EMT 219 Flashcards
Which is considered to be a component of the EMS system, according to NHTSA’s Ten System Elements?
Trauma Centers
Which organization is the federal agency with jurisdiction over the EMS systems?
NHTSA
Which behavior by a paramedic is the best example of self-motivation?
Accepting constructive criticism
A paramedic makes special efforts to keep family members apprised of progress during a cardiac arrest. This demonstrates which of the following characteristics?
Empathy
What are two main components of wellness?
Physical well-being; mental and emotional health
Which statement is true about dietary cholesterol?
Cholesterol is found in foods of animal origin
Which statement is true about dietary cholesterol?
Cholesterol is found in foods of animal origin
What is another name for antioxidants?
Free-radical scavengers
A male paramedic has a body mass index (BMI) of 32. What does this indicate?
Severely overweight
Levels of which two hormones influence periods of sleepiness and wakefulness?
Melatonin and cortisol
Levels of which two hormones influence periods of sleepiness and wakefulness?
Melatonin and cortisol
What term is best described as an apprehensive uneasiness or painful dread about an impending event?
Anxiety
What term is best described as a positive stress that is considered to be protective?
Eustress
The Haddon matrix helps us remember which of the following?
Understand the entire injury sequence
Injury prevention should possess which of the following strategies?
Education, enforcement, engineering
Which of the following is not considered a substance abuse injury prevention strategy?
Violence survivor programs
Which of the following is not considered a substance abuse injury prevention strategy?
Violence survivor programs
Who does the paramedic have legal responsibilities to?
The patient, the employer, the medical director and the public
What are regulations that are developed by a governmental agency to provide details about the function and process of the law called?
Administrative law
What are regulations that are developed by a governmental agency to provide details about the function and process of the law called?
Administrative law
Which of the following is not considered a regulation providing legal protection for the paramedic?
The COBRA Act
Which of the following is not considered a possible cause of breach of duty?
Afeasance
Posting anything related to a patient on social media puts the paramedic at risk for claims of?
Invasion of privacy
You respond to the local park for a 27 YOM in who is in police custody following a fight. What type of consent allows to assess and treat this patient?
Involuntary
You respond to the local park for a 27 YOM in who is in police custody following a fight. What type of consent allows to assess and treat this patient?
Involuntary
What term best describes physical contact with a patient without his or her consent?
Battery
A terminal cancer patient has a signed valid DNR. The patient’s family requests transport to the hospital and comfort measures such as IV fluid administration and pain medication. How should the paramedic handle this situation?
Provide appropriate care; DNR orders do not interfere with nonresuscitative care
Which situation fits the legal definition of “next of kin”?
A 20-year-old adult son
What organ can a patient with no heartbeat donate?
Corneas
Which standard is defined by honorable behavior that has been designed by a group and with which conformity is expected?
Ethics
Which standard is defined by honorable behavior that has been designed by a group and with which conformity is expected?
Ethics
Which defines the Hippocratic Oath?
The rights of the patient
Moral accountability refers to what?
Personal ethics
When considering the best decision to make in an ethical decision making scenario, you ask yourself, “Am I able to provide good reasons to justify and defend my actions to others?” Which ethical test is the paramedic applying?
Interpersonal justifiability
What is a significant purpose of EMS research?
Learn of intended effects and cost-effectiveness of EMS interventions
How is a descriptive research method best described?
Observational
A continuous quality improvment program should primarily focus on
improving patient care delivery
a major distinction between a paramedic and an EMT is that the paramedic
carries out advanced pharmacological skills
before you are able to clean your uniform after taking care of a patient at a motor vehicle crash your unit which is the only one available is dispatched for a patient with chest pain. your uniform is noticeably dirty and you are still sweating from the previous call what statement regarding the scenario is most correct?
maintain a professional attitude and care for the patient to the best of your ability.
common actions preformed by the dispatcher after receiving an emergency call include what
receiving and entering all data regarding the call
relay information to the appropriate resources
interpreting the information provided by the caller
records of your education state or local credentials and recertification are held by a recognized agency through a process called
registration
specific functions that the paramedic should preform prior to contacting medical control are called
standing orders
the entity that was created in 1966 and provides authority and financial support of the development of basic and advanced life support programs is the
US department of transportation
what is one of the 10 system elements developed by NHTSA in effort to sustain EMS systems?
medical oversight
attempting to resuscitate a 50 yo woman in CA to trauma. your team is 2 EMTS and 1 AEMT what task is most appropriate to assign to the AEMT?
