Chapter 1 & 3
The NHTSA technical assistance program assessment standards for EMS systems address the resource management component by stating that each state must provide a centralized coordination of resources to ensure that:
All patients have equal access to acceptable emergency care
The term that has to do with patients who are significantly overweight or obese is:
Bariatric
The safest and MOST efficient methods for using ones body to facilitate lifting and moving are called:
Body machanics
The expectation that an EMT will demonstrate good listening skills is considered a personal trait involving
Emphathy
if the weight is below your waist level, what is the proper position for pushing or pulling?
From a kneeling position
EMRs are generally trained to provide:
Immediate care for life-threating injuries
Which of the following is an advantage of a vacuum mattress?
It naturally pads voids for greater comfort
To use your legs instead of your back to lift, you must:
Keep the weight close to your body
After WWII, who was the person who usually provided ambulance transportation?
Local undertakers
Of the 2 types of spine boards, the one used for the transport of patients in the spine position is the:
Long spine board
An important key to preventing injury while lifting or moving is:
Not compensating when lifting with one hand
You arrive on scene and assess the need for a bariatric ambulance to transport of patient because the patient is:
Obese
Orders from the on-duty physician given by radio or phone use referred to as :
On-line medical direction
You and your partner decide to use a short-backboard to immobilize a patient. This patient is:
Possibly injured in the neck or spine
Which of the following techniques is used by power weight lifters?
Power lifts
Which of the following is recommended when moving something heavy?
Pushing
What is the LEAST likely to be an aspect of carefully and thoroughly documenting an emergency call?
Speculation
When executing a power lift, to keep the weight as close to your body as possible
Straddle it if possible
EMS has a role in many public health issues including?
Vaccination programs
In a public health emergency, an example of work EMS provides may assist with, if authorizes by state law is:
Vaccination programs
Citizen who has fallen, you make observations about slippery rugs in living room floor, bring this attention of the patient and their family. This is an example of being:
a self-starter
In transfer of care, it is important to provide
continuity of care
The modern EMS system in the U.S began in
1960s
When lifting a stretcher or backboard, which of the following is the best number of people to use?
4
An EMTs role in the quality improvement process is:
A part of every call for the EMT
Quality improvement should be:
Active
The NHTSA transportation standard, a critical component is safely and reliability of:
Ambulance transportation
You are taking care of a patient who has been assigned to you during a mass casualty incident. In communicating with patient, you should:
Be measured and controlled
Which of the following techniques will NOT contribute to the safe and efficient movement of a patient from an upstairs bedroom to the ambulance?
Calling for assistance only if you find that you and your partner cannot lift the patient
When lifting, keep the weight
Close to your body
A method of transferring a patient from bed to stretcher during which two or more rescuers curl the patient to their chests, the reverse the process to lower the patient to the stretcher is:
Direct carry
Examining the reports of a crew that was on a call involving a patient with a communicable disease, (bacterial meningitis) would be an example of a health department's role in:
Disease surveillance
When assessing a patient, you quickly decide that it is the patients best interest for you to do an emergency move. Which of the following is NOT an indication for an emergency move?
Dispatch is holding calls for you community
In which quality improvements activity does the EMT participate MOST often?
Documentation
When preforming a one-rescuer drag down stair, you should:
Drag the patients head first
An efficient way of transferring a patient between a hospital and nursing home that uses the patients bed in the transfer is the:
Draw-sheet method
The NREMT is involved in:
EMS curriculum development
An ideal lifting arrangement is:
EMTs of similar strength and height
The 911 dispatchers who are specially trained to give prearrival instructions to callers (how to control bleeding/perform CPR) are called:
Emergency Medical Dispatcher
Which is the useful for narrow hallways but is not used for immobilization of a patient?
Flexible stretcher
During which type of drag should you take care not to bump the patients head?
Foot
Which is the BEST way to transport a patient securely of having a spinal injury?
Fully immobilized with the necessary spinal precautions
Holding an NREMT certification may help you in which of the following situations?
