PREHOSPITAL EMERGENCY CARE 11E
CERTIFICATION EVALUATION 2026 TESTED
QUESTIONS SOLVED
◉ Americans With Disabilities Act (ADA). Answer: -Protects
individuals who have a documented disability from being denied
initial or continued employment based on their disability
-Employer has to make the necessary adjustment so the person with
the disability is not denied employment.
◉ Emergency Medical Responder. Answer: -Similar to first
responder level
-Provides immediate lifesaving care to patients who have accessed
the EMS system and while awaiting response from a higher-level
EMS practitioner
What they do:
1. Basic airway, ventilation, and oxygen devices
2. Vitals
3. Stabilization of the spine and suspected extremity injuries
4. Eye irrigation
5. Bleeding control
6. Emergency Moves, CPR
,7. Automated external defibrillation (AED)
8. Emergency childbirth care
◉ Emergency Medical Technician. Answer: -Provide basic
emergency medical care and transportation to patients who access
the EMS system
What they do: everything an EMR does, but on an ambulance, plus:
1. Use advanced oxygen therapy and ventilation equipment
2. Pulse oximetry
3. Automatic blood pressure monitoring equipment
4. Limited medication administration
◉ EMS System. Answer: -Permits patient care to begin at the scene
of injury or illness
-Part of a continuum of patient care that extends from the time of
injury or illness until rehabilitation or discharge
◉ Evidence-Based Medicine. Answer: -Focuses on research to
provide clear evidence that certain procedures, medications, and
equipment improve the patient's outcome.
Steps that are common in evidenced-based decision making:
,1. Formulate a question about emergency care that needs to be
answered
2. Search medical literature for research data that are related and
applicable to the question
3. Appraise the evidence for validity and reliability
4. IF evidence supports a change in practice, change protocols and
implement the change in pre-hospital emergency care.
Limitation: not enough research done on it.
◉ Medical Direction. Answer: -Developing and establishing the
guidelines under which the emergency medical service personnel
function.
◉ Medical Director. Answer: -Physician who is legally responsible
for the clinical and patient care aspects of the EMS system.
-Also teaches EMS education and refresher courses, facilitates
quality improvement system.
-Also responsible for providing medical direction
◉ Medical Oversight. Answer: -Describes the EMS system medical
director's responsibilities
, -Include all of the clinical and administrative functions and activities
performed by the medical director
◉ Off-line Medical Direction. Answer: -Provided through a set of
predetermined, written guidelines that allow EMTs to use their
judgement to administer emergency medical care (without having to
contact physician)
◉ On-line Medical Direction. Answer: -Requires that the EMT
acquire permission from a physician (in any way) prior to
administering specific emergency care.
◉ Paramedic. Answer: -Can do all things EMTs and AEMTs do with
the addition of:
1. More advanced assessment and patient management skills and
provision of the highest level of pre-hospital care
2. Field impression
3. Provide invasive and drug interventions as well as transport
◉ Pre-hospital Care. Answer: -Emergency medical treatment given
to patients before they are transported to a hospital or other facility.
CERTIFICATION EVALUATION 2026 TESTED
QUESTIONS SOLVED
◉ Americans With Disabilities Act (ADA). Answer: -Protects
individuals who have a documented disability from being denied
initial or continued employment based on their disability
-Employer has to make the necessary adjustment so the person with
the disability is not denied employment.
◉ Emergency Medical Responder. Answer: -Similar to first
responder level
-Provides immediate lifesaving care to patients who have accessed
the EMS system and while awaiting response from a higher-level
EMS practitioner
What they do:
1. Basic airway, ventilation, and oxygen devices
2. Vitals
3. Stabilization of the spine and suspected extremity injuries
4. Eye irrigation
5. Bleeding control
6. Emergency Moves, CPR
,7. Automated external defibrillation (AED)
8. Emergency childbirth care
◉ Emergency Medical Technician. Answer: -Provide basic
emergency medical care and transportation to patients who access
the EMS system
What they do: everything an EMR does, but on an ambulance, plus:
1. Use advanced oxygen therapy and ventilation equipment
2. Pulse oximetry
3. Automatic blood pressure monitoring equipment
4. Limited medication administration
◉ EMS System. Answer: -Permits patient care to begin at the scene
of injury or illness
-Part of a continuum of patient care that extends from the time of
injury or illness until rehabilitation or discharge
◉ Evidence-Based Medicine. Answer: -Focuses on research to
provide clear evidence that certain procedures, medications, and
equipment improve the patient's outcome.
Steps that are common in evidenced-based decision making:
,1. Formulate a question about emergency care that needs to be
answered
2. Search medical literature for research data that are related and
applicable to the question
3. Appraise the evidence for validity and reliability
4. IF evidence supports a change in practice, change protocols and
implement the change in pre-hospital emergency care.
Limitation: not enough research done on it.
◉ Medical Direction. Answer: -Developing and establishing the
guidelines under which the emergency medical service personnel
function.
◉ Medical Director. Answer: -Physician who is legally responsible
for the clinical and patient care aspects of the EMS system.
-Also teaches EMS education and refresher courses, facilitates
quality improvement system.
-Also responsible for providing medical direction
◉ Medical Oversight. Answer: -Describes the EMS system medical
director's responsibilities
, -Include all of the clinical and administrative functions and activities
performed by the medical director
◉ Off-line Medical Direction. Answer: -Provided through a set of
predetermined, written guidelines that allow EMTs to use their
judgement to administer emergency medical care (without having to
contact physician)
◉ On-line Medical Direction. Answer: -Requires that the EMT
acquire permission from a physician (in any way) prior to
administering specific emergency care.
◉ Paramedic. Answer: -Can do all things EMTs and AEMTs do with
the addition of:
1. More advanced assessment and patient management skills and
provision of the highest level of pre-hospital care
2. Field impression
3. Provide invasive and drug interventions as well as transport
◉ Pre-hospital Care. Answer: -Emergency medical treatment given
to patients before they are transported to a hospital or other facility.
