Emergency Care
DANIEL LIMMER, MICHAEL O'KEEFE, EDWARD DICKINSON MEDICAL EDITOR
14th Edition
, Emergency Care 14th Edition by Daniel Limmer, Michael F.
O'Keefe and Edward T. Dickinson Test Bank
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.
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,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.
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, 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
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