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EMT CLASS > CHAPTER 1 > Flashcards

CHAPTER 1 Flashcards

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1
Q

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

A

AEMT

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2
Q

Advcanced lifesaving procedures, including cardiac monitoring, administration of intravenous fluids & medications, and the use of advanced airway adjuncts. EMTs may be trained in some of these areas.

A

ALS

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3
Q

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

A

ADA

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4
Q

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

A

AED

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5
Q

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 patient care.

A

Certification

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6
Q

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

A

Community Paramedicine

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7
Q

A system of internal & external reviews and audits of all aspects of an EMS system.

A

CQI

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8
Q

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.

A

EMD

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9
Q

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

A

EMR

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10
Q

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

A

EMS

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11
Q

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

A

EMT

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12
Q

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

A

HIPAA

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13
Q

The delivery of medication directly into a vein.

A

Intravenous Therapy

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14
Q

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

A

Licensure

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15
Q

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

A

Medical Control

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16
Q

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

A

Medical Director

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17
Q

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

A

MIH

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18
Q

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

A

National EMS Scope of Practice Model

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19
Q

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

A

Paramedic

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20
Q

Efforts to prevent an injury or illness from ever occuring.

A

Primary Prevention

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21
Q

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

A

PSA

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22
Q

Focused on examining the health needs of entire populations with the goal of preventing health problems.

A

Public Health

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23
Q

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

A

Public Safety Access Point

24
Q

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

A

Quality Control

25
Q

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

A

Secondary Prevention

26
Q

EMS

A

System that provides emergency care and transport that is governed by state laws

27
Q

4 EMS training and licensure levels

A

EMR, EMT, AEMT, and paramedic

28
Q

EMR

A

First responder with very basic training

29
Q

EMT

A

Training in BLS including AED, airway adjuncts and assisting with certain medications

30
Q

AEMT

A

Training in specific ALS including IV therapy, advanced airway adjuncts and administration of a limited number of emergency medications

31
Q

Paramedic

A

Extensive training in ALS including endotracheal intubation, emergency pharmacology, cardiac monitoring and other advanced assessment and treatment skills

32
Q

ADA 1990

A

Americans with Disabilities Act

33
Q

3 Levels of Training

A

Federal - National EMS Scope of Practice Model
State - Laws that regulate eMS operations
Local - MEdical Director provides oversight & support

34
Q

ALS

A

Advanced Life Support

35
Q

AED

A

Automated External Defibrillator

36
Q

CQI

A

Continuous Quality Improvement

37
Q

EMD

A

Emergecny Medical Dispatch - 911 system dispatchers provides vital medical instructions prior to arrival of EMS

38
Q

HIPAA

A

Health Insurance Portability and Accountability Act

39
Q

MIH

A

Mobile Integrated Health Care

40
Q

PSA

A

Primary Service Area

41
Q

14 Components of the EMS System

A
  1. Public Access
  2. Clinical Care
  3. Medical Direction
  4. Integration of Health Services
  5. Information Systems
  6. Prevention
  7. EMS Research
  8. Communication Systems
  9. Human Resources
  10. Legislation & Regulation
  11. Evaluation
  12. System Finance
  13. Public Education
  14. Education Systems
42
Q

Offline (Indirect) Orders

A

Standing orders, training or supervision

43
Q

Online (Direct) Orders

A

Physician directions given over the phone or radio

44
Q

Roles & Responsibilities of the EMT

A
  • Keep vehicles and equipment ready
  • Ensure safety of yourself, partner, patient & bystanders
  • Be familiar with emergency vehicle operation
  • On-scene leadership
  • Scene evaluation
  • Call for additional resources as needed
  • Gain patient access
  • Perform patient assessment
  • Give medical care while awaiting additional medical resources
  • Give emotional support to the patient, family and other responders
  • Maintain continuity of care
  • Resolve emergency incidents
  • Uphold medical and legal standards
  • Ensure and protect patient privacy
  • Give administrative support
  • Constantly continue your professional development
  • Cultivate and sustain community relations
  • Give back to the profession
45
Q

Professional Attributes of EMT

A 
Integrity
Empathy
Self-Motivation
Appearance and hygiene
Self-confidence
Time management
Communications
Teamwork and diplomacy
Respect
Patient advocacy
Careful delivery of care
46
Q

What year was the white paper, Accidental Death and Disability: The Neglected Disease of Modern Society published?

A

1966

47
Q

What is the purpose for providing Mobile Integrated Healthcare?

A

To facilitate improved access to health care at an affordable price

48
Q

What is the major goal of continuous quality improvement?

A

To ensure the public receives the highest standard of care

49
Q

Who authorizes you, as an EMT, to provide emergency care to a patient?

A

The medical director

50
Q

What role has the DoT played in the development of EMS?

A

The DoT developed guidelines, curricula, funding and assessment tools to develop and improve prehospital care

51
Q

What does each bar on the Star of Life represent?

A 
Detection
On-scene care
Care in transit 
Transfer to definitive care
Reporting
Response
52
Q

What are some examples of Public Health accomplishments?

A 
Vaccination programs
Fluoridation of water supplies
Helmet laws
Sewage systems
Formation of the FDA
Clean drinking water
Seat belt laws
Tobacco use laws
Restaurant inspections
Prenatal screenings
53
Q

What are some skills you need to develop to safely deliver proper care to a patient?

A

Scene size-up
Patient assessment
Treatment
Packaging

54
Q

Outline basic history of EMS

A
  • Volunteer ambulances in WW1 1914-1918
  • Field care in WW2 1939-1945
  • Field medic and repid helicopter evacuation in the Korean conflict 1950-1953
  • Accidental Death and Disability: The Neglected Disease of Modern Society established EMS in 1966
  • DoT published the first EMT training curriculum in the 1970’s
  • AAOS Published “The Orange Book” in 1971
  • 1980’s - Advanced levels of EMTs
  • 1990’s - NHTSA’s EMS Agenda for the Future
55
Q

ED

A

Emergency Department - prehospital is continued in the ED and integration ensures comprehensive continuity of care for the patient

56
Q

EMS systems collaborate with hospitals to improve treatment for patients with:

A

Heart attacks
Trauma
Stroke

57
Q

Minmizing errors in the EMS field is one of the biggest goals. What can errors result from:

A

Rules-based failure
Knowledge based failure
Skill based failure
A combination of the above

EMT CLASS (19 decks)

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