Medical Oversight of EMS systems, Legal issues, Ethics, PSAPs

Question 1

1966 Accidental Death and disability listed what

Answer 1

24 proposed recommendations and became the blueprint for EMS development

Question 2

Who wrote the white papers

Answer 2

National Academy of Sciences- National research council

Question 3

What did the highway safety act of 1966 state

Answer 3

Established dept of transportation
$142 million for regional EMS systems

Question 4

1973 EMS system service act stated

Answer 4

1. Grant fund available (300 million)
2. EMS regions were to become financially self sufficient
3. Emphasized regional systems with trauma orientation (carved up US into regions)
4. “15 essential components” that each funded system must address

Question 5

EMS agenda for the future added what that was missing from 1973 EMS system service act

Answer 5

Role for medical direction

Question 6

1996 EMS agenda for the future stated

Answer 6

14 attributes of the EMS system

Question 7

1996 EMS education agenda for the future states

Answer 7

1. Core content
2. Scope of practice
3. EMS education standards
4. EMS education program accreditation
5. EMS certification

Question 8

2019 EMS agenda for the future added

Answer 8

Patient centered and people centered focus, added 6 guiding principles

Question 9

2 main issues with due process

Answer 9

1. Did provider get notice
2. Did they get a fair hearing

Question 10

Sovereign immunity limits liability of

Answer 10

Government

Question 11

Public duty vs special duty

Answer 11

Public duty - fire, police And EMS being ready to respond to emergency
Special duty - duty to an individual

Question 12

Definition of patient

Answer 12

No uniform definition
Duty attached at request for service
Err on side of patient being patient for test

Question 13

Refusal important issues

Answer 13

Did we do assessment
Does patient have capacity
Was patient informed
Was it all documented

Question 14

Sexual harassment def

Answer 14

Creation or perpetuation of a hostile environment
Does not need to be singer overt act

Question 15

What is Federal Civil rights statute 42

Answer 15

Any individual who impacts another individuals constitutional rights “may be liable”

Question 16

Beneficence

Answer 16

Obligation to act in the patient’s best interest

Question 17

Autonomy vs beneficence

Answer 17

Autonomy - patients have the right to make choices
Beneficence - Acting in patent’s best interest. What we think is best for patients

Question 18

5 Rights of Emergency Medical Dispatch

Answer 18

Resources needed
People needed
Time - how quickly
Way to get there
Things needed

Question 19

First link in chain of survival

Answer 19

Public safety answering points

Question 20

4 key components of EMD protocol

Answer 20

1. Chief complaint
2. Key question interrogation
3. Pre-arrival instructions
4. Prehospital dispatch coding and response configuration

Question 21

Failure to provide pre arrival instructions may lead to what

Answer 21

Dispatcher abandonment

Question 22

Dispatch life support also called

Answer 22

Pre-arrival instructions

Question 23

Prearrival instructions vs telephone aid

Answer 23

PAI: formal, medically approved, written
Aid: ad lib based on dispatcher experience

Question 24

Vertical vs Horizontal dispatch

Answer 24

Vertical: Single dispatcher for process
Horizontal: Team approach, call taker and dispatcher different people

Question 25

A, B, C, D and E response codes

Answer 25

A: BLS Cold
B: BLS hot
C: ALS cold
D: ALS hot
E: Everyone hot

Question 26

Determinant code vs response assignment

Answer 26

Determinant codes are static, allowing for comparison among locales
Response assignment to code varies based on local model of EMS

Question 27

Utilization of priority dispatch allows what

Answer 27

Tiered response