EMERGENCY MEDICAL SERVICES (EMS) Online Training Classes
COURSES
Take your CE required classes right here. Courses provided by 360Training, an authorized provider of JB Learning distance education. Vital Signs courses are CECBEMS approved.
Emergency medical services (abbreviated to the initialism "EMS" in some countries) are a branch of emergency services dedicated to providing out-of-hospital acute medical care and/or transport to definitive care, to patients with illnesses and injuries which the patient, or the medical practitioner, believes constitutes a medical emergency.
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Quote from The Bureau of Labor Statistics Handbook 2008-2009
- Employment is projected to grow faster than the average as paid positions replace unpaid volunteers.
- Emergency medical technicians and paramedics need formal training and certification, but requirements vary by State.
- Emergency services function 24 hours a day so emergency medical technicians and paramedics have irregular working hours.
- Opportunities will be best for those who have earned advanced certifications.
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Emergency medical services (abbreviated to the initialism "EMS" in some countries) are a branch of emergency services dedicated to providing out-of-hospital acute medical care and/or transport to definitive care, to patients with illnesses and injuries which the patient, or the medical practitioner, believes constitutes a medical emergency.[
Emergency medical services may also be locally known as: first aid squad, emergency squad, rescue squad, ambulance squad, ambulance service, ambulance corps[ or life squad.
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 malady, or arranging for timely removal of the patient to the next point of definitive care. This is most likely an emergency department at a hospital or another place where physicians are available. The term Emergency Medical Service evolved to reflect a change from a simple transportation system (ambulance service) to a system in which actual medical care occurred in addition to transportation. 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.
In most places in the world, the EMS is summoned by members of the public (or other emergency services, businesses or authority) 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.
In some parts of the world, the term EMS also encompasses services developed to move patients from one medical facility to an alternative one; inferring transfer to a higher level of care. In such services, the EMS is not summoned by members of the public but by clinical professionals (eg. physicians or nurses) in the referring facility. Specialized hospitals that provide higher levels of care may include services such as neonatal intensive care (NICU), pediatric intensive care (PICU), state regional burn centers,[ specialized care for spinal injury and/or neurosurgery. regional stroke centers, specialized cardiac care,cardiac catherization[, and specialized/regional trauma care.
In some jurisdictions, EMS units may handle technical rescue operations such as extrication, water rescue, and search and rescue. Training and qualification 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. 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, including paramedics, nurses, or, less commonly, physicians.
Nature of the Work
People’s lives often depend on the quick reaction and competent care of emergency medical technicians (EMTs) and paramedics. Incidents as varied as automobile accidents, heart attacks, slips and falls, childbirth, and gunshot wounds all require immediate medical attention. EMTs and paramedics provide this vital service as they care for and transport the sick or injured to a medical facility.
In an emergency, EMTs and paramedics are typically dispatched by a 911 operator to the scene, where they often work with police and fire fighters. Once they arrive, EMTs and paramedics assess the nature of the patient’s condition while trying to determine whether the patient has any pre-existing medical conditions. Following medical protocols and guidelines, they provide appropriate emergency care and, when necessary, transport the patient. Some paramedics are trained to treat patients with minor injuries on the scene of an accident or they may treat them at their home without transporting them to a medical facility. Emergency treatment is carried out under the medical direction of physicians.
EMTs and paramedics may use special equipment, such as backboards, to immobilize patients before placing them on stretchers and securing them in the ambulance for transport to a medical facility. These workers generally work in teams. During the transport of a patient, one EMT or paramedic drives while the other monitors the patient’s vital signs and gives additional care as needed. Some paramedics work as part of a helicopter’s flight crew to transport critically ill or injured patients to hospital trauma centers.
At the medical facility, EMTs and paramedics help transfer patients to the emergency department, report their observations and actions to emergency department staff, and may provide additional emergency treatment. After each run, EMTs and paramedics replace used supplies and check equipment. If a transported patient had a contagious disease, EMTs and paramedics decontaminate the interior of the ambulance and report cases to the proper authorities.
