Chapter 1 Workbook

Question 1

Advanced procedures, such as intravenous (IV) therapy, advanced airway management, and the administration of certain emergency medications

Answer 1

ALS

Question 2

Basic lifesaving interventions, such as CPR

Answer 2

BLS

Question 3

An EMS professional trained in BLS interventions

Answer 3

EMT

Question 4

An EMS professional trained in some ALS interventions

Answer 4

AEMT

Question 5

An EMS professional with extensive training in ALS skills, such as intubation

Answer 5

Paramedic

Question 6

Physician direction to an EMS team

Answer 6

Medical control

Question 7

A proactive process of development that capitalizes on strengths and addresses challenges

Answer 7

CQI

Question 8

A system to provide prehospital care to the sick and injured

Answer 8

EMS

Question 9

Providing health care within the community rather than in an office

Answer 9

MIH

Question 10

A system that assists dispatchers with unit selection

Answer 10

EMD

Question 11

A designated location in which the EMS agency is responsible for providing prehospital care

Answer 11

Primary service area

Question 12

A physician who authorizes the EMT to provide care in the field

Answer 12

Medical director

Question 13

Legislation that protects disabled individuals from discrimination

Answer 13

Americans with Disabilities Act

Question 14

The responsibility of the medical director to ensure that appropriate care is delivered by an EMT

Answer 14

Quality control

Question 15

Legislation that protects a patient’s private health information

Answer 15

HIPAA

Question 16

What year was the white paper Accidental Death and Disability: The Neglected Disease of Modern Society published?
A. 1966
B. 1970
C. 1984
D. 1992

Answer 16

A. 1966

Question 17

Which of the following is true of medical control?
A. It is determined by the dispatcher.
B. It may consist of written or “standing” orders.
C. It requires online radio or phone consultations.
D. It affects only ALS providers.

Answer 17

B. It may consist of written or “standing” orders.

Question 18

What is the purpose of providing mobile integrated health care (MIH)?
A. To allow paramedics to function beyond the scope of practice
B. To allow EMS agencies to respond to emergencies faster
C. To educate the community on public health issues
D. To facilitate improved access to health care at an affordable price

Answer 18

D. To facilitate improved access to health care at an affordable price

Question 19

What is the major goal of continuous quality improvement (CQI)?
A. To perform quarterly audits of the EMS system
B. To verify that EMTs have received BLS/CPR training
C. To ensure that the public receives the highest standard of care
D. To verify that the proper information is received in the billing department

Answer 19

C. To ensure that the public receives the highest standard of care

Question 20

Which of the following involves federal legislation concerning patient confidentiality?
A. HIPAA
B. NAACS
C. EMTALA
D. FLCPC

Answer 20

A. HIPAA

Question 21

After stocking the ambulance this morning, you and your partner go out for breakfast. While entering the restaurant, you see an older gentleman clutch his chest and collapse to the floor. When you get to him, he has no pulse and is not breathing.

Which of the following authorizes you, as an EMT, to provide emergency care to this patient?
A. The city council
B. The EMS agency
C. The medical director
D. The fire chief

Answer 21

C. The medical director

Question 22

After stocking the ambulance this morning, you and your partner go out for breakfast. While entering the restaurant, you see an older gentleman clutch his chest and collapse to the floor. When you get to him, he has no pulse and is not breathing.

In order to treat this patient, what will you need to follow?
A. Emergency medical dispatch
B. Continuous quality improvement (CQI)
C. Protocols
D. Quality control

Answer 22

C. Protocols

Question 23

After stocking the ambulance this morning, you and your partner go out for breakfast. While entering the restaurant, you see an older gentleman clutch his chest and collapse to the floor. When you get to him, he has no pulse and is not breathing.

What level of training would allow you to perform cardiac monitoring and endotracheal intubation of this patient?
A. EMR
B. EMT
C. AEMT
D. Paramedic

Answer 23

D. Paramedic

Question 24

After stocking the ambulance this morning, you and your partner go out for breakfast. While entering the restaurant, you see an older gentleman clutch his chest and collapse to the floor. When you get to him, he has no pulse and is not breathing.

While you checked the patient’s airway, breathing, and circulation, your partner considered the benefits of requesting a(n) ______ ambulance to assist with patient care.
A. ALS
B. CQI
C. PSA
D. EMD

Answer 24

A. ALS

Question 25

While you performed CPR on this patient, your partner retrieved the ________, which will deliver an appropriate electrical shock. A. EMD B. AED C. PSA D. GPS

Answer 25

B. AED

Question 26

True/False EMT personnel are the highest‑qualified members of the prehospital care team.

