Chapter 1: EMS System
_________ examines the health needs of entire populations with the goal of preventing health problems.
Public Health
The call center staffed by trained personnel responsible for managing police, fire, and EMS requests is called the ______
Public Safety Access Point
List the four types of learning activities that the EMT course will include.
Reading assignments, Skill practice, Clinicals, Tests
List examples of public health system accomplishments
Seat belt law, Helmet law, Clean drinking water, Formation of the FDA (Food and Drug Administration)
What is a Primary Service Area (PSA)
The main area in which an EMS agency operates
According to the National EMS Scope of Practice Model, an EMT should be able to: A) Assist a patient with certain prescribed medications B) Insert a peripheral IV line and infuse fluids C) Administer epinephrine via the subcutaneous route D) Interpret a basic (ECG) rhythm and treat accordingly
A
An appropriate demonstration of professionalism when your patient is frightened, demanding, or unpleasant is to: A) Continue to be nonjudgemental, compassionate, and respectful B) Demand that the patient remain quiet and cooperative during transport C) Ignore the patient's feelings and focus on his or her medical complaint D) Reassure the patient that everything will be all right, even if it will not be
A
Obtain continuing medical education is the responsibility of the: A) Individual EMT B) State bureau of EMS C) EMS training officer D) EMS medical director
A
Talking to an emergency room physician via radio while at the scene would be what type of medical control? A) Online B) Offline
A
The determination that prompt surgical care in the hospital is more important than performing time-consuming procedures in the field on a major trauma patient is based MOSTLY on: A) EMS research B) Local protocols C) The lead EMT's decision D) Regional trauma guidelines
A
The standards for prehospital emergency care and the individuals who provide it are typically regulated by the: A) State office of EMS B) Regional trauma center C) American Heart Association D) National Registry of EMTs
A
Which of the following is an example of a primary strategy? A) Community awareness programs that emphasizes the dangers of drinking and driving B) The construction of a guardrail on a dangerous curve following a fatal motor vehicle crash C) Protecting a patient's spine from further injury after a fall from a significant height D) Teaching a group of new parents how to perform one- and two- rescuer infant CPR
A
Which of the following scenarios involves the administration of ALS? A) A 48 year old patient whose airway is secures with a supraglottic device B) A 53 year old patient who is assisted with his prescribed nitroglycerin C) A 61 year old patient who is receiving humidified supplemental oxygen D) A 64 year old patient who is given aspirin for suspected cardiac chest pain
A
What piece of equipment is included in every level of prehospital emergency training?
Automated External Defibrillator (AED)
An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called a(n): A) EMT B) Paramedic C) Advanced EMT (AEMT) D) EMR
B
Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills are functions of the: A) EMT B) Paramedic C) AEMT D) EMR
B
Continuing education in EMS serves to: A) Confirm research and statistical findings in prehospital care B) Maintain, update, and expand the EMT's knowledge and skills C) Enforce mandatory attendance at agency- specific training
B
If a defibrillator manufacturer claims that its device terminates ventricular fibrillation on the first shock 95% of the time, you should: A) Avoid purchasing the device because this claim is unrealistic B) Recognize that this does not mean the device will save more lives C) Purchase the device based solely on the manufacturer's claim D) Determine which device the American Heart Association recommends
B
The continuous quality improvement (CQI) process is designed to: A) Administer punitive actions to EMTs who do not follow local protocols B) Identify areas of improvement and provide remedial training if needed C) Ensure that all EMTs maintain licensure through the sate EMS office D) Focus specifically on the quality of emergency care provided to the patient
B
Which of the following criteria is required to become licensed and employed as an EMT? A) Demonstration of the ability to lift and carry at least 200 pounds B) Proof of immunization against certain communicable diseases C) A minimum of 60 college credit hours that focus on health care D) Successful completion of a recognized bystander CPR course
B
Which of the following descriptions most accurately portrays emergency medical services (EMS)? A) A vast network of advanced life support (ALS) providers who provide definitive emergency care in the prehospital setting B) A team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured C) A system composed exclusively of emergency medical responders (EMRs) and emergency medical technicians (EMTs) who are responsible for providing care to sick and injured patients D)A team of paramedics and emergency physicians who are responsible for providing emergency care to critically injured patients
B
Which of the following skills or interventions is included at every level of prehospital emergency training? A) Oral glucose for hypoglycemia B) Automated external defibrillation C) Intranasal medication administration D) Use of a manually triggered ventilator
B
Which of the following statements regarding the Americans With Disabilities Act (ADA) of 1990 is correct? A) The ADA applies only to individuals with a diagnosed and well documented physical disability B) The minimum number of hours required to successfully complete an EMT course is less for candidates who are disabled C) The ADA prohibits employers from failing to provide full and equal employment to those who are disabled D) According to the ADA, EMT candidates with a documented disability are exempt from taking the NREMT exam
C
Which type of medical direction do standing orders and protocols describe? A) Radio B) Online C) Offline D) Direct
C
________ is a circular system of continuous internal and external reviews and audits of all aspects of an EMS system.
Continuous Quality Improvement (CQI)
EMS as we know it today had its origins in 1966 with the publication of: A) The emergency medical services act B) The department of transportation's white paper: death and dying C) Emergency care and transportation of the sick and injured D) Accidental death and disability: the neglected disease of modern society
D
If an EMT candidate has been convicted of a felony or misdemeanor, he or she should: A) Wait at least wait 24 months before taking another state-approved EMT class B) Send an official request to the National Registry of EMTs (NREMT) to seek approval to take the EMT exam C) Recognize that any such conviction will disqualify him or her from EMT licensure D) Contact state EMS office and provide its staff with the required documentation
D
The EMT certification exam is designed to: A) Rank EMTs based on performance on the certification exam B) Identify those EMTs who are prepared for advanced levels of training C) Provide EMTs with the best possible wage once certification is achieved D) Ensure that EMTs are competent and have the same level of knowledge and skills
D
The level of provider with extensive training in ALS is the ______. A) EMR B) EMT C) AEMT D) Paramedic
D
Which of the following errors is an example of a knowledge-based failure? A) An EMT gives the correct drug to a patient, although his protocols clearly state that he is not authorized to do so B) Due to an improperly applied cervical collar, a patient's spinal injury is aggravated and he is permanently disabled C) A patient is given nitroglycerin by an EMT who did not obtain proper authorization from medical control first D) An EMT administers the wrong drug to a patient because she did not know the pertinent information about the drug
D
Which of the following statements regarding the NREMT is correct? A) The NREMT is a governmental agency that certifies EMTs B) The NREMT regulates EMS training standards C) The NREMT is the exclusive certifying body for EMTs D) The NREMT provides a national standard for EMS testing
D
What do the six bars on the "Star of Life" represent?
Detection, Reporting, Response, On-scene care, Care in transit, Transfer to definitive care