CARE, EMERGENCY CARE AND
TRANSPORTATION OF THE SICK AND
INJURED, 12TH EDITION 1-13 UPDATED
2025/2026
Emergency Medical Services or EMS is also known as: - Answer
prehospital or out-of-hospital care
EMS began in 1966 by - Answer the National Highway Safety Act
charging the Department of Transportation (DOT) with
developing standards.
National Highway Traffic Safety Admin (NHTSA) sets standards
for what categories? - Answer Regulation and Policy
Resource Management
Human Resources and Training
Transportation
Facilities
Communications
Public Information and Education
Medical Direction
Trauma Systems
Evaluation
6 Specialty Hospitals - Answer Trauma
Burn Centers
Pediatric Centers
,Cardiac Centers
Stroke Centers
Poison Control Centers
System that has the capability to automatically id the caller's
phone number and location. - Answer Enhanced 911
4 Levels of EMS Training - Answer 1. First Responder (police,
firefighters, etc)
2. EMT-Basic
3. EMT-Intermediate
4. EMT-Paramedic (advanced life support)
8 Roles and Responsibilities of the EMT - Answer 1. Personal
Safety
2. Safety of the Crew, patients, and bystanders
3. Patient Assessment
4. Patient Care
5. Lifting and moving
6. Transport
7. Transfer of Care
8. Patient Advocacy
A process of continuous self-review witht he purpose of
identifying and correcting aspect of the system that require
improvement. - Answer Quality Improvement
5 Roles of EMT in QI - Answer 1. Keeping carefully written
documentation
2. Becoming involved in the quality porcess
3. Obtaining feedback from patients and hospital staff
4. Maintaining equiptment
5. Continuing education
,Oversight of the patient-care aspects of an EMS system by the
Medical Director - Answer Medical Direction
A physician who assumes ultimate responsibility for the patient-
care aspects of the EMS system. - Answer Medical Director
Standing orders issued by the medical Director that allow EMTs to
give certain medications or perform certain procedures without
speaking to the medical director or another physician. - Answer
Off-line Medical Direction
Orders from the on-duty physician given directly to an EMT in the
field by radio or telephone. - Answer On-line Medical Direction
Lists of steps (i.e., assessments, interventions) to be taken in
different situations. - Answer Protocols
An EMT or other person authorized by a medical director to give
medications and provide care. This is an EXTENSION of the
medical directors license to practice medicine. - Answer
Designated Agent
A policy or protocol issued by a Medical Director that authorizes
EMTs and others to perform particular skills in certain situations. -
Answer Standing Orders
Intravenous injection - Answer An injection directly into a vein; a
medication delivery route.
Trade name - Answer The brand name that a manufacturer gives
a medication; the name is capitalized.
, Solution - Answer A liquid mixture that cannot be separated by
filtering or allowing the mixture to stand.
Hypoglycemia - Answer An abnormally low blood glucose level.
Elimination - Answer The process of removing a medication or
chemical from within the body.
Topical medications - Answer Lotions, creams, and ointments
that are applied to the surface of the skin and affect only that
area; a medication delivery route.
Gel - Answer A semiliquid substance that is administered orally in
capsule form or through plastic tubes.
Peak - Answer The point or period when the maximum clinical
effect of a drug is achieved.
Aspirin - Answer A medication that is an antipyretic (reduces
fever), analgesic (reduces pain), anti-inflammatory (reduces
inflammation), and a potent inhibitor of platelet aggregation
(clumping).
Indications - Answer The therapeutic uses for a specific
medication.
Pharmacokinetics - Answer The processes that the body
performs on a medication, including how it is absorbed,
distributed, possibly changed, and eliminated.
Absorption - Answer The process by which medications travel
through body tissues until they reach the bloodstream.