EMC 100- CH. 1

Problems that occur in the prehospital phase of the emergency medical services (EMS) operation are MOST often related to: A.) a lack of control and coordination of resources and personnel. B.) EMRs functioning above their skill level. C.) failure of the dispatcher to obtain adequate information. D.) delayed response times to the scene by emergency medical technicians (EMTs).

A.) a lack of control and coordination of resources and personnel.

Problems that occur in the prehospital phase of the emergency medical services (EMS) operation are MOST often related to: A.) a lack of control and coordination of resources and personnel. B.) delayed response times to the scene by emergency medical technicians (EMTs). C.) EMRs functioning above their skill level. D.) failure of the dispatcher to obtain adequate information.

A.) a lack of control and coordination of resources and personnel.

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 the head. He is still in the vehicle, which has power lines draped across the hood. You should: A.) advise the patient to remain still and immediately contact the power company. B.) carefully remove the patient from the vehicle without touching any metal. C.) put on rubber gloves and carefully move the power lines away from the car. D.) ask the patient to crawl out of the vehicle carefully without touching metal.

A.) advise the patient to remain still and immediately contact the power company.

Upon arriving at the scene of a multiple-patient incident, the EMR's primary responsibility is to: A.) assess the environment to detect possible threats to his or her safety. B.) advise the dispatcher that additional resources will be needed. C.) quickly gain access to all patients and begin immediate treatment. D.) protect bystanders from any hazards that may exist at the scene.

A.) assess the environment to detect possible threats to his or her safety.

Which of the following interventions would the EMR MOST likely perform at the scene of a cardiac arrest? A.) cardiopulmonary resuscitation (CPR) and defibrillation B.) initiation of an intravenous line C.) insertion of an endotracheal tube D.) administration of certain medications

A.) cardiopulmonary resuscitation (CPR) and defibrillation

A crucial piece of equipment that the EMR should have available includes a: A.) mouth-to-mask resuscitation device. B.) mechanical suction device. C.) portable hydraulic jack. D.) bag-mask device.

A.) mouth-to-mask resuscitation device.

Fire units are often a crucial part of the EMS system because they: A.) provide specialized rescue such as patient extrication. B.) provide protection and control of the scene. C.) always arrive at the scene before EMTs or paramedics. D.) are better trained than EMTs to assist paramedics.

A.) provide specialized rescue such as patient extrication.

Roles and responsibilities of the EMR include all of the following, EXCEPT: A.) transporting the patient to the hospital. B.) adequately assessing every patient. C.) ensuring the safety of self and others. D.) prompt and safe response to the scene.

A.) transporting the patient to the hospital.

Which of the following statements regarding transport of a patient to the hospital is correct? A.) EMRs are legally obligated to accompany the patient in the back of the ambulance to the hospital. B.) Patients may require immediate stabilization at the closest hospital and then transfer to another facility. C.) Any sick or injured patient should be transported to the closest hospital, regardless of the patient's condition. 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.

A basic life support (BLS) ambulance is MOST accurately defined as: A.) any transport vehicle that is staffed by at least two EMTs. B.) a properly equipped vehicle that is staffed by EMT personnel. C.) any transport vehicle staffed by EMTs with additional training. D.) an emergency response vehicle equipped with a defibrillator.

B.) a properly equipped vehicle that is staffed by EMT personnel.

What level of EMS provider is able to perform limited ALS skills? A.) EMT B.) advanced EMT (AEMT) C.) EMR D.) paramedic

B.) advanced EMT (AEMT)

Upon arriving at the scene of a multiple-patient incident, the EMR's primary responsibility is to: A.) quickly gain access to all patients and begin immediate treatment. B.) assess the environment to detect possible threats to his or her safety. C.) protect bystanders from any hazards that may exist at the scene. D.) advise the dispatcher that additional resources will be needed.

B.) assess the environment to detect possible threats to his or her safety.

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

B.) assist the EMTs in continuing the care that he or she initiated.

Enhanced 9-1-1 centers have the capability to: A.) automatically dispatch aeromedical support when a call is received. B.) determine the physical location of the caller via the computer. C.) provide ALS instructions to the caller. D.) function as medical control in the absence of a licensed physician.

B.) determine the physical location of the caller via the computer.

Components of the quality improvement process, as identified by the Institute of Medicine, include all of the following, EXCEPT: A.) efficiency. B.) teamwork. C.) safety. D.) timeliness.

B.) teamwork.

