A:CH1: EMS System

True or False? The evidence shows that patients that receive appropriate emergency medical care before they reach the hospital, have a better chance of survival

True

To provide the best possible care for the patient: a: all EMS personnel must function effectively as a team; b: a paramedic must be present at each and every emergency; c: the patient must receive rapid transport to the closest hospital; d: the medical director must be notified during every emergency

a: all EMS personnel must function effectively as a team

Which of the ff is NOT a criterion used by the National Highway Traffic Safety Admnin (NHTSA) to evaluate an EMS system? a: billing and collections; b: resource management; c: regulation and policy; d: education of the public

a: billing and collections

A cardiac arrest patient's most crucial contact with EMS system occurs when: a: trained EMRs arrive at the patient's side; b: a medical control is made aware of the situation; c: paramedics arrive and administer advanced care; d: the receiving hospital is made aware of the situation

a: trained EMRs arrive at the patient's side

The EMR must possess the ability to: a: treat patients using limited equipment; b: sustain a patient's life for several hours; c: avoid improvisation whenever possible; d: function at the same level as an EMT

a: treat patients using limited equipment

33 yo woman has broken ankle, in significant pain but otherwise stable. This patient a: does not require transport to the hospital; b: requires transport but no lights and siren; c: may deteriorate and requires prompt transport; d: should be rapidly transported to closest hospital

b: requires transport but no lights and siren

Which of the ff is an example of an injury or illness prevention program? a: one-rescuer CPR; b: alcohol awareness; c: bleeding control; d: field triage training

b: alcohol awareness

In order to keep his or her certification current, the EMR must: a: meet with the medical director; b: attend continuing education classes; c: be evaluated by a senior paramedic; d: respond to at least five calls

b: attend continuing education classes

Enhanced 911 centers have the capability to: a: provide immediate ALS instructions to the caller; b: determine the physical location of the caller via the computer; c: function as a medical control in the absence of a licensed physician; d: automatically dispatch aeromedical support when a call is received

b: determine the physical location of the caller via the computer

Communication with a physician via a two-way radio or wireless telephone is an example of: a: indirect medical control; b: online medical control; c: off-line medical control; d: standard operating protocol

b: online medical control

Which of the ff statements regarding transport of a patient to the hospital is correct? a: any sick or injured patient should be transported to the closest hospital, regardless of the the patient's condition; b: patients may require immediate stabilization at the closest hospital and then transfer to another facility; c: EMRs are legally obligated to accompany the patient in the back of an ambulance to the hospital; d: in most states and EMS systems, EMRs are not authorized to assist the EMT in the back of the ambulance

b: patients may require immediate stabilization at the closest hospital and then transfer to another facility

Which of the ff statements regarding an EMR's attitude and conduct in NOT correct? a: you will be judged by your attitude and conduct; b: stern tone of voice will ensure that you gain your patient's confidence; c: information regarding the patient should not be shared with your family; d: maintaining a neat and professional appearance provides reassurance

b: stern tone of voice will ensure that you gain your patient's confidence

Which of the ff most accurately describes and EMR? a: an individual who responds to the scene in an ambulance; b: the first medically trained person to arrive at the scene; c: an individual who provides initial advanced life support; d: a firefighter or police officer who assists the paramedics

b: the first medically trained person to arrive at the scene

You are the first medically trained person to arrive at the scene of a motor vehicle crash. The patient is conscious and is bleeding heavily from a wound on his head. He is still in the vehicle, w/c has power lines draped across the hood. You should: a: carefully remove the patient from the vehicle without touching any meta; b: ask the patient to crawl carefully without touching metal; c: advise the patient to remain still and immediately contact the power company; d: put on rubber gloves and carefully move the power lines away from the car

c: advise the patient to remain still and immediately contact the power company

When EMTs or paramedics arrive at the scene of an emergency, the EMR should: a: accompany the patient to the receiving medical facility; b: assume that his or her assistance will no longer be required; c: assist the EMT in continuing the care that he or she initiated; d: obtain a signature from the EMT who is assuming the patient care

c: assist the EMT in continuing the care that he or she initiated

Roles and responsibilities of the EMR include all of the ff except: a: promptly and safely responding to the scene; b: ensuring the safety of self and other; c: transporting the patient to the hospital; d: adequately assessing every patient

c: transporting the patient to the hospital

What level of EMS provider is able to perform limited ALS skills? a: EMR; b: EMT; c: Paramedic; d: Advanced EMT

Advanced EMT

True or False" Medical information and feedback about patients should be shared with bystanders in order to gain an accurate understanding about their condition

False

True or False? Quality improvement is primarily a process by which an EMS system evaluates and disciplines employees

False

True or False? The EMS system involves only medical care

False