Emergency Medical Responder: First on Scene
Chris Le Baudour, J. David Bergeron, & Keith Wesley
11th Edition
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,Table of Contents
Chapter 1 Introduction to EMS Systems 1
Chapter 2 Legal and Ethical Principles of Emergency Care 8
Chapter 3 Wellness and Safety of the Emergency Medical Responder 15
Chapter 4 Introduction to Medical Terminology, Human Anatomy, 21
Chapter 5 Introduction to Pathophysiology 27
Chapter 6 Principles of Lifting, Moving, and Positioning of Patients 33
Chapter 7 Principles of Effective Communication 39
Chapter 8 Principles of Effective Documentation 45
Chapter 9 Principles of Airway Management and Ventilation 51
Chapter 10 Principles of Oxygen Therapy 59
Chapter 11 Principles of Resuscitation 64
Chapter 12 Obtaining a Medical History and Vital Signs 70
Chapter 13 Principles of Patient Assessment 76
Chapter 14 Caring for Cardiac Emergencies 83
Chapter 15 Caring for Respiratory Emergencies 90
Chapter 16 Caring for Common Medical Emergencies 96
Chapter 17 Caring for Environmental Emergencies 104
Chapter 18 Caring for Soft-Tissue Injuries and Bleeding 110
Chapter 19 Recognition and Care of Shock 117
Chapter 20 Caring for Muscle and Bone Injuries 125
Chapter 21 Caring for Head and Spine Injuries 132
Chapter 22 Caring for Chest and Abdominal Emergencies 137
Chapter 23 Care During Pregnancy and Childbirth 143
Chapter 24 Caring for Infants and Children 150
Chapter 25 Special Considerations for the Geriatric Patient 156
Chapter 26 Introduction to EMS Operations and Hazardous Response 162
Chapter 27 Introduction to Multiple-Casualty Incidents, the Incident Command System, 171
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, Emergency Medical Responder: First on the Scene, 11e (Le Baudour)
Chapter 1 Introduction to EMS Systems
1) The term ________ means the chain of human resources and services linked together to
provide continuous emergency care from the scene to the medical facility.
A) EMT resources
B) 911 services
C) EMS system
D) emergency services
Answer: C
Diff: 1 Page Ref: 4
Objective: 1
2) The Medical Director is a physician who assumes the ultimate responsibility for:
A) standards, protocols, and evaluation of patient care.
B) certification and licensure of EMRs.
C) staffing decisions and hiring.
D) answering and dispatching 911 calls.
Answer: A
Diff: 1 Page Ref: 4
Objective: 1
3) You have received an order over the phone from the Medical Director to administer oxygen to
the patient. This would be called:
A) off-line medical direction.
B) on-line medical direction.
C) hospital direction.
D) EMS coordinator direction.
Answer: B
Diff: 1 Page Ref: 8
Objective: 1
4) The procedures that an Emergency Medical Responder can and must legally provide as care
for a patient are called:
A) scope of practice.
B) scope of training.
C) standard of care.
D) standard of training.
Answer: A
Diff: 1 Page Ref: 7
Objective: 1
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, 5) Which agency coordinates EMS on a national level and defines all levels of EMS providers?
A) NEMSES
B) AEMT
C) NHTSA
D) NSPM
Answer: C
Diff: 1 Page Ref: 4
Objective: 2
6) One important point where trained and untrained people come together as part of the EMS
system is:
A) the 911 service.
B) clinical care.
C) ambulance response.
D) evaluation.
Answer: A
Diff: 1 Page Ref: 6
Objective: 3
7) How many nationally recognized levels of EMS training are covered by the National EMS
Education Standards?
A) 8
B) 2
C) 5
D) 4
Answer: D
Diff: 1 Page Ref: 6
Objective: 4
8) Which level of EMS education allows the responder to perform cardiac defibrillation?
A) Paramedic
B) AEMT
C) EMT
D) EMR
Answer: A
Diff: 1 Page Ref: 7
Objective: 5
9) Which level is considered the minimum level of education and certification for ambulance
personnel in most areas of the United States?
A) Paramedic
B) AEMT
C) EMT
D) EMR
Answer: C
Diff: 1 Page Ref: 7
Objective: 5
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, 10) Many police officers, firefighters, industrial workers, and other public service providers are
trained as Emergency Medical Responders because the EMR level is designed specifically for
those who:
A) can insert advanced airways and IV lines.
B) have the authority to arrest suspects.
C) are ambulance personnel.
D) may arrive first on the scene.
Answer: D
Diff: 1 Page Ref: 7
Objective: 6
11) The EMS model known as the ________ model is typically operated by a government entity
other than the fire department.
A) public utility
B) EMS
C) paramedic
D) hospital-based
Answer: A
Diff: 1 Page Ref: 6
Objective: 7
12) The scope of practice for an EMS provider is defined by ________ statutes and regulations.
A) national
B) state or local
C) professional organization
D) medical
Answer: B
Diff: 1 Page Ref: 7
Objective: 8
13) Most 911 calls are automatically directed to a designated ________ operated by a city or
county agency with specially trained dispatchers.
A) emergency room switchboard.
B) fire department.
C) public safety answering point (PSAP)
D) hospital
Answer: C
Diff: 1 Page Ref: 7
Objective: 9
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, 14) Which of the following procedures might be allowed for an Advanced EMT in certain states
but not in others?
A) Assessment of injury
B) Scene safety
C) Administration of certain basic medications
D) Starting an intravenous line
Answer: D
Diff: 1 Page Ref: 7
Objective: 10
15) Off-line medical direction includes ________ that give the EMS provider permission to
administer specific interventions, such as oxygen and medications.
A) telephone orders
B) medical intervention
C) standing orders
D) direct intervention
Answer: C
Diff: 1 Page Ref: 8
Objective: 11
16) You are responding to a medical emergency involving a middle-aged man who broke his arm
while playing football in the park with some college students. He appears angry and yells
random insults at you. What should you do?
A) Tell him that you cannot treat him until he treats you with respect.
B) Stay calm and overlook his behavior.
C) Provide treatment but tell him that he's not hurt badly and to stop complaining.
D) Call for police back-up and avoid treating the patient until they arrive.
Answer: B
Diff: 1 Page Ref: 11
Objective: 12
17) In an EMS system, CQI means continuous improvement in the quality of:
A) health care products.
B) hospital systems.
C) protocols and standards.
D) patient care.
Answer: D
Diff: 1 Page Ref: 13
Objective: 13
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