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Updated Friday March 26, 2010

EMS - Emergency Medical Services

 

Brady EKG

Topics: 

Raytown Fire Emergency Medical Services
Emergency Medical Response Agency 
EMRA
Medical Equipment
Service Protocols
EMT and Paramedic certifications
Extrication / Rescue technologies
MARCER 
MEMSA
Medical terminology

Raytown Fire District EMS related course offerings:

Raytown Fire Emergency Medical Services

Star of Life emblem

The Raytown Fire Protection District provides Emergency Medical Services to the citizens of Raytown. Of our full time employees, twenty one are Emergency Medical Technician certified. Seven full time are paramedic certified, two other full time personnel have enrolled in paramedic training. In the near future three more will enroll.

We do not operate an ambulance service. We primarily respond with the Raytown Emergency Medical Service (REMS) ambulances to calls for medical assistance of life threatening situations. When REMS does not have an ambulance available, we respond to any request for medical assistance, life threatening or not. We assess the patient's condition, initiate stabilization treatments while waiting for an ambulance to arrive from another service. The level of treatment offered is based on the patients presenting symptoms. That being basic life support and first aid or advanced life support (ALS). 

Emergency Medical Response Agency  EMRA

In the later part of 2000, we were given a special license from the State of Missouri's Bureau of Health to operate as an Emergency Medical Response Agency or EMRA. This license gives us authorization to treat people to the advanced level with trained and fully equipped paramedics. These paramedics are cross trained as firefighters. Currently, the ALS personnel and equipment are placed on the apparatus at both stations. With the completion of the paramedic training of the two personnel in school, ALS will become on all three shifts. The Fire District hopes to expand on this service by having more paramedics available regardless of vacation or other paid leaves. EMRA gives the citizens of our community the opportunity to have ALS available more often than in past years. Services rendered by our personnel of either BLS or ALS is at no cost. Ambulance costs are charged by the service that provides transportation to the hospital. For further information click on this link: http://www.moga.state.mo.us/statutes/c100-199/1900000133.htm

Medical Equipment

EMT's and Paramedics are given the tools they need to provide modern treatment to patients that become sick or injured. We have automatic defibrillators and full cardiac monitors that are capable of generating full twelve lead EKG's, cardiac arrhythmia monitoring, cardiac pacing, cardio-version and defibrillation. We carry pulse-oximeters, glucometers, battery powered suction units. We have at least two types of communication equipment that our personnel can use to contact the Physicians in the Emergency Rooms. Oxygen, intravenous fluids, respiratory therapy treatments and drug therapy are given as needed under the ER Doctors supervision.  

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Service Protocols

Part of the requirements to obtain the EMRA status, the fire district had to adopt the same medical service protocols as Raytown EMS. These protocols are reviewed annually and submitted to the Medical Director . The Medical Director has to be the same individual for both entities. The service protocols are a series of treatment modalities for specific illnesses and injuries. They are expandable from basic to advanced. They cover specific treatments for adult and pediatric patients. Copies are available for review by clicking here: EMS Field Protocols updated December 2007.

EMT and Paramedic certifications

EMT and Paramedic certification requirements are available on line.  State legislation and reorganization of the licensing process was passed several years ago. Certification testing and licensing is done through the National Registry. License periods are for a five year period. However, to license, continuing education must be taken over that period. For further information, you may look at the license requirements by clicking on this link:  http://www.moga.mo.gov/statutes/c190.htm

EMS Continuing Education

CPR Under current Missouri EMS regulations, EMT-P applicants for relicensure must acquire 144 hours of Continuing Education every five (5) years. This includes 96 hours of core continuing education and 48 hours of EMS related elective hours. Core requirements can be obtained by attending two (2) 48-hour EMT-P DOT refresher programs or attending Continuing Education programs containing the topical content of the refresher.  EMT-B applicants for relicensure must acquire 100 hours of Continuing Education every five (5) years. This includes 48 hours of core continuing education and 52 hours of EMS related elective hours. Core requirements can be obtained by attending two (2) 24-hour EMT-B DOT refresher programs or attending Continuing Education programs containing the topical content of the refresher.

Repetition of classes in a twelve (12) month period may not be accepted for credit.

Core hours are those identified from the respective National Standard Curriculum for refresher programs. Paramedic refreshers are 48 hours and Basic refreshers are 24 hours in length for a 2-year period. Since Missouri licenses for 5 years, double that and you get the numbers, 96 and 48. This assures that all Basics and Paramedics in Missouri, whether Nationally Registered or not, meet the same core requirements. We are a licensed training facility for EMS CEU's and other training certifications with the State of Missouri and the American Heart Association. We provide certified CEU's in house. The District's employees can obtain enough CEU credits to relicense for either EMT or Paramedic. We offer this training off site (locally) for a fee. Please contact us if you are interested in having us provide this service to your business or department.

