Appendix 7: Other Components of the Practice of EMS

Administration
Diversity
Finance and reimbursement
Health care systems
Licensing or certification/credentialing
Negotiation

Critical care activities
Critical care transport ground and air medical

  1. Flight physiology

Interfacility issues
Neonatal transport
High-risk OB transport

Disaster and domestic preparedness issues (WMD)
Emergency management
MCI/Disaster preparedness
Terrorism preparedness

Disposition issues
ED transport
Nontransport
Alternative destination
Against medical advice
Transfer of care
Medical Examiner investigation

Education
Education principles & practices
EMS personnel education
Patient education
Public education

EMS safety & well-being

Episodic/nonacute care activities
Patient home assistance
Social assistance
Home health care assistance

Hazmat decontamination and treatment

Interagency cooperation

Legal and regulatory issues
Accreditation

  1. Training programs
  2. Agencies

Compliance

  1. Health and safety standards
  2. Reimbursement

Confidentiality

  1. HIPAA

Consent and Refusal of Care
Emergency Medical Treatment and Active Labor Act (EMTALA)
Liability and Malpractice
Reporting (Assault, Communicable Diseases, surveillance programs)
Forensic issues

Management and training
Quality management / performance improvement
Service training officer development
Field training officer development
Field supervision
General EMS service operations
Communications and interpersonal issues
Teamwork
Medical director
Nonprofit and volunteer management
Basic research design, methods and interpretation

Medical oversight
Online & off-line
Protocol development
Qualifications of the medical director
Roles and responsibilities of the medical director

Miscellaneous
End of life care termination of resuscitation
Life span development
Organ and tissue procurement
Patients with special health care needs
Post-resuscitative care

Nontraditional environments
Nursing homes
Physician offices
Wilderness
Prolonged transport
Rural EMS
Occupational/industrial settings

Operations
Access and response
Crime scene operations
Dispatch activities
Documentation
Emergency vehicle operations
EMS operations command and control

  1. ICS
  2. Strategies and tactics
  3. Command and control

Equipment use and maintenance
Extrication/rescue

  1. Machinery
  2. Vehicle
  3. Hazardous terrain / environments

System design and management

Professionalism
Ethics
Impairment
Leadership (leading, directing and mentoring)
Personal well-being
Professional development and learning
Death and dying issues
Cultural diversity
Societal issues

  1. Homeless
  2. Co-dependency issues - addiction
  3. Social/economic issues financial burdens

Public Health Issues
Public health principles
Injury prevention
Health promotion

  1. Care of chronic illness
  2. Community health monitoring

Immunization programs
Epidemiology
Surveillance
Public education
Home health care

  1. Post-discharge follow-up

Special events and mass gathering

Specialty care issues
TEMS
Agrimedicine
Fire ground support
USAR/confined space
Hazmat medicine