Prehospital Emergency Care, 11th edition
By Mistovich et al.
All Chapters (1-46) Verified Answer
ISBN- 9780133369175
~1~
,Contents
Chapter 1 Emergency Care Systems, Research, and Public Health ...................................................................................................................................................................... 3
Chapter 2 Workforce Safety and Wellness of the EMT .............................................................................................................................................................................................. 18
Chapter 3 Medical, Legal, and Ethical Issues .................................................................................................................................................................................................................. 35
Chapter 4 Documentation ......................................................................................................................................................................................................................................................... 57
Chapter 5 Communication ........................................................................................................................................................................................................................................................ 70
Chapter 6 Lifting and Moving Patients ............................................................................................................................................................................................................................... 85
Chapter 7 Anatomy, Physiology, and Medical Terminology .................................................................................................................................................................................. 97
Chapter 8 Pathophysiology..................................................................................................................................................................................................................................................... 124
Chapter 9 Life Span Development ...................................................................................................................................................................................................................................... 147
Chapter 10 Airway Management, Artificial Ventilation, and Oxygenation ................................................................................................................................................ 157
Chapter 11 Vital Signs, Monitoring Devices, and History Taking .................................................................................................................................................................... 193
Chapter 12 Scene Size-Up ........................................................................................................................................................................................................................................................ 229
Chapter 13 Patient Assessment ........................................................................................................................................................................................................................................... 237
Chapter 14 General Pharmacology and Medication Administration ............................................................................................................................................................ 271
Chapter 15 Shock and Resuscitation................................................................................................................................................................................................................................. 283
Chapter 16 Respiratory Emergencies............................................................................................................................................................................................................................... 312
Chapter 17 Cardiovascular Emergencies ....................................................................................................................................................................................................................... 340
Chapter 18 Altered Mental Status, Stroke, and Headache .................................................................................................................................................................................... 371
Chapter 19 Seizures and Syncope ....................................................................................................................................................................................................................................... 392
Chapter 20 Acute Diabetic Emergencies ......................................................................................................................................................................................................................... 409
Chapter 21 Allergic and Anaphylactic Reactions ...................................................................................................................................................................................................... 427
Chapter 22 Toxicologic Emergencies ................................................................................................................................................................................................................................ 444
Chapter 23 Abdominal, Hematologic, Gynecologic, Genitourinary, and Renal Emergencies ........................................................................................................... 479
Chapter 24 Environmental Emergencies ........................................................................................................................................................................................................................ 513
Chapter 25 Submersion Incidents: Drowning and Diving Emergencies ...................................................................................................................................................... 541
Chapter 26 Psychiatric Emergencies ................................................................................................................................................................................................................................ 553
Chapter 27 Trauma Overview: The Trauma Patient and the Trauma System .......................................................................................................................................... 569
Chapter 28 Bleeding and Soft Tissue Trauma ............................................................................................................................................................................................................. 583
Chapter 29 Burns ......................................................................................................................................................................................................................................................................... 606
Chapter 30 Musculoskeletal Trauma and Nontraumatic Fractures ............................................................................................................................................................... 621
Chapter 31 Head Trauma ........................................................................................................................................................................................................................................................ 636
Chapter 32 Spinal Trauma and Spine Motion Restriction .................................................................................................................................................................................... 653
Chapter 33 Eye, Face, and Neck Trauma .......................................................................................................................................................................................................................... 673
Chapter 34 Chest Trauma ........................................................................................................................................................................................................................................................ 686
Chapter 35 Abdominal and Genitourinary Trauma ................................................................................................................................................................................................. 699
Chapter 36 Multisystem Trauma and Trauma in Special Patient Populations ........................................................................................................................................ 710
Chapter 37 Obstetrics and Care of the Newborn ........................................................................................................................................................................................................ 725
Chapter 38 Pediatrics ................................................................................................................................................................................................................................................................ 754
Chapter 39 Geriatrics................................................................................................................................................................................................................................................................. 787
Chapter 40 Patients with Special Challenges ............................................................................................................................................................................................................... 804
Chapter 41 The Combat Veteran.......................................................................................................................................................................................................................................... 826
Chapter 42 Ambulance Operations and Air Medical Response ........................................................................................................................................................................ 834
Chapter 43 Gaining Access and Patient Extrication ................................................................................................................................................................................................. 844
Chapter 44 Hazardous Materials ........................................................................................................................................................................................................................................ 851
Chapter 45 Multiple-Casualty Incidents and Incident Management ............................................................................................................................................................. 859
Chapter 46 EMS Response to Terrorism Involving Weapons of Mass Destruction ................................................................................................................................ 871
~2~
,Chapter 1 Emergency Care Systems, Research, and Public Health
1) What is a primary purpose of the modern-day EMS system?
A) Provide a means of transport to and from the hospital
B) Ensure that all members of society have equal access to hospitals
C) Decrease the incidence of death and disability related to injury and illness
D) Provide emergency health care services to medically underserved areas
CORRECT ANSWER: C
Diff: 2 Page Ref: 7
Objective: 1-2
2) Most authorities agree that the modern-day EMS system evolved after the release of
which document?