Gaining reciprocity
Which of the following statement is NOT a benefit of using the emergency 911 number during an emergency?
It eliminates the need for EMD
You are involved in a single-car accident on a rural, one-lane road. When you call 911, who is most likely to respond?
Local volunteer EMT
Oversight of the patient-care aspects of an EMS system by the Medical Director is called:
Medical direction
Who can allow EMTs to perform a treatment that is NOT listed in their protocol but is in their scope of practice?
Medical direction
One aspect of quality improvement in which every EMT can participate is?
Participating in continuing education
You respond to a domestic violence call with your partner and the local volunteer fire department. You should regard the fire department volunteers as?
Partners in care who may need guidance from you
What must someone do to gain registration with the National Registry of EMTs?
Pass both computer base knowledge/practical hands-on exams
To rescue the highest quality of care, some patients need to be transported to special facilities, such as patients who have been critically burned or had a stroke. Determining what emergency care is appropriate for a patient relates to which areas of EMT responsibility?
Patient Assessment
Which step in the evidence-based medicine process deals with the concept of determining what we already know about a particular intervention or situation?
Searching medical literature
Patient is conscious, no trauma, complaining of dyspnea. Patient is concerned that transport will aggravate the breathing difficulty. What is the BEST position to patient during transport that will address their concern?
Sitting up right in a stair chair
An obese patient is upset that a special stretcher is to be used for him and that you have called for a bariatric ambulance. The BEST way to respond is to explain that:
The equipment enables you to provide the best assessment and care for the patient
What are body mechanics?
The proper use of your body to prevent injury and facilitate lifting and moving
Emergency moves may be necessary if:
There is a threat of fire or possible explosion
How many rescuers are recommended in moving a patient with a stair chair?
Three
Which of the following must be avoided in lifting?
Twisting
When a stretcher is lifted, the number of rescuers lifting from the head and foot of the stretcher should be:
Two people
During a cradle carry, one arm is across the patient back and other:
Under their knees
Before lifting any patient, consider the patients:
Weight
A stair chair should be used in which of the following circumstances?
When traversing narrow corridors and doorways
Safe transport involves:
securing the patient in ambulance
Your patient is a 22 year old female who was involved in a low-speed car crash. Her only complaint is some tenderness in her neck. What is the MOST appropriate way to care for her?
Apply a short backboard while she is seated in the car
Which of the following is LEAST likely to be an area of employment for an EMT?
Chain restaurant
In moving a patient on a stretcher, what is the safest level at which to do so?
Closest to the ground
Forming a plan for lifting and carrying a patient should be
Communicated to your partner before putting the plan into action
What do fire departments require of an employee?
Cross-training as an EMT
Which of the following levels of EMS training was formally called EMT- Basic?
Emergency Medical Technician (EMT)
In reaching, what should be done everytime?
Have a locked-in back
Which of the following is a common step in evidence-based decision making?
If evidence support a change in practice, change protocols and implement charge
An enhanced 911 system allows the emergency dispatcher to:
Immediately access the phone # and address from which the call is being made
In a fowler or semi-fowler positions, it is normal and not a cause for concern if the patient:
Is in a semi-sitting position
Which of the following is not a desirable personal trait for an EMT?
Judgemental
When pushing or pulling, you should:
Keep the line of pull through the center of your body
The National Highway Traffic Safety Administration Techinal Assistance Program provides a set of recommended standards for EMS systems for its assessment programs
Medical direction
What is the official name for the physician who assumes responsibility for all patients care aspects within a specific EMS system?
Medical director
Which of the following agencies has established an assessment program with a set of standards for EMS systems?
NHTSA
An emergency move would be permitted in order to change a patients position in a situation in which you :
Need to perform CPR
Which EMT action most likely could provide information important for community health initiatives that are designed to prevent injuries?
Observation of the emergency scene
You want to navigate a responsive patient down several narrow, curving stairways. You want to transport the patient in a sitting position, which means you use a:
Stair chair
Which of the following best describes off-line medical direction?
Standing orders issued by the medical director that allows EMTs to give certain meds or perform certain procedures