Paramedic Chapter 1 EMS Systems. Exam
2025 Questions and Answers
History of EMS - ANS continue reading set
EMS history-1485 - ANS -The first recorded use of an ambulance in the military was the
"Siege of Malaga"
-Transport only (no care given)
EMS History 1800's - ANS -Napoleon designated a vehicle and attendant for to care for
injuries on the battlefield.
EMS History 1860 - ANS The first recorded use of a medic/ambulance combination in the
united states.
EMS History 1865 - ANS The first civilian ambulance came out of the Commercial Hospital in
Cincinnati Ohio.
EMS History 1869 - ANS The First ambulance service was started out of Bellevue Hospital in
New York.
EMS History 1899 - ANS The first operated automobile ambulance came out of Michael
Reese Hospital in Chicago.
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
,EMS History 1926 - ANS Phoenix Fire Department adds service similar to modern day EMS.
EMS History 1928 - ANS Julien Stanley Wise launched the first rescue squad out of Roanoke
Virginia called Roanoke Life Saving Crew.
EMS History 1940 - ANS -Due to shortage of medical personnel caused by World Wars 1/2,
EMS was turned over to police and fire departments.
-No standards for prehospital care was set.
EMS technology evolved after World War II by learning that - ANS Bringing the hospital to
the field gave patients a better chance of survival.
-ambulance corps were developed during world wars one and two to transport and rapidly care
for soldiers.
the Korean War brought what change to EMS - ANS -First use of helicopters to aid/transport
injured patients.
-Mobile Army Surgical Hospitals (M*A*S*H unis) were created.
-helicopters were use rapidly remove soldiers from battlefield during the Korean and Vietnam
wars.
EMS History 1956 - ANS Mouth-to- mouth resuscitation was created.
EMS History 1950s/1960s - ANS -Focus shifted to bringing the hospitals the patients.
-Mobile Intensive Care Units (MICUs) developed in European countries and spread across the
United States as well.
-They were staffed by specially trained physicians
Due to short staffing/ lack of physicians at the MICUs what developed? - ANS The idea that
civilians could be trained to perform advanced medical skills/ bring the patients to the
hospitals.
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, What was released in 1965? - ANS "The White Paper" or "Accidental death and disability:
The neglected disease of modern society."
What did "The White Paper" reveal? - ANS -The white paper outlined 10 critical points the
EMS System was lacking including:
-Lack of uniform laws and standards
-poor-quality equipment
-Lack of communication
-Lack of training
(refer to table in textbook for more)
"The White Paper's" findings led to the creation of what? - ANS -The National Highway Safety
Act was instituted in 1966
-The US department of transportation (USDOT) was created to ride authority and financial
support for the development of basic and advanced life support programs
EMS History 1968 - ANS -Training standards were implemented
-911 was created
EMS History 1969 - ANS -First true paramedic program created by Dr. Eugene Nagel in
Miami, Florida.
-Standards for ambulance design and equipment were created.
Dr. Nagel trained what fire department? - ANS Dr. Nagel trained the Miami Fire department
with advanced emergency skills thus creating the first true paramedic program
Pg. 3 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
2025 Questions and Answers
History of EMS - ANS continue reading set
EMS history-1485 - ANS -The first recorded use of an ambulance in the military was the
"Siege of Malaga"
-Transport only (no care given)
EMS History 1800's - ANS -Napoleon designated a vehicle and attendant for to care for
injuries on the battlefield.
EMS History 1860 - ANS The first recorded use of a medic/ambulance combination in the
united states.
EMS History 1865 - ANS The first civilian ambulance came out of the Commercial Hospital in
Cincinnati Ohio.
EMS History 1869 - ANS The First ambulance service was started out of Bellevue Hospital in
New York.
EMS History 1899 - ANS The first operated automobile ambulance came out of Michael
Reese Hospital in Chicago.
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
,EMS History 1926 - ANS Phoenix Fire Department adds service similar to modern day EMS.
EMS History 1928 - ANS Julien Stanley Wise launched the first rescue squad out of Roanoke
Virginia called Roanoke Life Saving Crew.
EMS History 1940 - ANS -Due to shortage of medical personnel caused by World Wars 1/2,
EMS was turned over to police and fire departments.
-No standards for prehospital care was set.
EMS technology evolved after World War II by learning that - ANS Bringing the hospital to
the field gave patients a better chance of survival.
-ambulance corps were developed during world wars one and two to transport and rapidly care
for soldiers.
the Korean War brought what change to EMS - ANS -First use of helicopters to aid/transport
injured patients.
-Mobile Army Surgical Hospitals (M*A*S*H unis) were created.
-helicopters were use rapidly remove soldiers from battlefield during the Korean and Vietnam
wars.
EMS History 1956 - ANS Mouth-to- mouth resuscitation was created.
EMS History 1950s/1960s - ANS -Focus shifted to bringing the hospitals the patients.
-Mobile Intensive Care Units (MICUs) developed in European countries and spread across the
United States as well.
-They were staffed by specially trained physicians
Due to short staffing/ lack of physicians at the MICUs what developed? - ANS The idea that
civilians could be trained to perform advanced medical skills/ bring the patients to the
hospitals.
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, What was released in 1965? - ANS "The White Paper" or "Accidental death and disability:
The neglected disease of modern society."
What did "The White Paper" reveal? - ANS -The white paper outlined 10 critical points the
EMS System was lacking including:
-Lack of uniform laws and standards
-poor-quality equipment
-Lack of communication
-Lack of training
(refer to table in textbook for more)
"The White Paper's" findings led to the creation of what? - ANS -The National Highway Safety
Act was instituted in 1966
-The US department of transportation (USDOT) was created to ride authority and financial
support for the development of basic and advanced life support programs
EMS History 1968 - ANS -Training standards were implemented
-911 was created
EMS History 1969 - ANS -First true paramedic program created by Dr. Eugene Nagel in
Miami, Florida.
-Standards for ambulance design and equipment were created.
Dr. Nagel trained what fire department? - ANS Dr. Nagel trained the Miami Fire department
with advanced emergency skills thus creating the first true paramedic program
Pg. 3 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