For further information regarding continuing education requirements, please contact either your EMS course instructor, coordinator, or the Missouri Bureau of Emergency Medical Services.

Bureau of EMS

The Missouri Bureau of Emergency Medical Services can be reached at the following address:


Unit of Emergency Medical Services
Missouri Department of Health and Senior Services
PO Box 570
Jefferson City, MO 65102-0570
Telephone: 573-751-6356
Fax: 573-751-6348

Email: info@dhss.mo.gov

Northwestern District Office
3717 South Whitney Avenue
Independence, MO 64055
Telephone: 816-350-5444
Fax: 816-350-8925

Southeastern District Office
2875 James Boulevard
Poplar Bluff, MO 63091
Telephone: 573-840-9137
Fax: 573-840-9727

SW District Health Office
Landers State Office Building
149 Park Central Square, Suite 116
PO Box 777
Springfield, MO 65801
Phone: 417-895-6924
Fax: 417-895-6975
or click on this link http://www.dhss.mo.gov/EMS/in
dex.html

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Contacts for Certified training and certifications

Because there are numerous places within the state of Missouri to obtain either  EMT or Paramedic training, please use the link to see BEMS approved training sites.
http://www.dhss.mo.gov/EMS/TrainingEntityDirectory.pdf

Extrication / Rescue technologies

The Fire District has placed several sets of auto extrication equipment and rescue air bags on our front line apparatus. With the response protocols we operate by and number of accidents within our city, it was necessary to have more than one set. We use Amkus  rams, spreaders and cutters. Our equipment is pre-piped to extension reels for quicker deployment. More than one piece of equipment can operate at a time from a single power plant. 

The Fire District also set about obtaining tools, equipment and training in the area of rescue technologies. The priority of which technology has been determined based on area indicators and past history. Those technologies are trench and building collapse, confined space and high angle rescue. After completing necessary elements, the district will look at fast water and ice rescue technology. 

Equipment will be carried on our recently acquired Support vehicle. 

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MARCER 

The Mid-America Regional Council Emergency Rescue Committee (MARCER) serves as the forum for emergency medical services planning and coordination in the Kansas City metropolitan region. MARCER coordinates training of area emergency medical services personnel and operates the regional Medical Channel radio system. The Mid-America Emergency Rescue Committee meets on the third Friday of each month at 9 a.m. at the MARC offices, 600 Broadway, 300 Rivergate Center, Kansas City, Missouri. All meetings are open to the public. http://www.marc.org/emergency/marcer.htm

The Medical Channel radio system (Med Channel) serves over 24 hospitals and 40 EMS agencies in the bi-state region. The committee also monitors state and federal legislative issues affecting emergency medical services.

MARCER develops response plans for a variety of emergency incidents. Membership is open to all hospitals, air and ground ambulance companies, fire districts and departments, or anyone involved in emergency medical treatment.

  • MMRS Operations Plan

    The Metropolitan Medical Response System (MMRS) Operations Plan describes the procedures necessary to ensure an effective and coordinated response to an incident involving weapons of mass destruction (WMD) in the Kansas City metropolitan area. This plan assumes a WMD incident would be regional in scope, and describes the responsibilities and capabilities of agencies across the metropolitan area to respond to such an incident. It builds on procedures in the plans listed below.
     

  • Incident Management Plan 

    This plan describes the incident management system adopted by the Heart of America Metro Fire Chiefs Council to manage emergencies across the greater Kansas City metropolitan area. Since many emergencies involve response from multiple disciplines and may involve more than one jurisdiction, the Incident Management System (IMS) uses a standardized organizational structure and common terminology. It provides a useful and flexible management system that is particularly adaptable to incidents involving multi-jurisdictional and multi-agency response, especially those out in the field. IMS provides the flexibility to rapidly activate and organize the functions that need to be performed in order to efficiently and effectively deal with an emergency. IMS can be utilized for any type or size of emergency, ranging from a minor incident involving only a few members of the emergency organization to a major incident involving several agencies and/or jurisdictions.

  • Mass Causality Incident Plan, updated in June 2006, describes the procedures necessary to ensure an effective and coordinated response to an incident involving mass casualties in the Kansas City metropolitan area.

MEMSA Missouri Emergency Medical Service Association
 
MEMSA is a professional organization that is committed to promoting quality emergency medical services for the people of the state of Missouri. http://www.memsa.org/#

Medical terminology

The links below are comprehensive. Use the search engine on their site to find what you are looking for.

The On-line Medical Dictionary
http://cancerweb.ncl.ac.uk/omd/

Medical Dictionaries, Glossaries and Terminology/Alphabetical Site Index
http://www.medtrng.com/meddict.htm

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