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 - ANSWER-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 make subsequent changes.
B) INCORRECT. System effectiveness management does not refer to a program of
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.
D) INCORRECT. The term "total quality system" does not refer to a program for
improving the effectiveness of EMS systems.
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 - ANSWER-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.
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
D) U.S. Department of Homeland Security - ANSWER-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.
, Emergency Care 14th Edition by Daniel Limmer, Michael F.
O'Keefe and Edward T. Dickinson Test Bank
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.
4) Centralized coordination of emergency medical access, transportation, and care most
refers to which of the following?
A) Emergency preparedness plan
B) Trauma system
C) Resource management
D) Central deployment - ANSWER-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.
5) 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) - ANSWER-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.
, Emergency Care 14th Edition by Daniel Limmer, Michael F.
O'Keefe and Edward T. Dickinson Test Bank
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.
6) Which of the following BEST describes the purpose of the modern emergency
medical services (EMS) system?
A) To have trained personnel respond quickly and provide emergency care on the
scene, during transport, and at the hospital
B) To have trained personnel capable of assessing and caring for injured and ill patients
on the scene
C) To have trained personnel understand the limitations of their training and "do no
harm," while providing prompt transport to the hospital
D) To have trained personnel knowledgeable in all aspects of prehospital care -
ANSWER-Explanation: A) CORRECT. The modern Emergency Medical Services (EMS)
system has been developed to get trained personnel to patients as quickly as possible
and to provide emergency care on the scene, en route to the hospital, and at the
hospital until care is assumed by the hospital staff.
B) INCORRECT. In addition to having trained personnel able to help patients on scene,
the modern Emergency Medical Services (EMS) system also aims to provide that same
assistance while en route to the hospital and at the hospital until hospital staff can take
over care.
C) INCORRECT. Although understanding limitations and doing "no harm" are important
aspects of an emergency care provider's job, the modern Emergency Medical Services
(EMS) system was developed to get trained personnel to patients as quickly as possible
and to provide emergency care on the scene, en route to the hospital, and at the
hospital until care is assumed by the hospital staff.
D) INCORRECT. Although knowledge is an important aspect of an emergency care
provider's job, the modern Emergency Medical Services (EMS) system was specifically
developed to get trained personnel to patients as quickly as possible and to provide
emergency care on the scene, en route to the hospital, and at the hospital until care is
assumed by the hospital staff.
7) What has the modern emergency medical services (EMS) system been developed to
provide?
A) Prehospital care
B) Prompt emergency response
C) Safe emergency transportation
D) Trained medical personnel - ANSWER-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.
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 - ANSWER-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 make subsequent changes.
B) INCORRECT. System effectiveness management does not refer to a program of
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.
D) INCORRECT. The term "total quality system" does not refer to a program for
improving the effectiveness of EMS systems.
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 - ANSWER-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.
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
D) U.S. Department of Homeland Security - ANSWER-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.
, Emergency Care 14th Edition by Daniel Limmer, Michael F.
O'Keefe and Edward T. Dickinson Test Bank
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.
4) Centralized coordination of emergency medical access, transportation, and care most
refers to which of the following?
A) Emergency preparedness plan
B) Trauma system
C) Resource management
D) Central deployment - ANSWER-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.
5) 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) - ANSWER-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.
, Emergency Care 14th Edition by Daniel Limmer, Michael F.
O'Keefe and Edward T. Dickinson Test Bank
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.
6) Which of the following BEST describes the purpose of the modern emergency
medical services (EMS) system?
A) To have trained personnel respond quickly and provide emergency care on the
scene, during transport, and at the hospital
B) To have trained personnel capable of assessing and caring for injured and ill patients
on the scene
C) To have trained personnel understand the limitations of their training and "do no
harm," while providing prompt transport to the hospital
D) To have trained personnel knowledgeable in all aspects of prehospital care -
ANSWER-Explanation: A) CORRECT. The modern Emergency Medical Services (EMS)
system has been developed to get trained personnel to patients as quickly as possible
and to provide emergency care on the scene, en route to the hospital, and at the
hospital until care is assumed by the hospital staff.
B) INCORRECT. In addition to having trained personnel able to help patients on scene,
the modern Emergency Medical Services (EMS) system also aims to provide that same
assistance while en route to the hospital and at the hospital until hospital staff can take
over care.
C) INCORRECT. Although understanding limitations and doing "no harm" are important
aspects of an emergency care provider's job, the modern Emergency Medical Services
(EMS) system was developed to get trained personnel to patients as quickly as possible
and to provide emergency care on the scene, en route to the hospital, and at the
hospital until care is assumed by the hospital staff.
D) INCORRECT. Although knowledge is an important aspect of an emergency care
provider's job, the modern Emergency Medical Services (EMS) system was specifically
developed to get trained personnel to patients as quickly as possible and to provide
emergency care on the scene, en route to the hospital, and at the hospital until care is
assumed by the hospital staff.
7) What has the modern emergency medical services (EMS) system been developed to
provide?
A) Prehospital care
B) Prompt emergency response
C) Safe emergency transportation
D) Trained medical personnel - ANSWER-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.
