Emergency Care by Daniel limmer
14th Edition
TEST BANK
,Daniel limmer: Emergency Care , 14th Edition
MULTIPLE CHOICE
1) Which of the following refers to a program or process for evaluating and
improving the effectiveness of an EMS system?
A) Quality improvement
,B) System effectiveness management
C) Process Improvement Plan (PIP)
D) Total quality system - A) CORRECT. Quality improvement (QI) consists of
continuous self-review with the purpose of identifying aspects of the EMS
system that require improvement, with subsequent action plans to make
subsequent
changes.
B) INCORRECT. System effectiveness management does not refer to a
program of evaluating and improving an EMS system.
C) INCORRECT. A program or process for evaluating and improving the
effectiveness of an EMS system is not referred to as a Process Improvement
Program.
D) INCORRECT. The term "total quality system" does not refer to a program
for improving the effectiveness of EMS systems.
2) Which of the following groups is credited with developing the earliest
documented emergency medical service?
A) The Spanish
B) The Egyptians
C) The Mayans
D) The French - Explanation: A) INCORRECT. The Spanish did not develop
the first documented emergency medical service; the French did in the 1700s. B)
INCORRECT. Although known for progress in technical areas, the Egyptians were
not responsible for the first documented emergency medical service. In 1790, the
French first began transporting wounded soldiers away from battlefields and to
waiting medical care.
C) INCORRECT. The earliest documented emergency medical service was in
France in 1790, nearly a thousand years after the Mayan civilization disappeared.
,D) CORRECT. The earliest documented emergency medical service was in 1790
when the French began transporting wounded soldiers from the scenes of
battle to waiting physicians.
3) In 1966 the National Highway Safety Act charged which of the following
agencies with the development of emergency medical service standards?
A) U.S. Department of Transportation
B) U.S. Department of the Interior
C) U.S. Department of Health Services
D) U.S. Department of Homeland Security - Explanation: A) CORRECT. In
1966 the National Highway Safety Act charged the United States Department of
Transportation (DOT) with developing EMS standards and assisting the states to
upgrade the quality of their prehospital emergency care.
B) INCORRECT. The U.S. Department of the Interior is charged with the
management and conservation of federal land and the country's natural resources.
The Department of Transportation was charged with developing EMS standards.
C) INCORRECT. Although the U.S. Department of Health and Human
Services is charged with protecting the health of all Americans, the United States
Department of Transportation was assigned the task of developing emergency
medical service standards.
D) INCORRECT. Although the U.S. Department of Homeland Security is
tasked with protecting the nation from threats, it was established in 2002 and did
not exist in 1966. It was the U.S. Department of Transportation that was charged
with developing EMS standards.
4) Which of the following agencies is responsible for establishing EMS system
assessment programs?
A) Department of Health and Human Services (HHS)
B) National Transportation Safety Board (NTSB)
C) National Highway Traffic Safety Administration (NHTSA)
D) United States Health Services Agency (HSA) - Explanation: A) INCORRECT.
The Department of Health and Human Services (HHS) is not responsible for
EMS system assessment programs.
B) INCORRECT. The National Transportation Safety Board (NTSB) does not
establish EMS system assessment programs.
,C) CORRECT. The National Highway Traffic Safety Administration (NHTSA)
Technical Assistance Program has established assessment programs with set
standards for EMS systems.
D) INCORRECT. The United States Department of Health and Human Services
has no oversight of EMS systems.
5) Centralized coordination of emergency medical access, transportation, and care
most refers to which of the following?
A) Emergency preparedness plan
B) Trauma system
C) Resource management
D) Central deployment - Explanation: A) INCORRECT. Emergency
preparedness plans are usually developed to guide the actions of a specific group
of people at the outset of an emergency, with the goal of protecting people and/or
property. They generally will not address the specifics of medical care or transport.
B) INCORRECT. A trauma system is an organized, coordinated effort between
facilities and responders within a defined geographic area to deliver a full range of
care to injured patients. It does not address the coordination of basic (non-trauma)
emergency care or transportation.
C) CORRECT. Resource management refers to the centralized coordination of
an emergency response so that all victims have equal access to basic emergency
care and are transported by certified personnel, in a licensed and equipped
ambulance, to an appropriate facility.
D) INCORRECT. The centralized coordination of emergency medical access,
transportation, and care within an EMS system is not referred to as central
deployment.
6) Which of the following BEST describes the purpose of the modern emergency
medical services (EMS) system?
A) To have trained personnel respond quickly and provide emergency care on
the scene, during transport, and at the hospital
,B) To have trained personnel capable of assessing and caring for injured and ill
patients on the scene
, C) To fhave ftrained fpersonnel funderstand fthe flimitations fof ftheir ftraining
fand f "do f no f harm," fwhile f providing fprompt ftransport fto f the f hospital
D) To fhave ftrained fpersonnel fknowledgeable fin fall faspects fof fprehospital
fcare fExplanation: f A) fCORRECT. fThe f modern f Emergency fMedical fServices
f(EMS) fsystem f has fbeen fdeveloped fto f get ftrained fpersonnel fto f patients fas
fquickly fas fpossible fand fto fprovide femergency fcare fon fthe fscene, fen froute fto
fthe fhospital, fand fat fthe f hospital f until fcare fis fassumed fby f the f hospital fstaff.
B) INCORRECT. fIn faddition fto fhaving ftrained fpersonnel fable fto fhelp
fpatients fon fscene, fthe f modern fEmergency fMedical f Services f (EMS) fsystem
falso faims fto fprovide fthat fsame fassistance fwhile fen froute fto fthe fhospital fand
fat fthe fhospital funtil f hospital fstaff fcan f take fover fcare.
C) INCORRECT. fAlthough funderstanding flimitations fand fdoing f"no fharm"
fare fimportant faspects fof fan femergency fcare fprovider's fjob, fthe f modern
fEmergency fMedical fServices f(EMS) fsystem fwas fdeveloped fto fget ftrained
fpersonnel fto fpatients fas fquickly fas fpossible fand fto fprovide femergency fcare
fon f the fscene, fen froute fto f the f hospital, fand fat fthe f hospital f until fcare f is
fassumed fby f the f hospital fstaff.
D) INCORRECT. fAlthough fknowledge fis fan fimportant faspect fof fan
femergency fcare fprovider's fjob, fthe f modern f Emergency fMedical f Services
f(EMS) fsystem fwas fspecifically fdeveloped fto f get ftrained fpersonnel fto fpatients
fas fquickly fas fpossible fand fto f provide femergency fcare fon fthe fscene, fen f route
fto fthe f hospital, fand fat fthe f hospital f until f care fis fassumed fby fthe f hospital
fstaff.
7) What fhas fthe fmodern femergency fmedical fservices f(EMS) fsystem
fbeen fdeveloped f to fprovide?
A) Prehospital fcare
B) Prompt femergency fresponse
C) Safe femergency ftransportation
D) Trained fmedical fpersonnel f- fExplanation: fA) fCORRECT. fIn f1966 fthe
fNational f Highway fSafety fAct fcharged fthe fUnited fStates fDepartment fof
fTransportation f (DOT) fwith fassisting fthe f states fin f upgrading fthe fquality fof
ftheir fprehospital femergency fcare.
B) INCORRECT. fPrompt fresponses fare fan fimportant fpart fof fany fEMS
fsystem, f but f not fwhat fthey fwere fspecifically fdeveloped f to fprovide.