CH.1

Question 1

The modern EMS (Emergency Medical Services) system has been developed to provide what?

Answer 1

Prehospital or Out-of-Hospital care.

Question 2

What is the purpose of EMS?

Answer 2

To get trained personnel to the patient as quickly as possible
and to
provide emergency care on scene, en route to hospital, and until hospital care is assumed by the hospital staff

Question 3

What does EMT stand for?

Answer 3

Emergency Medical Team

Question 4

When and who was the earliest documented EMS?

Answer 4

In 1790 the French began to transport soldiers from the scene of battle to be cared for?

Question 5

During the American Civil War, what did Clara Barton begin?

Answer 5

Clara Barton began an EMS service during the war which she then later established the American Red Cross

Question 6

In the early 1900’s nonmilitary EMS began in major cities as what kind of services only?

Answer 6

Transport services

Question 7

After what war did smaller communities establish EMS ambulances

Answer 7

In 1940 after WWII

Question 8

In 1966 the National Safety Act charged the Us Department of Transportation with developing what?

Answer 8

EMS standards

Question 9

EMS standards today are based

Answer 9

Models developed by the Department of Transportation (DOT)

Question 10

In what year was the National registry of Emergency Medical Technicians founded?

Answer 10

1970

Question 11

In what year was the National Emergency Medical Service System Act passed and by whom?

Answer 11

1973 Congress passed the act

Question 12

What is NHTSA?

Answer 12

The National Highway Traffic Safety Association

Question 13

What program sets the standards for the EMS System?

Answer 13

NHTSA (National Highway Traffic Safety Association

Question 14

Steps and Components of the EMS System

Answer 14

1. Patient- Makes initial call
2. Emergency Medical Dispatchers (EMD) - receives call and dispatches emergency respondents
3. EMR, EMT, and or Advanced EMT’s and Paramedics - respond to the scene
4. The patient is received and is given laboratory tests, diagnosis, and further treatment
5. The patient is transported to the Emergency room or special care center
6. The patient is then presumed by members of the Medical staff

Question 15

There are 4 levels of EMS Training

Answer 15

1. Emergency Medical Responder (EMR) This is designated for the “First Responders” such as Police Officers, Fire fighters and other health professionals in this capability
2. Emergency Medical Technicians (EMT) Considered the minimum level of certification for ambulance personnel
3. Advanced Emergency Medical Technician (AEMT) Basic level care with some advanced level care such as airway devices, monitor of blood glucose, ect
4. Paramedics - Provides the most advanced level of prehospital care

Question 16

What are the responsibilities of an EMT?

Answer 16

Personnel Safety
Safety of the crew, patient and bystanders
Patient assessment
Patient care
Lifting and Moving
Transport
Transfer of care
Patient Advocacy

Question 17

Who assumes the ultimate responsibility for EMS Services

Answer 17

Medical Director

Question 18

What does the medical director do?

Answer 18

Oversees training, develops protocols, and is a crucial part of the improvement process

Question 19

What is “Standing Orders?”

Answer 19

A policy or protocol issued by a Medical Director that authorizes EMTs and others to perform particular skills in certain situations

Question 20

There are two types of Standing orders, what are they?

Answer 20

Off-line medical direction and on-line medical direction

Question 21

What are the roles of an EMS in Public?

Answer 21

Injury prevention for geriatric (Old People) patients
Injury prevention for youth
Public Vaccination programs
Disease Surveillance

Question 22

What are the two ways research impacts EMS

Answer 22

Focusing on improving Patient outcomes (The long-term survival of a patient)
Evidence based techniques (Description of medical techniques or practices that are supported by scientific evidence and efficacy