A) The Emergency Medical Services Act of 1973
B) The white paper "Accidental Death and Disability: The Neglected Disease of Modern
Society" in 1966
C) The American Heart Association's Guidelines for Cardiac Resuscitation
D) Emergency Medical Services: Agenda for the Future, in 1996
CORRECT ANSWER: B
Diff: 1 Page Ref: 3
Objective: 1-2
3) An Emergency Medical Responder comes to you and states that he would like to work
for your emergency ambulance service on a full-time basis. Knowing the National EMS Scope of
Practice Model, you inform him of which element?
A) He will be able to take care of only patients with non-life-threatening complaints
B) He will first need approval from your ambulance service's medical director
C) He will be able to work only with an Advanced EMT or paramedic
D) He will first have to become an Emergency Medical Technician
CORRECT ANSWER: D
Diff: 1 Page Ref: 6-7
Objective: 1-1
4) As defined by the National EMS Scope of Practice Model, the four levels of EMS
practitioners include:
A) Ambulance drivers
~3~
, B) EMS medical director
C) Paramedics
D) Emergency medical dispatchers
CORRECT ANSWER: C
Diff: 1 Page Ref: 6-7
Objective: 1-3
5) An Emergency Medical Responder (EMR) approaches you and states that he is interested
in becoming an EMT. Specifically, he asks what he will be able to do as an EMT that he cannot
presently do as an EMR. You respond by saying he will be able to:
A) Administer some medications
B) Assist in emergency childbirth
C) Use an automated external defibrillator
D) Obtain vital signs
CORRECT ANSWER: A
Diff: 1 Page Ref: 6-7
Objective: 1-5
6) You have been dispatched for a 61-year-old female in cardiac arrest. Emergency Medical
Responders (EMRs) are on scene. In your community, all EMS practitioners are trained
according to the National EMS Scope of Practice Model. Given this, which type of care do you
expect the EMRs to be providing?
A) Emergency medication administration
B) Automated external defibrillation
C) Intravenous therapy
D) Reading an electrocardiogram
CORRECT ANSWER: B
Diff: 2 Page Ref: 6
Objective: 1-5
7) An EMT with your service states that she desires to become a paramedic because she
wants to provide advanced care. Under the National EMS Scope of Practice Model, which one of
these types of care will she be able to provide as a paramedic that she cannot provide as an
EMT?
A) Automated blood pressure monitoring
~4~
By Mistovich et al.
All Chapters (1-46) Verified Answer
ISBN- 9780133369175
~1~
,Contents
Chapter 1 Emergency Care Systems, Research, and Public Health ...................................................................................................................................................................... 3
Chapter 2 Workforce Safety and Wellness of the EMT .............................................................................................................................................................................................. 18
Chapter 3 Medical, Legal, and Ethical Issues .................................................................................................................................................................................................................. 35
Chapter 4 Documentation ......................................................................................................................................................................................................................................................... 57
Chapter 5 Communication ........................................................................................................................................................................................................................................................ 70
Chapter 6 Lifting and Moving Patients ............................................................................................................................................................................................................................... 85
Chapter 7 Anatomy, Physiology, and Medical Terminology .................................................................................................................................................................................. 97
Chapter 8 Pathophysiology..................................................................................................................................................................................................................................................... 124
Chapter 9 Life Span Development ...................................................................................................................................................................................................................................... 147
Chapter 10 Airway Management, Artificial Ventilation, and Oxygenation ................................................................................................................................................ 157
Chapter 11 Vital Signs, Monitoring Devices, and History Taking .................................................................................................................................................................... 193
Chapter 12 Scene Size-Up ........................................................................................................................................................................................................................................................ 229
Chapter 13 Patient Assessment ........................................................................................................................................................................................................................................... 237
Chapter 14 General Pharmacology and Medication Administration ............................................................................................................................................................ 271
Chapter 15 Shock and Resuscitation................................................................................................................................................................................................................................. 283
Chapter 16 Respiratory Emergencies............................................................................................................................................................................................................................... 312
Chapter 17 Cardiovascular Emergencies ....................................................................................................................................................................................................................... 340
Chapter 18 Altered Mental Status, Stroke, and Headache .................................................................................................................................................................................... 371
Chapter 19 Seizures and Syncope ....................................................................................................................................................................................................................................... 392
Chapter 20 Acute Diabetic Emergencies ......................................................................................................................................................................................................................... 409
Chapter 21 Allergic and Anaphylactic Reactions ...................................................................................................................................................................................................... 427
Chapter 22 Toxicologic Emergencies ................................................................................................................................................................................................................................ 444
Chapter 23 Abdominal, Hematologic, Gynecologic, Genitourinary, and Renal Emergencies ........................................................................................................... 479
Chapter 24 Environmental Emergencies ........................................................................................................................................................................................................................ 513
