by Daniel Limmer, Michael F. O'Keefe and Edward T. Dickinson,
All Chapters 1 - 41 Covered
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,Chapter 1
1) Which of the following groups is credited with developing the
earliestdocumented emergency medical service?
A) The Spanish
B) The Egyptians
C) The Mayans
D) The French - Explanation: A) INCORRECT. The Spanish did not developthe
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.
2) 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
toupgrade 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
StatesDepartment 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
chargedwith developing EMS standards.
,3) 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.
4) Centralized coordination of emergency medical access, transportation, and
caremost 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 BEST describes the purpose of the modern emergency
medical services (EMS) system?
A) To have trained personnel respond quickly and provide emergency care
onthe scene, during transport, and at the hospital
,B) To have trained personnel capable of assessing and caring for injured and
illpatients 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
careExplanation: 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,
andat 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
untilhospital 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
patientsas 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.
6) What has the modern emergency medical services (EMS) system
beendeveloped to provide?
A) Prehospital care
B) Prompt emergency response