Test Bank
Emergency Care {14th Edition}
By Daniel Limmer, Michael F. O'Keefe
All Chapters Included | Elaborated Answers | latest edition
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Emergency Care 14th Edition by Daniel Limmer, Michael F. O'Keefe and Edward T.
Dickinson Test Bank
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
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make subsequent changes.
B) INCORRECT. System effectiveness management does not refer to a program of
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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.
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D) INCORRECT. The term "total quality system" does not refer to a program for improving
the effectiveness of EMS systems.
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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.
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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
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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)
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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
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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
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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.
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4) 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.
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D) INCORRECT. The United States Department of Health and Human Services has no
oversight of EMS systems.
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5) Centralized coordination of emergency medical access, transportation, and care most
refers to which of the following?
A) Emergency preparedness plan
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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.
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