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EMS -
Emergency Medical Services

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

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. Back
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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
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/index.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. Back
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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.
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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.
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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.
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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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