CH01 - EMS System

Question 1

An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called:

Answer 1

Paramedic

Question 2

As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on:

Answer 2

medical director approval

Question 3

According to National EMS Scope of Practice Model, an EMT would require special permission from the medical director and the state EMS office to:

Answer 3

Insert a peripheral intravenous catheter

Question 4

The person who is responsible fro authorizing EMTs to perform emergency medical care in the field is

Answer 4

medical director

Question 5

T/F (Levels of training)

An EMT’s scope of practice may be expaned by the medical director after proper training and state approval.

Answer 5

True

Question 6

T/F (Levels of training)

An EMT’s scope of practice is exclusively regulated by the state EMS office, not the EMS medical director.

Answer 6

False

Question 7

EMRs such as firefighters, law enforcement officers, and park rangers are an integral part of the EMS system because:

Answer 7

They often arrive at the scene before the ambulance and EMTs

Question 8

Which skill or intervention is included at every level of prehospital emergency training?

Answer 8

Automatic external defibrillation

Question 9

The determination that promp surgical care in the hospiral is more important than performing time-comsuming procedures in the field on a major trauma patient is base mostly on:

Answer 9

EMS research

Question 10

The continuous quality improvement (CQI) process is designed to

Answer 10

identify areas of improvement and provide remedial training if needed

Question 11

T/F

The NREMT provides a national standard for EMS testing

Answer 11

True

Question 12

A criteria required to become licensed and employed as an EMT

Answer 12

Proof of immunization against certain communicable diseases

Question 13

Continuing education in EMS serves to

Answer 13

maintain, update, and expand the EMT’s knowledge and skills

Question 14

According to the National EMS Scope of Practice Model, and EMT should be able to

Answer 14

assist a patient with certain prescribed medications

Question 15

Which type of medication do standing orders and protocols desribe?

Answer 15

Offline

Question 16

Definition

Standing order

Answer 16

a written medical protocol that allows emergency medical technicians (EMTs) to perform certain procedures or give certain medications without speaking to a physician. The medical director determines the medical criteria that must be met before administering controlled substances.

Question 17

Give example

Online and Off-line medical control in EMS

Answer 17

• Offline (indirect): standing order, training, supervision
• Online (direct): physician directions given over the phone or radio

Question 18

EMT certification exam is designed to

Answer 18

Ensure that EMTs are competent and have the same level of knowledge and skills.

Question 19

EMS as we know today had its origins in 1966 with the publication of

Answer 19

Accidental Death and Disability: The Neglected Disease of Modern Society

Question 20

Obtaining continuing medical education is the responsibility of the

Answer 20

individual EMT

Question 21

Define emergency medical service

Answer 21

A team of health care professionals who are responsible for providing emergency are and transportation to the sick and injured.

Question 22

Example of a knowledge-based failure

Answer 22

An EMT administeres the wrong drug to a patient beacause she did not know the pertinent information about the drug

Question 23

Define and give example

Primary preventation strategy

Answer 23

• prevent the event from ever happening
• Example: educating the community on pool safety and car seat installation.

Question 24

Define and give example

Secondary preventation strategy

Answer 24

• occurs after the event has already happened. How can we decrease the effects of event?
• Example: use of helmets and seat belts

Question 25

A call center, staffed by trained personnel who are responsible for managing requests for police, fire, and ambulance services.

Answer 25

Public safety access point

Question 26

An established process to determine the qualifications necessary to be allowed to practice a particular profession, or to function as an organization.

Answer 26

Credentialing

Question 27

Oversight by the medical director to ensure the appropriate medical care standards are met by EMTs on each call.

Answer 27

quality control

Question 28

A multidisciplinary system that represents the combined efforts of several professionals and agencies to provide prehospital emergency care to the sick and injured.

Answer 28

Emergency medical services

Question 29

The branch of medicine that is focused on examining the health needs of entire populations with the goal of preventing health problems.

Answer 29

public health

Question 30

A method of delivering health care that involves providing health care within the community rather than at a physician’s office or hospital.

Answer 30

mobile integrated health care

Question 31

Comprehensive legislation that is designed to protect people with disabilities against discrimination.

