EMR Chapter 1: EMS Systems

Which of the following statements regarding transport of a patient to the hospital is correct: 1) patients may require immediate stabilization at the closest hospital and then transfer to another facility 2) any sick or injured patient should be transported to the closest hospital, regardless of the patients condition 3) in most states and EMS systems, EMRs are not authorized to assist EMT in the back of ambulance 4) EMRs are legally obligated to accompany the patient in the back of the ambulance to the hospital

1) patients may require immediate stabilization at the closest hospital and then transfer to another facility

Documentation of an emergency response and patient care should include all of the following except: 1) the names and addresses of bystanders 2) the initial and later vital signs 3) the treatment given to the patient 4) the condition of the patient when found

1) the names and addresses of bystanders

Which of the following is an example of an injury or illness prevention program 1) one rescuer CPR 2) bleeding control 3) alcohol awareness 4) field triage training

3) alcohol awareness

Roles and responsibilities of the EMR include all of the following except: 1) ensuring the safety of self and others 2) promptly and safely responding to the scene 3) transporting the patient to the hospital 4) adequately assessing every patient

3) transporting the patient to the hospital

What level of EMS provider is able to perform limited ALS skills

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 EMR life support kit should be expansive enough to provide ongoing care to patients initially and while being transported to hospital

False

True or False? You are providing care to a 26-year old male patient who appears to have injured his left wrist while sliding into second during a pick up baseball game. The wrist is deformed slightly and quite swollen. This patient requires prompt transport to the closes appropriate medical facility

False

True or False? the EMS system involves only emergency medical care

False

Which of the following most accurately describes an emergency medical responder

The first medically trained person to arrive at the scene

True or False? Indirect medical control involves setting medical policies and procedures and quality management

True

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

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, which has power lines draped across the hood. You should

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

to provide the best possible care for the patient

all EMS personnel must function effectively as a team

When EMTs or paramedics arrive at the scene of an emergency, the EMR should

assist the EMTs in continuing the care that he or she initiated

You are providing care for a severely injured patient from a motor vehicle collision. A paramedic unit arrives on scene. Your primary goal should be to

assist the paramedics in preparing the patient for transport

In order to keep his or her certification current, the EMR must

attend continuing education classes

Enhanced 9-1-1 centers have the capability to

determine the physical location of the caller via the computer

Patients with major injury or sudden illness, who receive appropriate emergency medical care before the reach the hospital

have improved outcomes

Communication with a physician via two-way radio or wireless telephone is an example of

online medical control

A 33-year old woman has a possible broken left ankle. She is in significant pain but is conscious and otherwise stable. This patient

requires transportation without lights and siren

In order to ensure the smooth and efficient operation of an EMS system, different agencies and personnel involved should

share an understanding of their roles

You are providing care to a 23-year old female patient who has fallen down her front steps and appears to have injured her right ankle. The ankle is swollen and bruised and she cannot bear weight on it. The patient should be transported to

the closest appropriate medical facility

A cardiac arrest patient's most crucial contact with the EMS system occurs when

trained EMRs arrive at the patients side