As with every industry, those working in the medical field have their own terminology. Often when dealing with medical services there are references using industrial terms that you may not understand. Here is a brief list of the most common terms you are most likely to hear and what they mean:
Advanced Life Support (ALS) – this refers to a certified Paramedic capable of performing advanced practices such as starting intravenous fluids, intubation, cardiac monitoring, cardioversion, drug and controlled substance administration. This is in addition to being able to provide the same treatments as a Basic Life Support provider
Basic Life Support (BLS) – this refers to a certified Emergency Medical Technician capable of performing basic practices to treat conditions such as bleeding, stopped breathing, no pulse, choking, blunt and penetrating trauma. BLS providers are limited to what they can administer, oxygen and glucose gel being the most common treatments.
Emergency Healthcare Facility (EHCF) – this refers to a location within the venue stocked and staffed as per Part 18 regulations for events where at least 5,000 attendees are expected. Venue signage will often read First Aid or Medical to indicate the location for guests and staff.
Emergency Medical Technician (EMT) – this is a provider trained to the Basic Life Support level of providing care.
Paramedic (Medic) – this is a provider trained to the Advanced Life Support level of providing care.
Part 18 – refers to the regulations regarding Event Medical Services for Public Functions in New York State. These laws are occasionally referred to as “The Woodstock Laws”, having been enacted after the Woodstock Festival in 1969.
Part 800 – refers to the New York State Emergency Medical Services Code that regulates ambulance services and the delivery of emergency medical care outside of a healthcare facility.
Protocols – this refers to the specific set of guidelines provided by the state and the region as to the steps an EMT and Paramedic are to take in the provision of patient care. In New York City EMTs and Paramedics adhere to both New York State Protocols and the protocols of the Regional Emergency Medical Advisory Council (REMAC).
Regional Emergency Medical Services Council (REMSCO) – A local council comprised of various members of the region’s EMS agencies. Normally they have no involvement in the actual delivery of Event Medical Services but do set General Operating Procedures for the region.
Regional Emergency Medical Advisory Council (REMAC) – A local council comprised of physicians and registered nurses who develop regional protocols and medical policy. Normally they have no involvement in the actual delivery of Event Medical Services, but their protocols may affect the scope of practice for the regional providers.