TEST BANK For Emergency Care, 14th Edition by Daniel Limmer, Michael F. O'Keefe, Verified Chapters 1 - 41, Complete Newest Version

, Emergency Care 14th Edition Daniel Limmer ss ss ss ss ss




Test Bank ss ss




Emergency Care, 14e (Limmer/O'Keefe/Dickinson) ss ss ss



Chapter 1 Introduction to Emergency Medical Services
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1) Which of the following refers to a program or process for evaluating and improving
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the effectiveness of an EMS system?
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A) Quality improvement ss


B) System effectiveness management ss ss


C) Process Improvement Plan (PIP) ss ss ss


D) Total quality system ss ss


Answer: A
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Explanation: A) CORRECT. Quality improvement (QI) consists of continuous self-review
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with the purpose of identifying aspects of the EMS system that require improvement, with
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subsequent action plans to make necessary changes.
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B) INCORRECT. System effectiveness management does not refer to a program of ss ss ss ss ss ss ss ss ss ss


evaluating and improving an EMS system.
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C) INCORRECT. A program or process for evaluating and improving the effectiveness ofss ss ss ss ss ss ss ss ss ss ss


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
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the effectiveness of EMS systems.
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2) Which of the following groups is credited with developing the earliest documented
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emergency medical service?
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A) The Spanish ss


B) The Egyptians ss


C) The Mayans ss


D) The French ss


Answer: D
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Explanation: A) INCORRECT. The Spanish did not develop the first documented emergency
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medical service; the French did in the 1700s.
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B) INCORRECT. Although known for progress in technical areas, the Egyptians were notss ss ss ss ss ss ss ss ss ss ss


responsible for the first documented emergency medical service. In 1790, the French first
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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 ss ss ss ss ss ss ss ss ss ss


1790, nearly a thousand years after the Mayan civilization disappeared.
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D) CORRECT. The earliest documented emergency medical service was in 1790 when
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the French began transporting wounded soldiers from the scenes of battle to waiting
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physicians. Page Ref: 3
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,3) In 1966 the National Highway Safety Act charged which of the following agencies with
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the development of emergency medical service standards?
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A) U.S. Department of Transportation
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B) U.S. Department of the Interior
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C) U.S. Department of Health Services
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D) U.S. Department of Homeland Security
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Answer: A
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Explanation: A) CORRECT. In 1966 the National Highway Safety Act charged the United
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States Department of Transportation (DOT) with developing EMS standards and assisting the
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states to upgrade the quality of their prehospital emergency care.
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B) INCORRECT. The U.S. Department of the Interior is charged with the management ss ss ss ss ss ss ss ss ss ss ss


and conservation of federal land and the country's natural resources. The Department of
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Transportation was charged with developing EMS standards.
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C) INCORRECT. Although the U.S. Department of Health and Human Services is charged ss ss ss ss ss ss ss ss ss ss ss


with protecting the health of all Americans, the United States Department of Transportation
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was assigned the task of developing emergency medical service standards.
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D) INCORRECT. Although the U.S. Department of Homeland Security is tasked with ss ss ss ss ss ss ss ss ss ss


protecting the nation from threats, it was established in 2002 and did not exist in 1966. It
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was the U.S. Department of Transportation that was charged with developing EMS
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standards.
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4) Centralized coordination of emergency medical access, transportation, and care most refers
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to which of the following?
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A) Emergency preparedness plan ss ss


B) Trauma system ss


C) Resource management ss


D) Central deployment ss


Answer: C
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Explanation: A) INCORRECT. Emergency preparedness plans are usually developed to
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guide the actions of a specific group of people at the outset of an emergency, with the goal
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of protecting people and/or property. They generally will not address the specifics of medical
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care or transport.
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B) INCORRECT. A trauma system is an organized, coordinated effort between facilities ss ss ss ss ss ss ss ss ss ss


and responders within a defined geographic area to deliver a full range of care to injured
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patients. It does not address the coordination of basic (non-trauma) emergency care or
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transportation.
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C) CORRECT. Resource management refers to the centralized coordination of an ss ss ss ss ss ss ss ss ss


emergency response so that all victims have equal access to basic emergency care and are
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transported by certified personnel, in a licensed and equipped ambulance, to an
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appropriate facility.
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D) INCORRECT. The centralized coordination of emergency medical access, transportation, ss ss ss ss ss ss ss ss


and care within an EMS system is not referred to as central deployment.
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, 5) Which of the following agencies is responsible for establishing EMS system
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assessment programs?
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A) Department of Health and Human Services (HHS) ss ss ss ss ss ss


B) National Transportation Safety Board (NTSB) ss ss ss ss


C) National Highway Traffic Safety Administration (NHTSA)
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D) United States Health Services Agency (HSA)
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Answer: C
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Explanation: A) INCORRECT. The Department of Health and Human Services (HHS) is not
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responsible for EMS system assessment programs.
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B) INCORRECT. The National Transportation Safety Board (NTSB) does not establish ss ss ss ss ss ss ss ss ss


EMS system assessment programs.
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C) CORRECT. The National Highway Traffic Safety Administration (NHTSA) Technical
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Assistance Program has established assessment programs with set standards for EMS
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systems.
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D) INCORRECT. The United States Department of Health and Human Services has no ss ss ss ss ss ss ss ss ss ss ss


oversight of EMS systems.
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6) Why is research published in a medical journal more authoritative than the information in
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a typical article published in an EMS magazine?
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A) Research in medical journals is original and peer reviewed.
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B) EMS magazine articles tend to be poorly researched.
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C) EMS articles are generally opinion pieces.
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D) Medical journals don't rely on advertising revenue as EMS magazines
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do. Answer: A
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Explanation: A) CORRECT. The research that is published in medical journals is peer
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reviewed. This means that the research was submitted to a professional journal and reviewed
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by several of the researcher's peers. This process helps to ensure that the research methods
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and results are accurate and high quality. This research is published in peer-reviewed
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journals. Articles in EMS magazines do not present original, peer-reviewed research.
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B) INCORRECT. EMS magazine articles may be well researched. ss ss ss ss ss ss ss


C) INCORRECT. An EMS magazine article may not be an opinion piece. ss ss ss ss ss ss ss ss ss ss


D) INCORRECT. Reliance on advertising revenue, or lack thereof, is not what makes ss ss ss ss ss ss ss ss ss ss ss


the research presented in medical journals authoritative.
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