Chapter 1: EMS Systems Flashcards

1
Q

A major recommendation made by the 2009 EMS Education Standards for paramedic training was the:
A) removal of endotracheal intubation from the minimum core content of the training program.
B) addition of 750 hours of clinical and field training above and beyond classroom education.
C) inclusion of a college-level anatomy and physiology course as part of the training program.
D) prerequisite that all paramedic students possess a minimum of an associate’s degree.

A

C) inclusion of a college-level anatomy and physiology course as part of the training program.

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2
Q

The 2009 National EMS Education Standards:
A) clearly state that all paramedic training programs must be at least 1,200 hours in length.
B) require inclusion of a college-level pathophysiology course within the paramedic program.
C) mandate that the paramedic designation must be achieved through an associate degree program.
D) outline the minimum knowledge base that the paramedic must possess in order to function in the field.

A

D) outline the minimum knowledge base that the paramedic must possess in order to function in the field.

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3
Q

Which of the following is NOT a critical point addressed by the “White Paper” written in 1966 that was entitled “Accidental Death and Disability: The Neglected Disease of Modern Society”?
A) Ensuring that paramedics responded to every call
B) Participating in community-based prevention efforts
C) Allocating adequate resources for medical direction
D) Developing and pursuing a national EMS research agenda

A

A) Ensuring that paramedics responded to every call

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4
Q

Dr. Eugene Nagel advanced emergency medical treatment in 1969 by:
A) training paramedics to administer certain medications directly through the chest wall and into the left ventricle.
B) developing and implementing closed-chest cardiac massage (CPR) in order to pump blood in a patient without a pulse.
C) implementing the “golden hour,” which dramatically increased survival rates of patients who experienced severe trauma.
D) developing a telemetry system that enabled fire fighters to transmit a patient’s electrocardiogram to the physician at the hospital.

A

D) developing a telemetry system that enabled fire fighters to transmit a patient’s electrocardiogram to the physician at the hospital.

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5
Q

Openness, honesty, and truthfulness are attributes that demonstrate:
A) integrity.
B) empathy.
C) sympathy.
D) advocacy.

A

A) integrity.

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6
Q

Being empathetic toward a patient means that you:
A) reassure the patient of your competence.
B) know exactly how the patient feels.
C) acknowledge the patient’s feelings.
D) feel a sense of sorrow for the patient.

A

C) acknowledge the patient’s feelings.

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7
Q

If a paramedic is self-motivated, he or she should NOT:
A) continuously educate himself or herself.
B) require maximum supervision at work.
C) possess an internal drive for excellence.
D) be able to accept constructive feedback

A

B) require maximum supervision at work.

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8
Q

As an advocate for your patient, you must:
A) act in the patient’s best interest and remain respectful of his or her wishes and beliefs.
B) allow your personal feelings to affect the quality of care that you provide to your patients.
C) treat all patients the same, regardless of differences in lifestyle, culture, and personal values.
D) keep suspicions of abuse or neglect to yourself if the patient fears retribution from the abuser.

A

A) act in the patient’s best interest and remain respectful of his or her wishes and beliefs.

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9
Q

Compared to an EMT, an AEMT:
A) can administer a variety of emergency medications.
B) has a more advanced knowledge of pathophysiology.
C) is trained and authorized to perform manual defibrillation.
D) can legally transfer patient care to a provider of lesser training.

A

B) has a more advanced knowledge of pathophysiology.

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10
Q

You and your team are attempting to resuscitate a 50-year-old woman in a traumatic cardiac arrest. Your team consists of two EMTs and an AEMT. Which of the following tasks would be MOST appropriate to assign to the AEMT?
A) Chest compressions
B) IV therapy and fluid boluses
C) Cardiac drug administration
D) Emotional support for the family

A

B) IV therapy and fluid boluses

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11
Q

A major distinction between a paramedic and an EMT is that the paramedic:
A) is more likely to be sued for negligence.
B) is held to a higher professional standard.
C) can function independently of a physician.
D) carries out advanced pharmacologic skills.

A

D) carries out advanced pharmacologic skills.

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12
Q

The main purpose of research in EMS is to determine:
A) if EMS is eligible for federal funding.
B) the easiest approach to treating a patient.
C) if local EMS protocols should be amended.
D) whether treatment is effective or ineffective.

A

D) whether treatment is effective or ineffective.

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13
Q

The first part of EMS research is to:
A) obtain medical director authorization.
B) determine if there is adequate funding.
C) identify a specific problem or question.
D) determine the style of research to be used.

A

C) identify a specific problem or question.

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14
Q

Research that is based on observation only, without an attempt to alter or change an event, is called ______________ research.
A) prospective
B) descriptive
C) experimental
D) retrospective

A

B) descriptive

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15
Q

A scientific approach to research in which a researcher controls, manipulates, and then measures one or more variables to ascertain how manipulating the variables affects the subjects is called ______________ research.
A) prospective
B) qualitative
C) experimental
D) nonexperimental

A

C) experimental

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16
Q

Research that is based on a group of individuals at one point in time is called ______________ research.
A) descriptive
B) prospective
C) retrospective
D) cross-sectional

A

D) cross-sectional

17
Q

The LEAST preferable and reliable method of selecting people to participate in a research study is:
A) random sampling.
B) systematic sampling.
C) convenience sampling.
D) alternative time sampling.

A

C) convenience sampling.

18
Q

When research participants are advised of all the aspects of the project, the research project is said to be:
A) unblinded.
B) retrospective.
C) cross-sectional.
D) double-blinded.

A

A) unblinded.

19
Q

The qualitative method of gathering data for a research project:
A) does not use numerical information and is the least accurate.
B) uses variables such as mean, median, and mode for data gathering.
C) is highly accurate in gathering reliable data for the research project.
D) assigns numerical values to the data and is a highly reliable method.

A

A) does not use numerical information and is the least accurate.

20
Q

When gathering data for a research project that involves subjects in various age groups, standard deviation outlines:
A) how close the scores in each set will be to the median.
B) how much the scores in each set will differ from the mean.
C) the most frequent age of the subject or subjects being used.
D) the average age of the subjects used in the research project.

A

B) how much the scores in each set will differ from the mean.

21
Q

Prior to conducting a research project in which people will be used as subjects, it is MOST important to:
A) ensure that all the subjects are fully briefed on the perceived outcome.
B) obtain consent from the subjects and ensure their safety and well-being.
C) select subjects who are nonbiased and have no knowledge of the project.
D) randomly select the subjects using the alternative time sampling method.

A

B) obtain consent from the subjects and ensure their safety and well-being.

22
Q

In order to link research and evidence to patient care, one must:
A) conduct research at least every 10 years and then perform a retrospective analysis of the data.
B) ensure that the quality of the evidence is sufficient to justify changing patient care protocols.
C) recognize that evidence is less reliable than scientific data that produce sound statistics.
D) understand that only level 1 evidence can be used to justify changing patient care protocol

A

B) ensure that the quality of the evidence is sufficient to justify changing patient care protocols.

23
Q

An unblinded research study is one in which:
A) some of the participants are aware of all aspects of the project.
B) nobody is aware of any of the aspects of the research project.
C) only the principal researcher is aware of all aspects of the project.
D) all research participants are advised of all aspects of the project.

A

D) all research participants are advised of all aspects of the project.

24
Q

Which of the following is NOT a typical question to answer when evaluating and interpreting research?
A) Is your conclusion based on the data?
B) Did you account for all confounding variables?
C) Will the research study be published in a notable journal?
D) Was the study approved and conducted in an ethical fashion?

A

C) Will the research study be published in a notable journal?

25
Q
A