Answer 31

Americans With Disabilities Act

Question 32

A document created by the National Highway Traffic Safety Administration (NHTSA) that outlines the skills performed by various EMS providers.

Answer 32

National EMS Scope of Practice Model

Question 33

A system that assists dispatchers in selecting appropriate units to respond to a particular call for assistance and provides callers with vital instructions until the arrival of EMS crews.

Answer 33

emergency medical dispatch

Question 34

The designated area in which the EMS agency is responsible for the provision of prehospital emergency care and transportation to the hospital.

Answer 34

primary service area

Question 35

The process whereby a competent authority, usually the state, allows people to perform a regulated act.

Answer 35

licensure

Question 36

A trained professional, such as police officer, firefighter, lifeguard, or other rescuer, who may arrive first at the scene of an emergency to provide initial medical assistance.

Answer 36

emergency medical responder

Question 37

A system of internal and external reviews and audits of all aspects of an EMS system aimed at improving outcomes.

Answer 37

continuous quality improvement

Question 38

An individual who has training in basic life support, including automated external defibrillation, use of a definitive airway adjunct, and assisting patients with certain medications.

Answer 38

emergency medical technician (EMT)

Question 39

An individual who has extensive training in advanced life support, including endotracheal intubation, emergency pharmacology, cardiac monitoring, and other advanced assessment and treatment skills.

Answer 39

paramedic

Question 40

Federal legislation passed in 1996. Its main effect in EMS is in limiting availability of patients’ health care information and penalizing violations of patient privacy.

Answer 40

Health Insurance Portability and Accountability Act (HIPAA)

Question 41

The physician who authorizes or delegates to the EMT the authority to provide medical care in the field.

Answer 41

medical director

Question 42

Efforts to limit the effects of an injury or illness that you cannot completely prevent.

Answer 42

Secondary prevention

Question 43

The delivery of medication directly into a vein.

Answer 43

intravenous therapy

Question 44

An individual who has training in specific aspects of advanced life support, such as intravenous therapy, and the administration of certain emergency medications.

Answer 44

advanced EMT

Question 45

A health care model in which experienced paramedics receive advanced training to equip them to provide additional services in the prehospital environment, such as health evaluations, monitoring of chronic illnesses or conditions, and patient advocacy.

Answer 45

community paramedicine

Question 46

Physician instructions given directly by radio or cell phone (online/direct) or indirectly by protocol/guidelines (off-line/indirect), as authorized by the medical director of the service program.

Answer 46

medical control

Question 47

A process in which a person, an institution, or a program is evaluated and recognized as meeting certain predetermined standards to provide safe and ethical care.

Answer 47

certification

Question 48

Advanced life-saving procedures, some of which are now being provided by the EMT.

Answer 48

advance life support

Question 49

A device that detects treatable life-threatening cardiac arrhythmias (ventricular fibrillation and ventricular tachycardia) and delivers the appropriate electrical shock to the patient.

Answer 49

Automated External Defibrillator (AED)

Question 50

An approach to medicine where decisions are based on well-conducted research, classifying recommendations based on the strength of the scientific evidence; also called science-based medicine.

Answer 50

evidence-based medicine

Question 52

The standards for prehospital emergency care and the individuals who provide it are typically regulated by the

Answer 52

state office of EMS

Question 53

EMT training in nearly every state meets or exceeds the guidelines recommended by the

Answer 53

National Highway Traffic Safety Administration (NHTSA)

Question 54

The __________________ deals with the well being of EMT, carreer progression, and EMT compensation.

Answer 54

human resouce department

Question 55

Examples of Mobile Integrated Healthcare (MIH) model

Answer 55

• Performing health evaluations
• Monitoring chronic illnesses or conditions
• Obtaining laboratory samples
• Administering immunizations

Question 56

Which skill would a layperson (first responder) most likely be trained to perform before the arrival of EMS?

Answer 56

Bleeding control using a tourniquet.

Question 57

Why are prehospital emergency care guidelines updated on a regular basis?

Answer 57

Additional information and evidence indicate that the effectiveness of certain interventions has changed.

Question 58

Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills are functions of the

Answer 58

paramedic