Extras for Chapter 1 - Introduction to Emergency Medical Care Flashcards
Definition: A system for telephone access to report emergencies
911 System
Definition: A process of continuous self-review with the purpose of identifying and correcting aspects of the system that require improvement.
Quality Improvement
Definition: Oversight of the patient-care aspects of an EMS system by the Medical Director.
Medical Direction
Definition: A physician who assumes ultimate responsibility for the patient-care aspects of the EMS system.
Medical Director
Definition: Consists of standing orders issued by the Medical Director that allow EMTs to give certain medications or perform certain procedures without speaking to the Medical Director or another physician.
Off-line Medical Direction
Definition: Lists of steps, such as assessments and interventions, to be taken in different situations.
Protocols
Definition: A policy or protocol issued by a Medical Director that authorizes EMTs and others to perform particular skills in certain situations.
Standing Order
Definition: Orders from the on-duty physician given directly to an EMT in the field by radio or telephone.
On-line Medical Direction
Definition: An EMT or other person authorized by a Medical Director to give medications and provide emergency care.
Designated Agent
Definition: Description of medical techniques or practices that are supported by scientific evidence of their safety and efficacy rather than merely supposition and tradition.
Evidence-based
Definition: The long-term survival of patients.
Patient Outcomes
The earliest documented emergency medical service was in:
France in the 1790s
In 1966, the _____________ charged the United States _____________ with developing EMS standards and helping the states to upgrade the quality of their prehospital emergency care.
NATIONAL HIGHWAY SAFETY ACT; DEPARTMENT OF TRANSPORTATION
Which of the following is not a major component in the National Highway Traffic Safety Administration’s EMS system assessment standards?
COMPUTERIZATION
An example of a specialty hospital in the EMS system is a(n):
TRAUMA CENTER
The U.S. Department of Transportation provides for national levels of EMS training in all of the following except:
ADVANCED FIRST AID
The major emphasis of EMT education deals with _____________ of the ill or injured patient in the prehospital setting.
BASIC ASSESSMENT AND CARE
Patient care provided by the EMT should be:
Choices: Delayed until transportation, Based on assessment findings, Guided by the service’s attorney, or Based on the patient’s diagnosis
BASED ON ASSESSMENT FINDINGS
An example of ensuring continuity during the transfer of care of the patient would be:
PROVIDING PERTINENT PATIENT INFORMATION TO THE HOSPITAL STAFF
Patient advocacy is:
SPEAKING UP FOR YOUR PATIENT
Good personality traits are very important to the EMT. You should be:
COOPERATIVE AND RESOURCEFUL
An EMT who is not in control of personal habits might:
DO ALL OF THE ABOVE
To prevent violating patient confidentiality, the EMT should:
AVOID INAPPROPRIATE CONVERSATION
An EMT may maintain up-to-date knowledge and skills through continuing educations such as:
ATTENDING EMS CONFERENCES
A process of continuous self-review of all aspects of an EMS system for the purpose of identifying and correcting aspects of the system that require improvement is called:
QUALITY IMPROVEMENT
Obtaining feedback from patients and the hospital staff is a means of:
PROVIDING QUALITY IMPROVEMENT
Participation in continuing education and keeping carefully written documentation are examples of the EMT’s role in:
QUALITY IMPROVEMENT
Every EMS service or system should have a:
MEDICAL DIRECTOR
It is important that each EMT know his or her Medical Director. An EMT is operating as the Medical Director’s:
DESIGNATED AGENT
The difference between on-line and off-line medical direction is that:
ON-LINE ORDERS ARE GIVEN BY THE ON-DUTY PHYSICIAN, USUALLY OVER THE RADIO OR PHONE.
An example of a medication carried by EMTs that may require a physician consultation to administer is:
ASPIRIN
As a new EMT, you will witness many changes in the EMS system and patient care, moving from practices that have been based on __________ to those that are based on ____________.
TRADITION; RESEARCH
The EMT has many jobs to do. It is the responsibility of the EMT to treat patients:
IN A NONJUDGEMENTAL AND FAIR MANNER
Your Medical Director has stated that EMS is moving closer to science-based guidelines. A general procedure involved in making evidence-based patient care decisions is:
Choices: Reviewing the literature, An evaluation of evidence, or Forming a hypothesis
ALL OF THESE
Your service has been seeing an increase in injuries to the aging population, and your leadership is planning a program to do something about it. Injury prevention for geriatric patients and campaigns to reduce tobacco use are examples of:
AN EMT’S ROLE IN PUBLIC HEALTH
In a process developed by Galileo almost 400 years ago, called ____________, general observations are turned into a ___________.
THE SCIENTIFIC METHOD; HYPOTHESIS
You are going to be working with your Medical Director to help design a study that could have a significant impact on what EMS providers do for their patients in the future. The type of study that could produce the highest level of evidence (level 1) is:
A RANDOMIZED CONTROLLED TRIAL