Chapter 25 Submersion Incidents: Drowning and Diving Emergencies ...................................................................................................................................................... 541
Chapter 26 Psychiatric Emergencies ................................................................................................................................................................................................................................ 553
Chapter 27 Trauma Overview: The Trauma Patient and the Trauma System .......................................................................................................................................... 569
Chapter 28 Bleeding and Soft Tissue Trauma ............................................................................................................................................................................................................. 583
Chapter 29 Burns ......................................................................................................................................................................................................................................................................... 606
Chapter 30 Musculoskeletal Trauma and Nontraumatic Fractures ............................................................................................................................................................... 621
Chapter 31 Head Trauma ........................................................................................................................................................................................................................................................ 636
Chapter 32 Spinal Trauma and Spine Motion Restriction .................................................................................................................................................................................... 653
Chapter 33 Eye, Face, and Neck Trauma .......................................................................................................................................................................................................................... 673
Chapter 34 Chest Trauma ........................................................................................................................................................................................................................................................ 686
Chapter 35 Abdominal and Genitourinary Trauma ................................................................................................................................................................................................. 699
Chapter 36 Multisystem Trauma and Trauma in Special Patient Populations ........................................................................................................................................ 710
Chapter 37 Obstetrics and Care of the Newborn ........................................................................................................................................................................................................ 725
Chapter 38 Pediatrics ................................................................................................................................................................................................................................................................ 754
Chapter 39 Geriatrics................................................................................................................................................................................................................................................................. 787
Chapter 40 Patients with Special Challenges ............................................................................................................................................................................................................... 804
Chapter 41 The Combat Veteran.......................................................................................................................................................................................................................................... 826
Chapter 42 Ambulance Operations and Air Medical Response ........................................................................................................................................................................ 834
Chapter 43 Gaining Access and Patient Extrication ................................................................................................................................................................................................. 844
Chapter 44 Hazardous Materials ........................................................................................................................................................................................................................................ 851
Chapter 45 Multiple-Casualty Incidents and Incident Management ............................................................................................................................................................. 859
Chapter 46 EMS Response to Terrorism Involving Weapons of Mass Destruction ................................................................................................................................ 871
~2~
,Chapter 1 Emergency Care Systems, Research, and Public Health
1) What is a primary purpose of the modern-day EMS system?
A) Provide a means of transport to and from the hospital
B) Ensure that all members of society have equal access to hospitals
C) Decrease the incidence of death and disability related to injury and illness
D) Provide emergency health care services to medically underserved areas
CORRECT ANSWER: C
Diff: 2 Page Ref: 7
Objective: 1-2
2) Most authorities agree that the modern-day EMS system evolved after the release of
which document?
A) The Emergency Medical Services Act of 1973
B) The white paper "Accidental Death and Disability: The Neglected Disease of Modern
Society" in 1966
C) The American Heart Association's Guidelines for Cardiac Resuscitation
D) Emergency Medical Services: Agenda for the Future, in 1996
CORRECT ANSWER: B
Diff: 1 Page Ref: 3
Objective: 1-2
3) An Emergency Medical Responder comes to you and states that he would like to work
for your emergency ambulance service on a full-time basis. Knowing the National EMS Scope of
Practice Model, you inform him of which element?
A) He will be able to take care of only patients with non-life-threatening complaints
B) He will first need approval from your ambulance service's medical director
C) He will be able to work only with an Advanced EMT or paramedic
D) He will first have to become an Emergency Medical Technician
CORRECT ANSWER: D
Diff: 1 Page Ref: 6-7
Objective: 1-1
4) As defined by the National EMS Scope of Practice Model, the four levels of EMS
practitioners include:
A) Ambulance drivers
~3~
, B) EMS medical director
C) Paramedics
D) Emergency medical dispatchers
CORRECT ANSWER: C
Diff: 1 Page Ref: 6-7
Objective: 1-3
5) An Emergency Medical Responder (EMR) approaches you and states that he is interested
in becoming an EMT. Specifically, he asks what he will be able to do as an EMT that he cannot
presently do as an EMR. You respond by saying he will be able to:
A) Administer some medications
B) Assist in emergency childbirth
C) Use an automated external defibrillator
D) Obtain vital signs
CORRECT ANSWER: A
Diff: 1 Page Ref: 6-7
Objective: 1-5
6) You have been dispatched for a 61-year-old female in cardiac arrest. Emergency Medical
Responders (EMRs) are on scene. In your community, all EMS practitioners are trained
according to the National EMS Scope of Practice Model. Given this, which type of care do you
expect the EMRs to be providing?
A) Emergency medication administration
B) Automated external defibrillation
C) Intravenous therapy
D) Reading an electrocardiogram
CORRECT ANSWER: B
Diff: 2 Page Ref: 6
Objective: 1-5
7) An EMT with your service states that she desires to become a paramedic because she
wants to provide advanced care. Under the National EMS Scope of Practice Model, which one of
these types of care will she be able to provide as a paramedic that she cannot provide as an
EMT?
A) Automated blood pressure monitoring
~4~
