The Emergency
Medical Responder
(EMR)
Positive Learning Environment
A safe or positive learning environment is
one in which students and faculty are free
from harm, discrimination and teasing; where
tolerance and acceptance are present; where
new ideas and creative problem solving are
encouraged; and where students can ask
questions and learn without fear of mental or
physical discomfort.
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Course Syllabus
Textbook
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Workbook
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American Red Cross Emergency Response
American Red Cross Emergency Response
Workbook
Course Completion Requirements
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Correctly demonstrate the skills taught in the course
Correctly answer at least 80 percent of the midterm and final written examination questions.
“The purpose of this course is to train
emergency medical responders, people like you,
who will often be the first trained individuals
with/without a duty to provide care at the scene
of an emergency. The course content and
activities will prepare you to better recognize
emergencies, make decisions, and provide care.
This course teaches the skills you will need to
manage emergency situations until more
advanced medical personnel, such as EMTs, and
Paramedics arrive.”
How You Will Learn
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Lectures
Discussions
Readings
Group Activities
Skill Practice
The Emergency Medical
Services (EMS) System and
The Emergency Medical
Responder
Emergency Medical Services (EMS)
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Network of community resources and medical resources to
provide care to victims of sudden illness or injury
First developed in 1973
10 components of an effective EMS system which is managed by the
DOT include
 Regulation and Policy
 Resource Management
 Human Resources and Training
 Transportation
 Facilities
 Communication
 Public Information and Education
 Medical Oversight
 Trauma Systems
 Evaluation
Access to the EMS system is through the “Chain of Survival”
National Scope of Practice
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Duties, skills, EMR is allowed and expected
to perform when necessary based on level
of training.
Provides guidance to states, has no
regulatory authority.
EMR’s are governed by legal, ethical,
medical standards.
Follow local protocols for levels of training
and licensing.
Links in the Chain of Survival
Citizen
Response
Rapid activation of EMS
EMR
Advanced out-of Hospital care
Hospital care
Rehabilitation
Emergency Medical Responders
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Fire fighters
Law enforcement
personnel
Lifeguards
Ski patrollers
Industrial response team
Athletic trainers
Disaster team members
First aid station
attendants
Levels of Training
DOT recognizes four
levels of training for the
out-of-hospital
providers:
EMR
EMT-B
EMT-I
EMT-P
Proposed in 2011
 EMR 48 – 60 hours
 EMT 150-190 hours
 AEMT 150 – 250 hours
 Paramedic
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1250 – 1450 hours
The In-Hospital Care System
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Out-of-hospital care ends
when EMT’s arrive at the
hospital and the ER staff
take over.
ER staffs consist of
physicians, nurses, and
other allied health
professionals.
Rehabilitation may also
be needed to return to
pre-incident level of
health.
Characteristics, Roles and
Responsibilities of Emergency
Medical Responder
EMR Characteristics
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Maintains caring and professional attitude
Controls fears
Presents professional appearance
Maintains skills and knowledge
Stays healthy
Recognizes and keeps victim’s needs as
priority
Primary Responsibilities of EMR’s
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Ensure safety of self (first) and others
Gain access to victim
Identify life-threatening conditions
Summon more advanced medical
personnel when necessary
Provide care
Assist more advanced medical personnel
Secondary Responsibilities of EMR’s
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Summon additional help
Control and direct bystanders
Keep records
Reassure others at the accident scene
Medical Oversight
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Medical Director
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Direct medical control
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Physician
Assumes responsibilities
for care given
EMTs speak directly
with the physician
Indirect medical
control
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Protocols
Standing orders
Break-out Session
A terrified mother pulls her child from the
bottom of a pool while a neighbor calls 9-1-1
for help. You are the first to arrive at the
scene to see the neighbor trying to breathe
air into the boy’s limp body. The mother
looks at you helplessly. How would you
respond?
Assignment
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Read “About This Course” in the textbook
Read Chapters 1 and 2 in the textbook
Complete workbook Units 1 and 2