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What is the role of a medical director in an EMS service?

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Apakah kelemahan on-line medical direction?

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Apakah ciri baik yang ditunjukkan oleh Dr Right sebagai medical control?

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What is the role of a medical director in EMS provider in EMS SERvices

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What is the role of a medical director in EMS provider in EMS SERvices

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Participating in training and credentialling of providers
communicate with EMS provider and hospital community
facilitate necessary education opportunity for system ans career development
local experts in EMS/medical literature
Act as patient advocate
Ensure quality care delivered

Can you please identify yourself?
Sorry Prof
Maryna Zamri
A152943

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Maryna Zamri A152943

Must have two way communication. information must clear, relevant, easy to understand and short message with full information.

Most portable cellular telephone have a limit of batteri power, thus must use the batteries power with save

Many cellular phone or GIRN have a dead zone especially in rural area thus the cellular telephone might not be working and communication cannot be done

May become the information will be misunderstanding. Will effect the treatment given. such as "give naloxone" can be hear as "give maxolon". Must always repeats the orders to confirm.

Some Doctors may be less focus to communicate with EMS provider due to busy attends another emergency case in hospital. must have a incharge Doctors to give advices.

Direct voice communication by using GIRN (loud speaker), others people can hear our conversation thus no private and confidentiality

Please identify yourself?

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SBL: Medical DirectionMURUGANANTHAN MUNUSAMY EMED A1527691.	What is the role of a medical director in an EMS service?a.	To provide physician directed quality assurance that provides professionalism and public accountability for medical care in PHC.b.	 To provide appropriate , high quality EMS, service by paramedic with in line standard of care at pre hospital  emergency care.c.	To delegate practice by giving authority  to Paramedic in the  Pre Hospital Care in management of patient.2.	Apakah kelemahan on-line medical direction?a.	Time consumingb.	Sometime it gives little benefitc.	Expensive of Personal Time3.	Apakah ciri baik yang ditunjukkan oleh Dr Right sebagai medical control?a.	Giving online Medical Direction via phone to Paramedic with good two way communication effectively.i.	Rx/Mx of Unstable Angina1.	Ordering Paramedic to give IV Morphine 2mg instead of 4mg.2.	Administer - Sublingual GTN if SBP>100mmhg.3.	Requesting to meet the paramedic who attended the case to get further information about the patient and clinical finding during pre hospital assessment.4.	Able to work together with EMS team in patient management from pre hospital care to receiving hospital .5.	Acknowledging and thanking paramedic for his pre hospital care and management.

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SBL: Medical DirectionMURUGANANTHAN MUNUSAMY EMED A1527691.	What is the role of a medical director in an EMS service?a.	To provide physician directed quality assurance that provides professionalism and public accountability for medical care in PHC.b.	 To provide appropriate , high quality EMS, service by paramedic with in line standard of care at pre hospital  emergency care.c.	To delegate practice by giving authority  to Paramedic in the  Pre Hospital Care in management of patient.2.	Apakah kelemahan on-line medical direction?a.	Time consumingb.	Sometime it gives little benefitc.	Expensive of Personal Time3.	Apakah ciri baik yang ditunjukkan oleh Dr Right sebagai medical control?a.	Giving online Medical Direction via phone to Paramedic with good two way communication effectively.i.	Rx/Mx of Unstable Angina1.	Ordering Paramedic to give IV Morphine 2mg instead of 4mg.2.	Administer - Sublingual GTN if SBP>100mmhg.3.	Requesting to meet the paramedic who attended the case to get further information about the patient and clinical finding during pre hospital assessment.4.	Able to work together with EMS team in patient management from pre hospital care to receiving hospital .5.	Acknowledging and thanking paramedic for his pre hospital care and management.

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Well done Murugananthan- Prof Ismail

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Maryna Zamri A152943
A good listener. Able to give a a good advices and suggestion how to manage the patient

Sophisticated problem solver that use critical thinking skills to stabilise the patient condition

Able to imagine patient condition by the information given from her EMS provider

Willing to have difficult conversation by accepting the call

Pls identify yourself.

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SBL MEDICAL DIRECTION : PROF DR ISMAIL

Muhammad Alif Bin Roslan

A153853

What is the role of a medical director in an EMS  service?

Participate in training and credentialing of providers

Liaise (communicate) with hospital community

Facilitate necessary education opportunity for system and career development

Local expert in EMS/medical literature

Act as patient advocate

Ensure quality care delivered

Apakah kelemahan on-line medical direction?

Time consuming

Little benefit

Expensive personnel time

Apakah ciri baik yang ditunjukkan oleh Dr Right sebagai medical control?

Dr Right had introduced himself in a perfect way

An excellent two way communication had be shown by Dr Right to pre hospital care unit

Can cooperate well in giving information and order for management of patient

Welcome the pre hospital unit team with an open heart

Can share knowledge to improve the pre hospital care unit

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AHMAD IZZATI BIN AMIR SHARIFFUDIN A153480

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AHMAD IZZATI BIN AMIR SHARIFFUDIN A153480

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What is the role of a medical director in an EMS service?

1.    To give the instructions either online or offline to ensure that safe treatment is given by the paramedic to the patient. Must be the experienced person in the field and able to give instructions to the paramedic even not been together managing the patient during prehospital care.

2.    Involved in the teaching, training and evaluation for quality improvement purposes especially in the prehospital care.

3.    Develop a guidelines, protocols, standard of procedur (SOP) for prehospital services.

4.    Cooperate with other agencies and hospitals to facilitate patient management in prehospital care.

5.    Involved in administrative (operational/financial) and doing the auditing in prehospital care setting.

What are the weaknesses of online medical direction?

1.    Need a good coverage to ensure that there is no interruption during communication. (Sometimes the radio frequency can be interfered by weather, geographical and depends on the equipment that being used)

2.    Time consuming especially in the small hospital where there is only a few of physician, and they are busy to resuscitate a patient and can't answer the call.
3. Can’t working well if there is no dedicated staff especially at the base.

Apakah ciri baik yang ditunjukkan oleh Dr Right sebagai medical control?

1.    Able to introduce himself as the medical director and cooperate with prehospital team.

2.    Able to imagine the patient condition even not being in the scene.

3.    Able to give clear order according to patient condition.

4.    Willing to share the knowledge with the prehospital team.

5.    Communicate appropriately and respect the prehospital team.