The EMS system can be considered a component of public health because: A.) its primary role is to provide illness and injury prevention programs. B.) the services it provides are available to all people in a community. C.) the health department mandates that EMS responders carry certain equipment. D.) EMS provides transportation directly to an emergency department.

B.) the services it provides are available to all people in a community.

A patient requires rapid transport to the hospital when: A.) the patient's condition may deteriorate if he or she is not transported fairly quickly. B.) traffic is extremely heavy and the patient's condition requires treatment by a physician. C.) EMS personnel are unable to give the patient adequate life-saving care in the field. D.) he or she requires care that can be provided only by a physician at the hospital.

C.) EMS personnel are unable to give the patient adequate life-saving care in the field.

Problems that occur in the prehospital phase of the emergency medical services (EMS) operation are MOST often related to: A.) failure of the dispatcher to obtain adequate information. B.) EMRs functioning above their skill level. C.) a lack of control and coordination of resources and personnel. D.) delayed response times to the scene by emergency medical technicians (EMTs).

C.) a lack of control and coordination of resources and personnel.

A basic life support (BLS) ambulance is MOST accurately defined as: A.) an emergency response vehicle equipped with a defibrillator. B.) any transport vehicle staffed by EMTs with additional training. C.) a properly equipped vehicle that is staffed by EMT personnel. D.) any transport vehicle that is staffed by at least two EMTs.

C.) a properly equipped vehicle that is staffed by EMT personnel.

Which of the following is NOT a criterion used by the National Highway Traffic Safety Administration (NHTSA) to evaluate an EMS system? A.) education of the public B.) regulation and policy C.) billing and collections D.) resource management

C.) billing and collections

Fire fighters and law enforcement personnel are likely to be the EMRs in most emergencies because: A.) most communities do not have EMTs or paramedics. B.) they are trained in all aspects of an emergency call. C.) of their location or speed in responding to the call. D.) they are typically paid and are on call 24 hours a day.

C.) of their location or speed in responding to the call.

Common functions of the EMS medical director include all of the following, EXCEPT: A.) providing direction during an EMR's initial training. B.) ensuring that quality patient care is provided. C.) responding to the scene of an emergency. D.) establishing medical policies and procedures.

C.) responding to the scene of an emergency.

Which of the following MOST accurately describes an emergency medical responder (EMR)? A.) a fire fighter or police officer who assists the paramedics B.) an individual who provides initial advanced life support (ALS) C.) the first medically trained person to arrive at the scene D.) an individual who responds to the scene in an ambulance

C.) the first medically trained person to arrive at the scene

The EMR must possess the ability to: A.) function at the same level as a paramedic. B.) avoid improvisation whenever possible. C.) treat patients using limited equipment. D.) sustain a patient's life for several hours.

C.) treat patients using limited equipment.

Fire units are often a crucial part of the EMS system because they: A.) provide protection and control of the scene. B.) are better trained than EMTs to assist paramedics. C.) always arrive at the scene before EMTs or paramedics. D.) provide specialized rescue such as patient extrication.

D.) provide specialized rescue such as patient extrication.

The US Department of Transportation's responsibility is to: A.) credential the EMR through a system of testing. B.) maintain a registry of all certified EMRs in the country. C.) determine each EMR's scope of practice. D.) develop the national education standards for the EMR.

D.) develop the national education standards for the EMR.

You are at the scene of a shooting. The patient, who is being cared for by paramedics, is unconscious and has severe uncontrollable bleeding from his injury. As an EMR, your MOST important function is to: A.) keep bystanders away from the patient. B.) factually document the care that you provided. C.) report your observations to law enforcement personnel. D.) help the paramedics prepare for rapid transport.

D.) help the paramedics prepare for rapid transport.

All of the following are examples of illness or injury programs, EXCEPT: A.) alcohol awareness. B.) diabetes screenings. C.) car seat installation. D.) one-rescuer CPR.

D.) one-rescuer CPR.

The EMS system can be considered a component of public health because: A.) its primary role is to provide illness and injury prevention programs. B.) EMS provides transportation directly to an emergency department. C.) the health department mandates that EMS responders carry certain equipment. D.) the services it provides are available to all people in a community.

D.) the services it provides are available to all people in a community.

Roles and responsibilities of the EMR include all of the following, EXCEPT: A.) ensuring the safety of self and others. B.) prompt and safe response to the scene. C.) adequately assessing every patient. D.) transporting the patient to the hospital.

D.) transporting the patient to the hospital.