IV therapy and Fluid boluses
you arrrive at the scene of a patient in cardic arrest your protocols provide for standing orders in this situation this means you should
preform certain Interventions prior to contacting medical control
a survey of more than 30 k EMS personnel found that chronic and critical incident stressors may increase in EMS provider risk for
PTS
according to the CDC&P exercise pyramid which activity should be preformed 2-3 days per week
stretching
how do saturated fats rise cholesterol levels?
they inhibit the pathway through which excess cholesterol is normal removed
what year did the CDC&p develop recommendations for prevention of HIV transmission in health care settings
1987
melatonin is secreted by the
pineal gland
saturated fats should be limited to what % of daily calories
10%
the nutrient that activates enzymes which releases energy and promotes bone growth is
magnesium
which of the following is part of the physiologic response to stress?
mobilization of glucose
which of the following should a paramedic do in the event of a potential exposure to infectious disease?
obtain a full medical follow up
what statement regarding critical incident stress management is accurate?
it is optional, but not currently a mandatory intervention
what would be considered a passive intervention
engineering
according to the CDC&P epidemiology is used to control
health probelms
what would be considered a factor that influences injury patterns in a child
developmental stage
williams haddon is best known for the tool he developed to understand what?
injury sequence
what classification would be assigned to the injury received by a 2 YO who drinks a bottle of house hold cleanser
unintentional
what is a result of the most years of potential life lost
unintentional injury
what is an example of an engineering prevention strategy?
vaccinations
what is an example of a secondary injury prevention
administering epi to a patient in anaphylactic shock
what is the best example of a teachable moment
advising the unrestrained passenger with minor injuries following a MVA that she could have easily been killed
what resource would be consideres a municipal resource
animal control
an emergency medical responder who tells a child that bad behavior will result in the use of a straightjacket has committed
assault
what is the typical sequence of events whan a paramedic faces a lawsuit
summons, interrogative, settlement, discovery
the scope of practive for a paramedic is derived from work by
NHTSA
what law extended nnondiscrimination to the handicapped based on their handicaps?
rehibilitation Act of 1973
in 2017 what transplant list has the fewest names?
lung
what would most likely result in a lawsuit if released to unauthorized personnel by the paramedic?
the patients SSAN
the patient care report from a crime scene should be
objective
an obvious sign that resuscitation would be futile is
decapitation
20 years after the fact, a patient sues a paramedic for misfeasance the paramedic most likely legal protection is
the good samaritan law
a patient us unable to speak but nods in agreement when you offer to help this is an example of
expressed consent
a paramedic who had to triage a group of patient from a broad economic demographic at a mass casualty event should ask which question at the end of the day?
was i fair and just today
a patient who is positive for HIV refuses care for heavy bleeding but you are concerned about infection of others nearby. the dilemma arises from
consent
if the medical director tells a paramedic to stop CPR but the paramedic believes that patiennt has a weak pulse the paramedic should act as
patient advocate
20 YOU M has severe facial brusing and is given analgesia by EMS when his wife arrives he refuses EMS transport and wishes to leave the wifes behavior and overheard thretened violence against the patient you suspect DV the dilemma arises from
confidentiality
the interpersonal justifiability test requires more than just
asking lay bystanders
a car sild 30 feet down a 400 foor cliff and came to rest on a narrow ridge a passenger is bleeding heavily but you cant be sure that the cars position is stable the dilemma arises from
obligation to provide care
what should guide ethical decision making in EMS
global protocol
the detailed application of the ethical principles of medical issue is called
bioethics
what act violates nonmaleficence
providing a fatal drug to a patient
given their role as physician extenders paramedics can face dilemmas over
the timing of medication when the physician is not on site
the 2 main types of research designs are
descriptive and analytical
what is accurate regarding correlation and causation
it is more difficult to prove causation that correlation
to preform an inferential statistics analysis a researcher must first state
a null hypothesis
standard deviation measures how much variability there is from the
mean
when the paramedic obtains informed consent from an authorized surrogate this is known as
consent by proxy
the national EMS research agenda was published in
2001
an issue that increases background variability and makes it more difficult to draw accurate conclusions from a study is called
nuisance variable
the inclusion or exclusion criteria of a study should be provided in the _______ section of a scientific manuscript
methods
what is the next step in a research project after the data are analyzed
determine the optimal course of action from the results
in a 2010 survey by the NREMT what % of respondents said it is acceptable to use community consultation and public disclosure in lieu of informed consent
36%
