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Prehospital Emergency Care, 12th Edition by Joseph J. Mistovich Keith J Karren Brent Q. Hafen
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Chapter 1-44 w q
Chapter 1 Emergency Medical Service Systems, Research, and Public Health
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1) What is a primary purpose of the modern-day EMS system?
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A) Provide a means of transport to and from the hospital wq w q w q w q w q w q w q w q w q
B) Ensure that all members of society have equal access to hospitals wq w q w q w q w q w q w q w q w q w q
C) Decrease the incidence of death and disability related to injury and illness w q w q w q w q w q w q w q w q w q wq w q
D) Provide emergency health care services to medically underserved areas Answer: C D wq wq wq wq wq wq wq wq wq wq wq
iff: 2 Page Ref: 2
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Objective: 1-2 w q
2) Most authorities agree that the modern- w q w q w q w q w q
day EMS system evolved after the release of which document?
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A) The Emergency Medical Services Act of 1973w q wq w q w q w q w q
B) The white paper "Accidental Death and Disability: The Neglected Disease of Modern Society," i n 196
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C) The American Heart Association's Guidelines for Cardiac Resuscitation
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D) Emergency Medical Services: Agenda for the Future, in 1996 Answer: B D wq wq wq wq wq wq wq wq wq wq wq
iff: 1 Page Ref: 2
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Objective: 1-2 w q
3) An Emergency Medical Responder comes to you and states that they would like to work for yo ur emer
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gency ambulance service on a full- wq wq wq wq wq
time basis. Knowing the National EMS Scope of Practice Model, you inform them of which ele ment th
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ey need to attain first?
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A) They will be able to take care of only patients with non-life-threatening complaints.
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B) They will first need approval from your ambulance service's medical director.
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C) They will be able to work only with an Advanced Emergency Medical Technician (AEMT) or Par
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amedic.
D) They will first have to become an Emergency Medical Technician (EMT). Answer: D Di
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ff: 1 wq Page Ref: 3 wq wq
Objective: 1-1 w q
4) As defined by the National EMS Scope of Practice Model, the four levels of EMS practitione rs incl
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ude:
A) Ambulance drivers. wq
B) EMS medical director. w q w q
C) Paramedics.
D) Emergencymedicaldispatchers. Answer: w
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C Diff: 1 Page Ref: 6
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2
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,Objective: 1-3 w q
5) An Emergency Medical Responder (EMR) approaches you and states that they are interested i n bec
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oming an EMT. Specifically, they ask what they will be able to do as an EMT that they ca nnot presentl
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y do as an EMR. You respond by saying they will be able to:
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A) Administer some medications. w q w q
B) Assist in emergency childbirth. w q w q wq
C) Use an automated external defibrillator. wq w q w q w q
D) Obtain vital signs wq wq
. Answer: A
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Diff: 1 Page Ref: 5-6
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Objective: 1-5
6) You have been dispatched for a 61-year- w q w q w q w q w q w q
old female in cardiac arrest. Emergency Medical Responders (EMRs) are on the scene. In yo ur com
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munity, all EMS practitioners are trained according to the National EMS Scope of Pra ctice Model.
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Given this, which type of care do you expect the EMRs to be providing?
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A) Emergency medication administration wq w q
B) Automated external defibrillation wq w q
C) Intravenous therapy wq
D) Reading an electrocardiogram wq wq wq
Answer: B w q
Diff: 2 Page Ref: 5-6
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Objective: 1-5
7) An EMT with your service states that they desire to become a Paramedic because they want to prov
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ide advanced care. Under the National EMS Scope of Practice Model, which one of the se types of car
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e will they be able to provide as a Paramedic that they cannot provide as an EM T?
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A) Use of an automated blood pressure monitoring wq w q w q w q w q w q
B) Assistance with emergency childbirth wq w q w q
C) Providing interfacility transports wq wq
D) Initiatingintravenous(IV)therap y w
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Answer: D w q
Diff: 1 Page Ref: 6wq wq w q
Objective: 1-5
8) Which statement made by an EMT requires immediate intervention by a superior or the servi ce su
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pervisor?
A) "Ialways wear myseat belt whenever Iam in the patient compartment of the ambulance, unle ss I hav
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e to remove it to care for a patient."
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B) "Idrive as fast as Ican to get to the scene of an emergency, especiallyif a child is sick or injur ed accord
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ing to dispatch information."
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C) "When I am driving with lights and sirens, I instruct my partner that he will need to handle all radi
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o communications."
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D) "I put exam gloves on for every patient I contact, even if he or she does not have a known or suspe
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cted infectious disease."
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Answer: B
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