CARE (15TH EDITION) BY DANIEL
J. 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
1
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
2
5)What has the modern emergency medical services (EMS) system been developed to
provide?
A)High-quality care by EMS providers at the emergency scene and during transport
B)Prompt emergency response to the scene regardless of risk
C)Safe emergency transportation that postpones care to arrival
D)Trained medical personnel who can manage emergencies entirely at the scene
Answer: A
Explanation: A) CORRECT. In 1966 the National Highway Safety Act charged the United
States Department of Transportation (DOT) with assisting the states in upgrading the
quality of their prehospital emergency care.
B)INCORRECT. Prompt responses are an important part of any EMS system, but not only
that, and not regardless of risk.
C)INCORRECT. Safe emergency transportation is only part of what modern EMS systems
were developed for, and not postponing care to arrival.
D)INCORRECT. Modern EMS systems were designed to provide more than just trained
medical personnel, and care that continues during transport to the hospital.
Objective: 1.1
6)Which of these is the most common gateway for hospital services for patients who need
emergency medical assistance?
A)Emergency department
B)Emergency medical services system
C)Surgical services department
D)Emergency medical dispatch center
Answer: A
Explanation: A) CORRECT. The emergency department serves as the gateway for the rest of
the services offered by a hospital.