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More Excerpts from the Bureau of Labor Statistics Handbook 2008-2009
Employment
EMTs and paramedics held about 201,000 jobs in 2006. Most career EMTs and paramedics work in metropolitan areas. Volunteer EMTs and paramedics are more common in small cities, towns, and rural areas. These individuals volunteer for fire departments, emergency medical services, or hospitals and may respond to only a few calls per month. About 30 percent of EMTs or paramedics belong to a union.
Paid EMTs and paramedics were employed in a number of industries. About 4 out of 10 worked as employees of private ambulance services. About 3 out of 10 worked in local government for fire departments, public ambulance services, and emergency medical services. Another 2 out of 10 worked full time in hospitals within the medical facility or responded to calls in ambulances or helicopters to transport critically ill or injured patients. The remainder worked in various industries providing emergency services.
Job Outlook
Employment for EMTs and paramedics is expected to grow faster than the average for all occupations through 2016. Job prospects should be good, particularly in cities and private ambulance services.
Employment change. Employment of emergency medical technicians and paramedics is expected to grow by 19 percent between 2006 and 2016, which is faster than the average for all occupations. Full-time paid EMTs and paramedics will be needed to replace unpaid volunteers. It is becoming increasing difficult for emergency medical services to recruit and retain unpaid volunteers because of the amount of training and the large time commitment these positions require. As a result, more paid EMTs and paramedics are needed. Furthermore, as a large segment of the population—aging members of the baby boom generation—becomes more likely to have medical emergencies, demand will increase for EMTs and paramedics. There also will still be demand for part-time, volunteer EMTs and paramedics in rural areas and smaller metropolitan areas.
Job prospects. Job prospects should be favorable. Many job openings will arise from growth and from the need to replace workers who leave the occupation because of the limited potential for advancement, as well as the modest pay and benefits in private-sector jobs.
Job opportunities should be best in private ambulance services. Competition will be greater for jobs in local government, including fire, police, and independent third-service rescue squad departments which tend to have better salaries and benefits. EMTs and paramedics who have advanced education and certifications, such as Paramedic level certification, should enjoy the most favorable job prospects as clients and patients demand higher levels of care before arriving at the hospital.
States Served:
Alabama Ala. AL
Alaska Alaska AK
American Samoa AS
Arizona Ariz. AZ
Arkansas Ark. AR
California Calif. CA
Colorado Colo. CO
Connecticut Conn. CT
Delaware Del. DE
Dist. of Columbia D.C. DC
Florida Fla. FL
Georgia Ga. GA
Guam Guam GU
Hawaii Hawaii HI
Idaho Idaho ID
Illinois Ill. IL
Indiana Ind. IN
Iowa Iowa IA
Kansas Kans. KS
Kentucky Ky. KY
Louisiana La. LA
Maine Maine ME
Maryland Md. MD
Marshall Islands MH
Massachusetts Mass. MA
Michigan Mich. MI
Micronesia FM
Minnesota Minn. MN
Mississippi Miss. MS
Missouri Mo. MO
Montana Mont. MT
Nebraska Nebr. NE
Nevada Nev. NV
New Hampshire N.H. NH
New Jersey N.J. NJ
New Mexico N.M. NM
New York N.Y. NY
North Carolina N.C. NC
North Dakota N.D. ND
Northern Marianas MP
Ohio Ohio OH
Oklahoma Okla. OK
Oregon Ore. OR
Palau PW
Pennsylvania Pa. PA
Puerto Rico P.R. PR
Rhode Island R.I. RI
South Carolina S.C. SC
South Dakota S.D. SD
Tennessee Tenn. TN
Texas Tex. TX
Utah Utah UT
Vermont Vt. VT
Virginia Va. VA
Virgin Islands V.I. VI
Washington Wash. WA
West Virginia W.Va. WV
Wisconsin Wis. WI
Wyoming Wyo. WY
Cities Served:
Albuquerque, N.M.
