Chapter 1 - Preparatory and Public Health

Question 1

Advanced Emergency Medical Technician (AEMT)

Answer 1

Provides both basic and limited advanced emergency medical care and transportation to patients in the prehospital environment. Same as EMT but is allowed to use airway devices, monitor blood glucose levels, initiation of intravenous and intraosseous infusions, and administration of a select number of medications.

Question 2

Americans with Disabilities Act (ADA)

Answer 2

Est. 1990. Protects individuals with a documented disability from being denied initial or continued employment based on their disability.

Question 3

Community Paramedicine (CP)

Answer 3

Provision of patient centered health care in the out of hospital environment using mobile technology and resources.

Consists of services provided by the EMS agency and its EMS personnel that are administratively and clinically integrated with other health care entities.

Question 4

Emergency Medical Responder (EMR)

Answer 4

Provides immediate lifesaving care to patients who have accessed the EMS system while they are waiting for higher level responders to arrive on scene.

Question 5

Emergency Medical Technician (EMT)

Answer 5

Provides basic emergency medical care and transportation to patients who access the EMS system. EMR duties but includes basic equipment found in ambulance.

Question 6

EMS System

Answer 6

Permits patient care to begin at the scene of the injury or illness, and EMS is part of a continuum of patient care that extends from the time of injury or illness until rehabilitation or discharge.

Question 7

Evidence-Based Guidelines (EBG)

Answer 7

Like evidence based medicine. Uses strong valid research studies to develop guidelines for the medical practice. Develops guidelines to establish guidelines to establish standards of care that impact the delivery of EMS.

Question 8

Evidence Based Medicine (EBM)

Answer 8

Focuses on research to provide clear evidence that certain procedures, medications, and equipment improve the patients outcome.

Question 9

Direct medical oversight

Answer 9

Real-Time oversight or medical direction provided by a physician to an EMS provider who is seeking immediate feedback or direction.

Question 10

Indirect Medical Oversight

Answer 10

Majority of medical directors responsibilities and activities. Processes and activities that influence and control the practice of prehospital care in the EMS system. Routine duties and responsibilities associated with the daily operations of the EMS system.

Question 11

Medical Direction

Answer 11

A responsibility of a Medical Director to provide. Develops and establishes the guidelines under which the EMS personnel function.

Question 12

Medical Director

Answer 12

A physician who is legally responsible for the clinical and patient care aspects of the EMS system.

Question 13

Medical Oversight

Answer 13

Comprehensive term for the responsibilities of the EMS systems medical director which include the clinical and administrative functions and activities performed by the medical director as necessary to exercise ultimate responsibility for the emergency care provided by individual personnel and the entire EMS system.

Question 14

Mobile Integrated Healthcare (MIH)

Answer 14

Consists of services provided by a variety of health care entities and health care practitioners that are administratively or clinically affected integrated with the EMS agency or system.

Question 15

Off-line medical direction

Answer 15

Function of indirect oversight. Provided through a set of predetermined, written guidelines, often referred to as standing orders that allow EMTs to use their judgement to administer emergency medical care according to the written guidelines without having to contact a medical physician.

Question 16

On-line Medical Direction

Answer 16

Takes place when the EMS provider and physician communicate by cell phone, telephone, radio, or video technology with the physician providing immediate feedback and medical direction to the EMS personnel regarding the patients diagnosis, condition, and emergency care.

Question 17

On-scene Medical Direction

Answer 17

Feedback and medical direction regarding patients stuff and emergency care provided by an EMS medical director physician who is on-scene with the EMS crew.

Question 18

Paramedic

Answer 18

Scope of practice includes EMT/AEMT with the addition of more advanced assessment and patient management skills and provision of the highest level of the prehospital care. Paramedics perform advanced assessments, form a field impression, and provide invasive and drug interventions as well as transport.

Question 19

Pre-hospital care

Answer 19

Provided by EMTs. Emergency medical treatment given to patients before they are transported to a hospital or other facility.

Question 20

Protocols

Answer 20

A full set of guidelines that define the entire scope of medical care. (Triage, treatment, transport, destination.)

Question 21

Quality improvement/Continuous

QI/CQI

Answer 21

System of internal and external reviews and audits of all aspects of an emergency medical system. Attempts at remedying shortcomings.

Question 22

Standing Orders

Answer 22

Subset of protocols that do not require real time physician input. Sometimes synonymous with off line medical direction.

Treatments that can be performed if communication cannot be established or is lost with medical direction.