Chapter 1 - Introduction to Emergency Medical Care

Question 1

Most states require refresher training for EMTs every:

Answer 1

1 to 2 years

Question 2

An EMT at a basic level is operating as a designated agent of the:

Answer 2

Medical Director.

Question 3

Which of the following is NOT a role or responsibility for an EMT?
Choices:
A. Transfer of care
B. Personal safety 
C. Lifting and moving
D. Providing medical direction

Answer 3

D. Providing medical direction

Question 4

The first concern of an EMT must be:

Answer 4

personal safety.

Question 5

A policy set by an EMS Medical Director that allows EMTs to administer glucose to patients in certain circumstances without speaking to the physician is an example of a(n):

Answer 5

standing order.

Question 6

An order from an EMS system’s on-duty physician given by radio or phone is an example of:

Answer 6

online medical direction.

Question 7

The level of EMS training in which the emphasis is on activating the EMS system and controlling immediate life-threatening emergencies is:

Answer 7

AEMT.

Question 8

A good personal trait for an EMT is someone who:

Answer 8

is nonjudgmental.

Question 9

Lists of steps, such as assessment and interventions, to be taken in different situations by EMS personnel are known as:

Answer 9

protocols.

Question 10

Which of the following is a way for an EMT to have a role in the quality improvement (QI) process?
A. Have someone else check equipment.
B. Read patient’s hospital chart.
C. Continue his or her education.
D. Submit run reports quickly even if incomplete.

Answer 10

C. Continue his or her education.

Question 11

Which is an example of EMS being involved in public health?

Answer 11

Public vaccination programs

Question 12

What is one outcome of medical research for EMS?

Answer 12

Evidence-based treatments

Question 13

The modem Emergency Medical Services (EMS) system has been developed to provide what is known as ___________ or ___________ - ___________ - ___________ care.

Answer 13

prehospital; out-of-hospital

Question 14

In 1966 the National Highway Safety Act charged the United States ___________ ___________ ___________ with developing EMS standards.

Answer 14

Department of Transportation

Question 15

All transporting prehospital personnel should, at a minimum, be trained to the level of ___________ , using a standardized curriculum taught by qualified instructors.

Answer 15

EMT

Question 16

The type of specialty hospital in which surgery teams are available on a round-the-clock basis is the ___________ ___________ .

Answer 16

trauma center

Question 17

The specially trained EMS personnel who obtain information about emergency situations from callers and who also provide instructions for emergency care to callers are ___________ ___________ ___________ .

Answer 17

Emergency Medical Dispatchers

Question 18

The ___________ ___________ system has the capability of automatically identifying the caller’s phone number and location.

Answer 18

enhanced 911

Question 19

A(n) ___________ ___________ is an EMT who has passed specific additional training programs and is authorized to provide some level of advanced life support (ALS).

Answer 19

Advanced EMT

Question 20

The process of continuous self-review with the purpose of identifying aspects of the EMS system that require improvement is known as ___________ ___________ .

Answer 20

quality improvement

Question 21

Standing orders that allow EMTs to give certain medications or perform certain procedures without speaking directly to a physician are examples of ___________ - ___________ medical direction.

Answer 21

off-line

Question 22

An EMT has responsibility for a patient until ___________ ___________ ___________ to hospital personnel has been properly completed.

Answer 22

transfer of care

Question 23

List at least seven of the ten categories in which the National Highway Traffic Safety Administration Technical Assistance Program sets standards for EMS systems.

Answer 23

Regulation and Policy,
Resource Management
Human Resources and Training
Transportation
Facilities
Communications
Public Information and Education
Medical Direction
Trauma Systems
Evaluation

Question 24

List three types of specialty hospitals.

Answer 24

Trauma centers
burn centers
pediatric centers
poison control centers
stroke centers
cardiac centers

Question 25

List two responsibilities of Emergency Medical Dispatchers.

Answer 25

To obtain appropriate information from callers and to provide medical instructions for emergency care

Question 26

List the four general levels of EMS training and certification.

Answer 26

Emergency Medical Responder
EMT
AEMT
Paramedic

Question 27

List at least four roles and responsibilities of the EMT.

Answer 27

Roles and responsibilities include personal safety, safety of the crew, safety of the patient and bystanders, patient assessment, patient care, lifting and moving, transport, transfer of care

Question 28

List three ways that an EMT can participate in public health.

Answer 28

Injury prevention programs, public vaccination programs, and disease surveillance

Question 29

T/F: As an EMT, your authority to give medications and provide emergency care is an extension of the Medical Director’s license to practice medicine.

Answer 29

True

Question 30

T/F: As an EMT, you will be one of the many persons and professions that come together to form an EMS system.

Answer 30

True

Question 31

T/F: Legal and ethical issues that affect physicians and nurses are not the concern of EMTs.

Answer 31

False

Question 32

T/F: Trauma centers are not yet considered “specialty” hospitals.

Answer 32

False

Question 33

T/F: Certification as an EMT requires only that a person successfully complete the DOT EMT National Standard Training Program.

Answer 33

False

Question 34

T/F: Keeping yourself safe is your second priority after patient safety when providing medical care.

Answer 34

False

Question 35

T/F: The care an individual patient requires may range from simple emotional support to life-saving CPR.

Answer 35

True

Question 36

T/F: You must never abandon care of the patient at the hospital until transfer to hospital personnel has been properly completed.

Answer 36

True

Question 37

T/F: As an EMT you should be able to lift and carry a minimum of 175 pounds.

Answer 37

False

Question 38

T/F: Good personality traits are really not very important to an EMT with excellent clinical skills.

Answer 38

False

Question 39

T/F: Good quality continuing education can often take the place of an original EMT training course.

Answer 39

False

Question 40

T/F: Many states use the National Registry examinations as their certification exams.

Answer 40

True

Question 41

T/F: Quality improvement is designed and performed to ensure that the public receives the highest quality prehospital care.

Answer 41

True

Question 42

T/F: The EMT has no direct role in the quality improvement process.

Answer 42

False

Question 43

T/F: Striving for quality in the care you personally give to patients and as a collective part of an ambulance squad upholds the highest standards of the EMS systern.

Answer 43

True

Question 44

T/F: Medical research does not play an important role in patient outcomes.

Answer 44

False