TEST BA
,Chapter 1. Introduction to Emergency Medical Care
Limmer: Emergency Care 13th Edition
1) Which of the following refers to a program or process for evaluating and improving
the effectiveness of an EMS system?
A) Quality improvement
B) System effectiveness management
C) Process Improvement Plan (PIP)
D) Total quality system - A) CORRECT. Quality improvement (QI) consists of continuous
self-review with the purpose of identifying aspects of the EMS system that require
improvement, with subsequent action plans to make subsequent changes.
B) INCORRECT. System effectiveness management does not refer to a program of evaluating
and improving an EMS system.
C) INCORRECT. A program or process for evaluating and improving the effectiveness
of an EMS system is not referred to as a Process Improvement Program.
D) INCORRECT. The term "total quality system" does not refer to a program for improving
the effectiveness of EMS systems.
2) Which of the following groups is credited with developing the earliest
documented emergency medical service?
A) The Spanish
B) The Egyptians
C) The Mayans
D) The French - Explanation: A) INCORRECT. The Spanish did not develop the 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.
3) 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 to upgrade 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 States Department 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 charged with developing EMS standards.
4) Centralized coordination of emergency medical access, transportation, and care most 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 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.
6) 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 on the scene,
during transport, and at the hospital
B) To have trained personnel capable of assessing and caring for injured and ill patients 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 care - Explanation:
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, and at 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 until hospital 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)
,Chapter 1. Introduction to Emergency Medical Care
Limmer: Emergency Care 13th Edition
1) Which of the following refers to a program or process for evaluating and improving
the effectiveness of an EMS system?
A) Quality improvement
B) System effectiveness management
C) Process Improvement Plan (PIP)
D) Total quality system - A) CORRECT. Quality improvement (QI) consists of continuous
self-review with the purpose of identifying aspects of the EMS system that require
improvement, with subsequent action plans to make subsequent changes.
B) INCORRECT. System effectiveness management does not refer to a program of evaluating
and improving an EMS system.
C) INCORRECT. A program or process for evaluating and improving the effectiveness
of an EMS system is not referred to as a Process Improvement Program.
D) INCORRECT. The term "total quality system" does not refer to a program for improving
the effectiveness of EMS systems.
2) Which of the following groups is credited with developing the earliest
documented emergency medical service?
A) The Spanish
B) The Egyptians
C) The Mayans
D) The French - Explanation: A) INCORRECT. The Spanish did not develop the 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.
3) 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 to upgrade 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 States Department 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 charged with developing EMS standards.
4) Centralized coordination of emergency medical access, transportation, and care most 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 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.
6) 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 on the scene,
during transport, and at the hospital
B) To have trained personnel capable of assessing and caring for injured and ill patients 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 care - Explanation:
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, and at 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 until hospital 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)