Arlington, Texas
Atlanta, Ga.
Austin, Tex.
Baltimore, Md.
Boston, Mass.
Charlotte, N.C.
Chicago, Ill.
Cleveland, Ohio
Colorado Springs, Colo.
Columbus, Ohio
Dallas, Tex.
Denver, Colo.
Detroit, Mich.
El Paso, Tex.
Fort Worth, Tex.
Fresno, Calif.
Honolulu, Hawaii
Houston, Tex.
Indianapolis, Ind.
Jacksonville, Fla.
Kansas City, Mo.
Las Vegas, Nev.
Long Beach, Calif.
Los Angeles, Calif.
Louisville/Jefferson County, Ky.
EMS online training classes, EMS CE classes, CECBEMS approved EMS ce classes, EMS airway management, EMS trauma, EMS crime scene awareness, EMS stroke, emt classes
Earnings
Earnings of EMTs and paramedics depend on the employment setting and geographic location of their jobs, as well as their training and experience. Median annual earnings of EMTs and paramedics were $27,070 in May 2006. The middle 50 percent earned between $21,290 and $35,210. The lowest 10 percent earned less than $17,300, and the highest 10 percent earned more than $45,280. Median annual earnings in the industries employing the largest numbers of EMTs and paramedics in May 2006 were $23,250 in general medical and surgical hospitals and $20,350 in ambulance services.
Those in emergency medical services who are part of fire or police departments typically receive the same benefits as firefighters or police officers. For example, many are covered by pension plans that provide retirement at half pay after 20 or 25 years of service or if the worker is disabled in the line of duty.
General information about emergency medical technicians and paramedics
is available from:
National Association of Emergency Medical Technicians,
P.O. Box 1400, Clinton, MS 39060-1400. Internet: http://www.naemt.org
National Highway Traffic Safety Administration, EMS Division,
400 7th St. SW., NTS-14, Washington, DC 20590. Internet: http://www.nhtsa.dot.gov/portal/site/nhtsa/menuitem.2a0771e91315babbbf30811060008a0c/ National Registry of Emergency Medical Technicians,
Rocco V. Morando Bldg., 6610 Busch Blvd., P.O. Box 29233, Columbus, OH 43229. Internet: http://www.nremt.org
Mass. responders honored for first-grader's revival
By Martin Finucane
The Boston Globe
BOSTON — Four months ago, Boston EMT Philip Kennard worked frantically in an auditorium at the East Boston Central Catholic School to revive a 6-year-old girl whose heart had stopped during a gym class.
Today he returned to the same auditorium for a celebration of the rescue of Olivia Quigley, now 7. She was in the front row with her parents, smiling, as officials praised the school's teachers and rescue personnel for bringing her back to life.
"Right there," said Kennard, 25, pointing to the spot on the floor where he and his partner Michael Steiner, 49, treated Olivia that day.
Memphis, Tenn.
Mesa, Ariz.
Miami, Fla.
Milwaukee, Wis.
Minneapolis, Minn.
Nashville-Davidson, Tenn.
New Orleans, La.
New York, N.Y.
Oakland, Calif.
Oklahoma City, Okla.
Omaha, Nebr.
Philadelphia, Pa.
Phoenix, Ariz.
Portland, Ore.
Sacramento, Calif.
St. Louis, Mo.
San Antonio, Tex.
San Diego, Calif.
San Francisco, Calif.
San Jose, Calif.
Seattle, Wash.
Tucson, Ariz.
Tulsa, Okla.
Virginia Beach, Va.
Washington, DC
Wichita, Kans
EMS online training classes, EMS CE classes, CECBEMS approved EMS ce classes, EMS airway management, EMS trauma, EMS crime scene awareness, EMS stroke, emt classes
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Course Descriptions
This course is the first of a two-part series and covers anatomy and physiology, assessment, and management of the airway.
