Test Bank for Prehospital Emergency Care, 12th Edition

Primary purpose of modern-day EMS system

Decrease the incidence of death and disability related to injury and illness.

Document that influenced modern EMS system

The white paper 'Accidental Death and Disability: The Neglected Disease of Modern Society,' in 1966.

First requirement for an Emergency Medical Responder to work full-time

They will first have to become an Emergency Medical Technician (EMT).

Four levels of EMS practitioners

Paramedics.

What an EMT can do that an EMR cannot

Administer some medications.

Type of care EMRs provide in cardiac arrest

Automated external defibrillation.

Advanced care provided by Paramedics that EMTs cannot provide

Initiating intravenous (IV) therapy.

EMT statement requiring immediate intervention

'I drive as fast as I can to get to the scene of an emergency, especially if a child is sick or injured according to dispatch information.'

EMT Understanding

The patient's needs come before anyone else's needs.

EMT Scene Responsibility

At the scene of an emergency, my responsibility is to get to the patient no matter what.

EMT Safety Priority

My safety comes first, and then the patient's safety.

Public Safety Recognition

As an EMT, I recognize that the public's safety comes before the safety of me or my partner.

EMS Unique Position

EMS providers are familiar with and capable of functioning in the out-of-hospital environment.

Motor Vehicle Collision Response

Clear the bystanders, allow the fire department to secure the wires, access the patient, extricate the patient, transport.

Scene Focus

Once a scene is free of safety hazards, the EMT must recognize and focus on the needs of the patient.

Quality Improvement Committee Role

Develop ways in which the delivery of emergency care can be improved.

Logical QI Project

Monthly continuing education programs in which seldom-used skills are practiced.

Medical Director Inquiry

Related to her responsibilities as medical director, which question is most appropriate?

EMT wages determination

How do you determine the wages that the EMTs are paid?

Ambulance system logistics

How do you determine the number and location of ambulances within the system?

Emergency care protocols update frequency

How often are the emergency care protocols updated?

Daily chores assignment

Do you assign the daily chores that must be completed around the stations?

Medical director requirements

To be a medical director of an ambulance service, which requirement must the interested individual satisfy?

Licensed physician requirement

Licensed physician

Emergency physician with surgical experience

Emergency physician with surgical experience

Paramedic physician requirement

Physician who was a paramedic

EMS college degree requirement

Physician with a college degree in Emergency Medical Services (EMS)

EMT medical care authority

As an EMT, which requirement must be met so that you can provide routine and emergency medical care to the sick and injured, as an extension of the medical director's authority?

Service medical director requirement

A service medical director

Knowledgeable partner requirement

A knowledgeable partner

Safe driving record requirement

A safe driving record

Pediatric patient review resource

To review this information, which resource should you consult first?

Service protocols

Service protocols

Oxygen administration protocol

Before the EMT contacts medical direction for authorization to assist a patient with shortness of breath in using their metered-dose inhaler, protocols state that the EMT must first attempt to provide relief by administering oxygen if the pulse oximeter reading is less than 94%.

Standing order definition

The administration of oxygen is best described as a(n): Standing order.

On-line medical direction example

The act of contacting the emergency department physician by phone or radio for permission to administer additional aspirin is an example of: On-line medical direction.

Off-line medical direction definition

Off-line medical direction.

Public perception of EMS

At the scene of a minor motor vehicle collision, you are attending to a female patient who complains of head and neck pain. What will the observing public most likely remember about the role EMS portrayed?

EMTs yelling at fire department

EMTs who were yelling and cursing loudly at the fire department to hurry up and get the patient out of the car.

Enhanced 911 system feature

In a community that has an 'enhanced' 911 system, the physical location of the landline used to make the 911 call is displayed to the call taker.

EMS response time requirement

The total response time for EMS from dispatch to arrival on scene must not exceed 9 minutes, 90% of the time.

Patient confusion benefit

Which patient would most benefit from calling an enhanced 911 system from the home phone? Patient with sudden onset of confusion.

Emergency medical dispatch assistance

Since the 911 operators are also emergency medical dispatchers, what sort of assistance will they be able to provide?

Simultaneous notification of the receiving trauma hospital

The process of alerting the hospital while EMS is en route to a patient.

EMS response coverage

Whether the EMS response is covered by medical insurance.

Control bleeding instructions

Instructions on how to control bleeding before EMS arrives.

Names of responding EMTs

The names of the EMTs who are responding to the emergency.

EMS public health initiative

An initiative aimed at educating the public on health-related topics, such as the benefit of wearing seat belts.

Volunteering for public health

Volunteering time to help raise money for a sick child and his family.

Volunteer emergency ambulance service

Providing volunteer emergency ambulance service 24 hours a day, 7 days a week.

Purchasing new equipment

Buying new equipment to better help those persons who experience a medical emergency.