Answer 26

False

Question 27

True/False The EMT scope of practice includes the use of an automated external defibrillator (AED).

Answer 27

True

Question 28

True/False Personnel trained as EMRs can include law enforcement officers, firefighters, and ski patrollers.

Answer 28

True

Question 29

True/False A professional appearance and manner by the EMT will help build the patient’s confidence and ease the patient’s anxiety.

Answer 29

True

Question 30

True/False Patient care should be focused on procedures that have proven useful in improving outcomes.

Answer 30

True

Question 31

True/False As a health care professional and an extension of physician care, you are not bound by patient confidentiality.

Answer 31

False

Question 32

True/False Most EMS training programs must adhere to national standards established by the accrediting organizations.

Answer 32

True

Question 33

True/False The medical director is responsible for authorizing and regulating all emergency medical services within the state.

Answer 33

False

Question 34

True/False Advanced EMTs typically go through 1,000 to 1,300 hours of training.

Answer 34

False

Question 35

True/False The development of the field medic and rapid helicopter evacuation took place during the Korean War.

Answer 35

True

Question 36

__________ __________ __________ is a circular system of continuous internal and external reviews and audits of all aspects of an EMS system.

Answer 36

Continuous quality improvement

Question 37

Each EMS system has a physician __________ __________ who authorizes the EMTs in the service to provide medical care in the field.

Answer 37

medical director

Question 38

One of the most dramatic developments in prehospital emergency care is the use of a(n) __________ __________ defibrillator.

Answer 38

automated external

Question 39

The primary __________ area is the main area in which an EMS agency operates.

Answer 39

service

Question 40

A 9 1 1 dispatch center is called a public safety __________ __________, or PSAP.

Answer 40

access point

Question 41

Short Answers Describe the EMT’s role in the EMS system.

Answer 41

The EMT is one of the four levels of prehospital care. The EMT provides basic life support, including automated external defibrillation, use of airway adjuncts, and assisting patients with certain medications.

Question 42

Short Answers What role has the US Department of Transportation played in the development of EMS?

Answer 42

The Department of Transportation has developed a series of guidelines, curricula, funding sources, and assessment tools that are designed to develop and improve EMS in the United States.

Question 43

Short Answers List five of the roles and/or responsibilities of being an EMT.

Answer 43

* Keep vehicles and equipment ready for an emergency. * Ensure the safety of yourself, your partner, the patient, and bystanders. * Initiate the emergency vehicle operation. * Be an on scene leader. * Perform an evaluation of the scene. * Call for additional resources as needed. * Gain patient access. * Perform a patient assessment. * Give emergency medical care to the patient while awaiting the arrival of additional medical resources. * Move patients only when absolutely necessary to preserve life. * Give emotional support to the patient, the patient’s family, and other responders. * Maintain continuity of care by working with other medical professionals. * Resolve emergency incidents. * Uphold medical and legal standards. * Ensure and protect patient privacy. * Provide administrative support. * Constantly continue your professional development. * Cultivate and sustain community relations. * Give back to the profession.

Question 44

Short Answers Describe the two basic types of medical direction that help the EMT provide care.

Answer 44

Online medical direction is provided through radio or telephone connections between the EMT and the medical control facility. Off line medical direction is provided through written protocols, training, and standing orders.

Question 45

Ambulance Calls You are dispatched to a two‑car motor vehicle collision. On arrival, you see minimal damage to both vehicles because they were traveling less than 25 mph (40 kph) when the collision occurred. You and your partner interview and examine all of the patients and find no apparent injuries. Dispatch contacts you and asks if you need an ALS crew to respond to your location. Explain how you would respond and why.

Answer 45

You would decline the assistance of an ALS ambulance crew. ALS, or advanced life support, means that the crew would have a higher level of training and could perform more advanced patient care procedures than you or your partner could. Because there were no injuries resulting from this motor vehicle collision, there was no reason to summon advanced care.

Question 46

Ambulance Calls You and your partner are both EMTs and are dispatched to a private residence in response to a report of a hanging. You arrive to find a distraught man in the front yard, who quickly explains that he found his teenage daughter in the garage hanging by the neck from an extension cord. You enter the garage and find the patient unresponsive and not breathing, but with a weak pulse. Using EMT airway skills, neither of you is able to successfully open the patient’s airway enough to provide ventilations. What should you do?

Answer 46

Because none of the EMT level airway skills were successful, it would be critical to request or rendezvous with a provider capable of using advanced airway techniques. You would contact dispatch and arrange to have an ALS crew either meet you at the patient’s location or load the patient and meet up with an ALS crew while en route to the hospital.