Complete Chapters Included | Ch 1 - 41
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Complete Exam Guide
, TABLE OF CONTENTS
SECTION 1: FOUNDATIONS
Introduction to Emergency Medical Services
Well-Being of the EMT
Lifting and Moving Patients
Medical, Legal, and Ethical Issues
Medical Terminology
Anatomy and Physiology
Principles of Pathophysiology
Life Span Development
SECTION 2: AIRWAY MANAGEMENT, RESPIRATION, AND ARTIFICIAL VENTILATION
Airway Management
Respiration and Artificial Ventilation
SECTION 3: PATIENT ASSESSMENT
Scene Size-Up
Primary Assessment
Vital Signs and Monitoring Devices
Principles of Assessment
Secondary Assessment
Reassessment
Communication and Documentation
SECTION 4: MEDICAL EMERGENCIES
General Pharmacology
Respiratory Emergencies
Cardiac Emergencies
Resuscitation
Diabetic Emergencies and Altered Mental Status
Allergic Reactions
Infectious Diseases and Sepsis
Poisoning and Overdose Emergencies
Abdominal Emergencies
Behavioral and Psychiatric Emergencies and Suicide
Hematologic and Renal Emergencies
SECTION 5: TRAUMA
Bleeding and Shock
Soft-Tissue Trauma
Chest and Abdominal Trauma
Musculoskeletal Trauma
Trauma to the Head, Neck, and Spine
Multisystem Trauma
Environmental Emergencies
SECTION 6: SPECIAL POPULATIONS
Obstetric and Gynecologic Emergencies
Emergencies for Patients with Special Challenges
SECTION 7: OPERATIONS
EMS Operations
Hazardous Materials, Multiple-Casualty Incidents, and Incident Management
Highway Safety and Vehicle Extrication
EMS Response to Terrorism
,Emergency Care, 15e (Limmer)
Chapter 1 Introduction to Emergency Medical Services
1) Which of these groups is credited with developing the earliest documented emergency
medical service?
A) The Spanish
B) The Egyptians
C) The Mayans
D) The French
Answer: D
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.
Objective: 1.1
2) In 1966 the National Highway Safety Act charged which of these 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
Answer: A
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.
Objective: 1.1
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, 3) Centralized coordination of emergency medical access, transportation, and care most refers to
which of these EMS system tenets?
A) Emergency preparedness plan
B) Trauma system
C) Resource management
D) Central deployment
Answer: C
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.
Objective: 1.1
4) Which of these 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)
Answer: C
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.
Objective: 1.1
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