EMR Chapter 1 Questions and Answers 100% Correct

EMR Chapter 1 Questions and Answers 100% Correct What is an "EMR"? The first medically trained person to arrive on the scene of an emergency Who are the main people who take care of your initial care after an emergency? Emergency Medical Technicians, Nurses, Physicians, Other Allied Health Professionals Who usually receives the telephone call reporting an incident? Emergency Response Communications Center or Public Safety Answering Point What is a reason why problems might come up during an EMS operation? A lack of coordination between resources & personnel P.S.A.P. Public Safety Answering Point What might an emergency response communications center be? A fire, police, or EMS agency, a 9-1-1 center, or a 7-digit emergency telephone # used by one or all of the emergency agencies How does dispatch usually occur? Pager, Radio, Telephone, Computer, Other means What is a key survival factor for people in cardiac arrest? The length of time between when the heartbeat stops & when manual cardiopulmonary resuscitation starts C.P.R. Cardiopulmonary Resusciation A properly equipped vehicle & the EMT staff that staff it make up a what...? A Basic Life Support unit B.L.S. Basic Life Support Who continues the care begun by EMRs? EMTs What do EMTs do? Stabilize the patient's condition further than the EMTs have done, & prepare the patient for transport to the emergency department of the hospital BLS services are provided by whom? EMTs E.M.T. Emergency Medical Technician A.L.S. Advanced Life Support What might a patient receive in addition to BLS services? ALS services How many hours of training has an EMT completed? At least 150 hours Who provides Advanced Life Support? Paramedics Why do paramedics receive so many more additional hours of training? So they can: Administer intravenous fluids & certain medications, defibrillation, & place airway tubes How many more hours of additional training do paramedics receive in addition to their BLS skills & knowledge of EMTs? At least 1,000 hours Defibrillation The administration of an electric shock to the heart of a patient who is experiencing a highly irregular heartbeat What is a highly irregular heartbeat also known as? Ventricular Fibrillation I.V. Fluids Intravenous Fluids Can defibrillation be done by am EMT or EMR? Yes, if they are specially trained What is the name of the special airway tube paramedics use to keep the patient's airway open? Endotracheal Tube A.E.M.T. Advanced Emergency Medical Technician What are AEMTs able to perform? Limited ALS skills How many hours of training do AEMTs complete, at the very least? 300 hours Who do AEMTs work with? Either alone, or with a paramedic on an ALS unit Where does a patient's 3rd contact with the EMS system usually occur? The hospital - Primarily the emergency department What is taught in the EMR class? Airway Maintenance; Bleeding Control; Prevention, Recognition, & Treatment of shock Examples of specialized treatment facilities Trauma Centers, Stroke Centers, Pediatric Centers, Poison Control Centers, Perinatal Centers 2 things that the EMS system is considered Considered to be part of the public safety function of government, and considered to be a component of public health Responsibilities of public health departments Monitor the sanitation of restaurants, conduct immunization programs, determine the incidence of contagious diseases, prevent the incidence of contagious diseases Examples of public health & public safety educational programs Car seat installation programs, programs to encourage seatbelt use, alcohol awareness programs, programs to encourage helmet use, blood pressure screenings, diabetes screenings What is the CDC & what do they do? The CDC is one health agency that monitors the incidence of diseases & provides the standard precaution guidelines we use to prevent the spread of contagious diseases C.D.C. Centers for Disease Control & Prevention Ambulances were first used...? To remove wounded patients from the battlefield during the Civil War When were Traction Splints first used & what is their significance? WWI. They greatly reduced the death rate from fractured femurs. In the 50s & 60s, what training was required for ambulance attendants, & interns who staffed hospital-based ambulances? Basic First Aid In the 50s & 60s, who provided the most ambulance services? Funeral homes, Hospitals, volunteer rescue squads In the 50s & 60s, what were hearses used for? Transporting ill & injured patients In the early 70s, what did the US Department of Transportation develop? A national standard curriculum for training EMS providers: "National EMS Education Standards" When did the use of ALS within EMS become common? 1980s N.H.T.S.A. National Highway Traffic Safety Administration Who evaluates EMS systems based on the decided 10 criteria? The NHTSA of the US Department of Transportation 10 Standard Components of an EMS System 1) Regulation & Policy 2) Resource Management 3) Human Resources & Training 4) Transportation Equipment & Systems 5) Medical & Support Facilities 6) Communications System 7) Public Info & Education 8) Medical Direction 9) Trauma System & Development 10) Evaluation 3 "Transport" Terms Transport, Prompt Transport, Rapid Transport "Transport" Patient needs help from medical professional, time not important factor "Prompt Transport" Patient needs to be taken to an appropriate medical facility in a fairly short amount of time "Rapid Transport" EMS personnel are unable to give the patient adequate life-saving care in the field