TEST BANK FOR EMERGENCY CARE 14TH EDITION BY DANIEL J. LIMMER Test Bank For Emergency Care, 14e (Limmer/O'Keefe/Dickinson)

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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.

,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) 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.

5) 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.

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 have trained personnel understand the limitations of their training and "do no
harm," while providing prompt transport to the hospital
D) To have trained personnel knowledgeable in all aspects of prehospital care -
Explanation: A) CORRECT. The modern Emergency Medical Services (EMS)
system has been developed to get trained personnel to patients as quickly as
possible and to provide emergency care on the scene, en route to the hospital, and
at the hospital until care is assumed by the hospital staff.
B) INCORRECT. In addition to having trained personnel able to help patients on
scene, the modern Emergency Medical Services (EMS) system also aims to
provide that same assistance while en route to the hospital and at the hospital until
hospital staff can take over care.
C) INCORRECT. Although understanding limitations and doing "no harm" are
important aspects of an emergency care provider's job, the modern Emergency
Medical Services (EMS) system was developed to get trained personnel to patients
as quickly as possible and to provide emergency care on the scene, en route to the
hospital, and at the hospital until care is assumed by the hospital staff.
D) INCORRECT. Although knowledge is an important aspect of an emergency
care provider's job, the modern Emergency Medical Services (EMS) system was
specifically developed to get trained personnel to patients as quickly as possible
and to provide emergency care on the scene, en route to the hospital, and at the
hospital until care is assumed by the hospital staff.

7) What has the modern emergency medical services (EMS) system been
developed to provide?
A) Prehospital care
B) Prompt emergency response
C) Safe emergency transportation
D) Trained medical personnel - Explanation: A) CORRECT. In 1966 the National
Highway Safety Act charged the United States Department of Transportation
(DOT) with assisting the states in upgrading the quality of their prehospital
emergency care.
B) INCORRECT. Prompt responses are an important part of any EMS system, but
not what they were specifically developed to provide.
C) INCORRECT. Safe emergency transportation is only part of what modern EMS
systems were developed for.