Evidence-based medicine approach

A method that relies on research and data to inform medical practices.

Field trial of ventilators

Selecting specific EMTs to conduct a field trial of particular ventilators.

On-line medical direction

Requesting permission from a physician to administer treatment while on the scene.

Standing orders

Pre-established guidelines that allow EMTs to perform certain procedures without direct physician approval.

Emergency medical services (EMS) governance

Each state has governmental control of its own EMS system, independent of the federal government.

Emergency medical dispatchers (EMDs)

Dispatchers trained to provide medical instructions to callers prior to the arrival of EMS personnel.

Best destination for trauma patients

The best destination for a seriously injured patient with multiple complications is a trauma center.

First priority as an EMT

Personal safety is the first priority when arriving at the scene of a medical emergency.

Patient advocacy

Acting on behalf of the patient, such as informing the crowd that the patient appears to be okay.

Patient Advocate

The EMT acts as a patient advocate by asking curious onlookers to leave the scene.

Voice over Internet Protocol (VoIP)

Internet providers are encouraged to provide 911 access, but are not required by law, so the dispatch center may have to get an address from the caller.

911 Universal Number Advantage

It is a common number through which to request EMS, law enforcement, and fire services.

Hospital Emergency Department

It is a health care destination staffed by physicians, nurses, and others designed to evaluate and stabilize patients, preparing them for further care.

Americans with Disabilities Act (ADA)

A dispatcher with a prosthetic leg who requires parking next to the building entrance is a situation that falls under the ADA and requires reasonable accommodations.

Pregnant Emergency Medical Dispatcher

Wheelchair accessibility to and from dispatch satisfies the ADA for a pregnant emergency medical dispatcher who suffers from paralysis of both legs.

Certification for Emergency Medical Technician

To become certified, one must complete a course that meets the requirements of the U.S. Department of Transportation.

Functions of a State EMS Agency

The functions include determination of the number of Emergency Medical Responder (EMRs), Advanced Emergency Medical Technicians (AEMTs), EMTs, and Paramedics allowed in the state.

Patient Care Reports (PCRs)

The review of patient care reports (PCRs) ensures proper care.

Planning and Coordination of EMS

Planning and coordination of the statewide EMS system is a function of a state EMS agency.

Planning and coordination of the statewide EMS system

Encouraging fair wages for the different levels of EMS providers.

Actions placing the patient at greatest risk for a medical mistake

Transferring care from one EMT to another.

Underlying benefit of using evidence-based medicine

Allows the use of research and evidence in determining which care is effective.

Appropriate protective gear at an automobile collision

Reflective clothing.

Minimum personal protective equipment for emergency scenes involving a shooting

Gloves.

Task not provided by a mobile integrated health care system

Conduct health screening and provide minor outpatient surgical services.

First responsibility of public health officials to improve community health

Identify problems that affect the health of the population in question.

Attribute unlikely to work well in the EMS profession

Inability or no desire to 'take charge'.

Immediate responsibility after confirming a patient is deceased

Providing supportive care to the husband.

Patient condition during CPR

Unresponsive, not breathing, and pulseless.

First responders on the scene applying AED

Emergency Medical Responders (EMRs).

Outcome of AED application

Did not deliver a shock to the patient.

Patient's wife's emotional state during CPR

Crying and asking how her husband is doing.

Standard Precautions

The EMT practice of protecting oneself from disease transmission through exposure to blood and other body fluids.

Communicable Disease

A disease that can be spread from one person to another.

Best Technique to Prevent Infection

Washing hands.

Routine Handwashing

Lather and scrub with plain soap for 20 seconds.

Personal Protective Equipment for HIV Patient

Gloves and eyewear.

Disinfecting Long Spine Board

Germicidal solution.

Annual Immunization for EMT

Influenza vaccine.

Purified Protein Derivative (PPD) Test

Need to be repeated annually.

Understanding of Hepatitis C

Wearing gloves, using eye protection, and washing hands are the recommended means by which to prevent the transmission of hepatitis C to health care workers.

Patient Condition Statement

Right now he is not breathing and his heart is not beating, but we are doing everything we possibly can for him.

Grave Condition Statement

I am not a doctor, but his current condition is very grave and he will likely die, based on my previous experiences.

Waiting for Hospital Statement

Why don't we wait until we get to the hospital to talk about your husband's condition?

Honesty About Patient's Condition

I have to be honest, he is probably dead, but we are going to take him to the hospital so the doctor can examine him and make sure.

Chronic carrier of hepatitis B

The patient's blood and body fluids are infectious.

Active tuberculosis precautions

High-efficiency particulate aspirator mask.

HIV infection without AIDS

Gloves and eye protection will be adequate protection under most conditions unless body fluids are present.

Critical incident stress management (CISM)

A comprehensive critical incident stress management (CISM) program.