mountain West Ambulance some people may know us by another name and that is Ambulance Services of Tooele. The, Ambulance Services of Tooele was operated by Tooele County, but in October of 2000, Community Health Systems purchased both the Tooele County Hospital as well as the Ambulance Services of Tooele, renaming them as they are now. In, 2011 Mountain West Ambulance became Tooele County’s first emergency medical service to offer a full-time Paramedic service and continue to do so. For more information regarding Mountain West Medical Center or Community Health Systems, please refer to their websites: www.mountainwestmc.com and www.chs.net.

EMS Team:
Mountain West Ambulance is a part of a team that provides medical services to all those in need. This team is made up of multiple fire departments, law enforcement, and other ambulance agencies all with various certifications and specialties. Because of our location in Tooele County, we sometimes utilize Emergency Medical Services (EMS) services from the Federal facilities around our county. On the county borders, we have the opportunity to work with other EMS agencies from various counties. Like other agencies throughout the country, we may experience what is called a Mass Casualty Incident. This is when an incident is so big it overwhelms the local system and additional resources are utilized from other counties.

Why would you see multiple vehicles responding?
At times, you may see multiple vehicles responding to an emergency due to the nature of the emergency. When you call “911” the dispatcher will ask you certain questions, so they know who and how many responders they need to send. The responders may include multiple ambulances, law enforcement, and fire apparatuses all responding to the same call.

Why would two or more ambulances respond?
In some cases, the nature of the emergency requires more than two trained personal. Multiple ambulances may be sent to provide the best possible care for that specific emergency or if there are multiple patients.

What to do if you are driving and see an Emergency Response Vehicle with its lights and sirens on?
Slow down and pull over to the right. If you are in the intersection, pull through the intersection and pull over. All emergency responders are trained in Emergency Vehicle Operations (EVO). In this training, we are trained to respond to the traffic/weather conditions, safe driving, and vehicle handling. At times, you may see emergency responders going into oncoming traffic to avoid certain conditions. Once again, responders are trained to respond in these types of situations and safety for everyone is the top priority. After the emergency vehicle has passed, make sure you double check to see if there is another responder following the first responder before you pull back into traffic. This includes ambulances, law enforcement, and fire apparatuses.

Services Provided:
Mountain West Ambulance’s primary role in the community is to provide Advanced Life Support Emergency Medical Services to Tooele County. We also provide staffing and stand-by ambulances for events in the community and local business’s. We are able to provide training such as; CPR, first aid, and other medical trainings. We also preform Interfacility and residential transfers for various healthcare facilities within the county.

Why would you see the crews around town instead of at their station?
Our employees work 48 hours in a row. During that time, they may need to shop for meals, eat, or conduct physical training. Even if they are away from the station, they will still respond to any emergency. It is Mountain West Ambulance’s policy that the crews must be able to respond to all emergencies with in three minutes of being notified at anytime, day or night.

Station locations:
Currently, we have three stations. One is located in Tooele City which houses two ambulances, one is in Stansburry which is located at the Mountain West Springs Clinic near-Soelbergs Market, and our final one is located in Grantsville City near City Hall. Our Rush Valley and Vernon ambulances are currently being housed by the local Fire Departments.

Staffing:
We currently staff four full-time ambulances and two “On-Call” ambulances. All of our full time ambulances are staffed 24 hours a day and seven days a week by a Paramedic and an Advanced EMT (or another Paramedic). Our “On-Call” personal are in Rush Valley and Vernon. These ambulances are only in service when they are needed for an emergency response but they are always in the townships. Currently, Mountain West Ambulance employ’s 22 Paramedics, 15 Advanced EMT’s, and 1 EMT Basic.

What is the difference in certifications? 
Every emergency responder is required by the State of Utah to achieve and maintain a responder certification. These certifications vary in skill-sets and education, but all are required to know the skills from lower certification levels.

An EMT-Basic performs basic life support such as wound care, splinting, oxygen therapy, assistance with administering prescribed medications (epi pens and inhalers), collecting vital signs, and patient assessments. The also hold a certification from the American Heart Association in CPR Healthcare Provider.

An Advanced EMT (formally known as an EMT-Intermediate) holds certifications by the American Heart Association in Advanced Cardiac Life Support and Pediatric Life Support, and receives training to perform lifesaving medical interventions such as; placing a supraglottic airway device, intravenous/intraossesous catheter placement, cardiac defibrillation, electrocardiogram (EKG or ECG) interpretation, medication administration.

A Paramedic is the highest level of certification Utah offers in EMS. It requires knowledge of medical interventions including; endotracheal intubation, cricothyroidotomy, advanced pharmaceutical interventions, needle decompression, and cardiac pacing.

Cost of Emergency Medical Services:
Mountain West Ambulance’s billing is based off of the Utah State Law. A patient will not receive a bill unless they are transported. If they are transported, there are three different rates depending on the interventions preformed or needed and distance transported. Mountain West Ambulance does not receive any subsidizes from the local government or through tax collection. For more information on this you can refer to the Utah Bureau of Emergency Medical Services web page (https://www.health.utah.gov/ems/rulereg/ ).

If you have questions regarding your bill please contact Joe Carnell, Mountain West Ambulance Director at 1-435-843-8745.

Where do we transport to?
As an emergency medical service, we can only transport a patient to an emergency department or transfer care to another EMS provider such as an Air Medical Response unit. It is Mountain West Ambulance’s policy to transport the patient to the most appropriate facility. If the patient is unstable, that patient will be transported to the nearest emergency department to be evaluated and treated by an emergency department physician or possibly transferred to an Air Medical Response unit for quicker transport to an appropriate facility. If the patient is stable, Mountain West Ambulance will transport the patient to any facility requested by the patient, as long as it is within a reasonable distance.

When we preform interfacility transfers, Mountain West Ambulance will transport the patient to the accepting facility directed by the physician caring for the patient at the time of transport. This may include another emergency department, an Intensive Care Unit, another hospital department, long term care facility, specialized health facilities, and at times, when certain criteria is met transporting the patient to their residence.

Who should you contact?
We have an On Duty Administrator at all times. If at any time you have questions or concerns, please feel free to contact them anytime, day or night. Their phone number is 1-435-841-9651. You may also contact the Mountain West Ambulance Director, Joe Carnell, at 1-435-843-8745 or email him at joe_carnell@quorumhealth.com

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