Chapter 2 : History, public health, and the EMT’s Role

1. Which of the following is widely considered to mark the beginning of the modern ems system?

   A. The EMS white paper

   B. The current National EMS Education Standards (NEMSES)

   C. The creation of the American Heart Association

   D. The EMS agenda for the future document

✅A. The EMS white paper ( the EMS white paper is titled "accidental death and disability: the negated disease of modern society.”)

(Pg. 12) In 1966, The EMS white paper is titled "accidental death and disability: the negated disease of modern society” published by the National Academy of Sciences. It spotlights inadequacies of prehospital care in the US particularly related to trauma.

2. Modern EMS care is based on…

A. What has been done in the past.

B. Whatever physicians recommend.

C. Evidence-based medicine.

D. The original national standard curriculum.

✅C. Evidence based medicine (Todays EMS care is based on evidence-based medicine, not what has been done in the past or what others recommend)

3. Which of the following are professional attributes of the EMT? (Select two answer options that apply)

A. Always speaking your mind.

B. Leadership skills

C. Always taking charge

D. Refusing to transport stable patients

E. The physical ability to lift and move patients

✅ B. Leadership skills

✅E. The physical ability to lift and move patients

Professional attributes of the EMT… (pg.18)

A. Professional appearance

B. Skills competency

C. Physical capability

D. Leadership skills

E. High and ethical standards

F. Emotional stability

G. Critical and adaptive thinking skills

H. Effective listener

I. Ability to place success of team above self interest

4. EMT roles and responsibilities include…

A. Strong communication skills.

B. Establishing intravenous (IV) access

C. Swift water rescue

D. Initial crime scene investigation

✅A. Strong communication skills.

EMT Roles and responsibilities… (pg.16-17)

A. Equipment preparedness

B. Emergency vehicle operations

C. Scene safety

D. Patient assessment and treatment

E. Lifting and moving

F. Communication and documentation

G. Patient advocacy

H. Professional Development

I. Quality improvement

J. Illness and injury prevention

K. Certification and licensure

5. Which of the following EMS activities are considered high risk for the patient?

A. Assessing vital signs

B. Obtaining a blood glucose level

C. Requesting consent to treat

D. Transferring patient care

✅D. Transferring patient care

Routine activities by EMS that are "high risk” (pg. 17–18)

1. Transfer of patient care

2. Lifting and moving patients

3. Transportation

4. Spinal precautions

5. Medication administration