Part two of a two-part series on airway, this course covers trauma intubation and pediatric intubation. Alternative airways are presented along with information on oxygen and ventilation devices.
This course focuses on how an acute coronary syndrome develops, what factors to consider during assessment, and what treatment options are appropriate for a patient with an acute coronary event.
This course provides information on assessing and managing a behavioral emergency. Topics include pathophysiology, common disorders, assessment techniques and management considerations.
This course presents important information about the assessment and care of a patient with an allergic reaction. Key elements of this lesson include the physiology of the immune system, progression of an allergic reaction, clinical presentation of an allergic reaction, and proper field treatment.
This module discusses neurologic emergencies including epidemiology, pathophysiology and clinical presentations. For each emergency, the learner will be given an overview of effective pre-hospital assessment and management.
This course presents information on the epidemiology and pathophysiology of blunt thoracic trauma, followed by discussion of a standard assessment and management approach to this type of injury.
This course presents patients who have experienced blunt trauma from causes such as vehicular collisions, falls, and assault. It also reviews the kinematics of trauma.
This course discusses the presentations and treatments of the common substances of abuse. Particular attention is paid to the myriad of complications to the most commonly abused substance: alcohol.
This course presents a vast amount of information about key terminology, drug names and sources, reference materials, medication preparations, and a host of other factors important to all healthcare providers.
This course reviews how to correctly assess and approach a crime scene, while maintaining personal safety.
This course presents a vast amount of information about key terminology, drug names and sources, reference materials, medication preparations, and a host of other factors important to all healthcare providers.
This course provides a comprehensive view of the human immunodeficiency virus (HIV) including transmission, clinical manifestation, routes of exposure and key actions to take when exposed.
This continuing education module provides caregivers with insight into performing an effective patient assessment. Performing an initial assessment, gathering a history and conducting the physical examination are all elements of this course.
This course provides the information that healthcare providers should know and be able to apply when faced with a patient that has been shot, stabbed or impaled.
This course is part one of a two-part series on assessing pediatric patients. The first module is designed to help healthcare providers with aspects of patient assessment within the unique requirements of the pediatric population.
In part two of a two-part series on pediatric assessment, healthcare providers learn how to gather an appropriate history and conduct an effective physical examination for pediatric patients.
This pre-hospital continuing education module teaches the essential information for assessing and managing a patient with penetrating thoracic trauma.
This module presents the pathophysiology for common respiratory ailments. Overall epidemiology, anatomy and physiology, medical terminology, along with assessment and management guidelines are included.
This course module offers information related to assessing and caring for soft tissue injuries. These injuries range from minor abrasions to major amputations. Pre-hospital providers are regularly called to care for these types of injuries.
Stroke is a leading cause of long-term disability and the third leading cause of death in the United States. In this module, pre-hospital providers will learn the epidemiology, pathophysiology and common clinical presentations for this devastating disease.
This course reviews the anatomy of the spine, and pathophysiology of spinal injury, including how to recognize a spinal injury, prevent further injury and provide proper care.
A medical emergency arises when a patient is exposed to a toxin in an amount that is sufficient to disrupt normal function. In this course module, toxicologic emergencies and their management in the pre-hospital environment are discussed.
This course is the second in a two-part series focusing on toxicological emergencies and how best to handle them in the pre-hospital environment. Learners will be presented with information on specific toxins, hymenoptera stings, snake bites and marine animal envenomations. Assessment and management for each emergency is taught within the course.
This course examines how to recognize severe injuries affecting the brain, and the proper care and transport a patient with this form of injury
This continuing education module discusses near-drowning, drowning and diving emergencies associated with either fixed containment or open bodies of water. Clinical complications for these types of emergencies will be presented along with their unique assessment and management considerations.
This course focuses on abdominal trauma and provides an in-depth look at epidemiology, pathophysiology as well as pre-hospital assessment and management.
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