Limmer Questions & Answers with rationales
Designated Agent - ANSWER p. 16 - An EMT or other person authorized by a
Medical Director to give medications and provide emergency care. Such
authorization is an extension of the Medical Director's license to practice medicine.
Evidence-Based - ANSWER p. 16 - description of medical techniques or practices
that are supported by scientific evidence of their safety and efficacy, rather than
merely on supposition and tradition.
Medical Direction - ANSWER p. 15 - Oversight of the patient-care aspects of an
EMS system by the Medical Director
Medical Director - ANSWER p. 15 - A physician who assumes ultimate
responsibility for the patient-care aspects of the EMS system
911 System - ANSWER p. 8 - A system for telephone access to report
emergencies. A dispatcher takes the info and alerts EMS/FD/PD as needed
Patient Outcomes - ANSWER p. 16 - the long-term survival of patients
Protocols - ANSWER p. 15 - Lists of steps, such as assessments and
interventions, to be taken in different situations. Are developed by the Medical
Director.
Quality Improvement - ANSWER p. 13 - A process of continuous self-review with
the purpose of identifying and correcting aspects of the system that require
improvement.
Standing Orders - ANSWER p. 16 - A policy or protocol issued by a Medical
Director that authorizes EMTs and others to perform particular skills in certain
situations.
Enhanced 911 - ANSWER p. 8 - Has the capability of automatically identifying the
caller's phone number and location
Off-Line Medical Direction - ANSWER Standing orders issued by the Medical
Director that allow EMTs to give certain medications or perform certain procedures
without speaking to the Medical Director or another physician.
On-Line Medical Direction - ANSWER Orders given directly by the on-duty
physician to an EMT in the field by radio or telephone.
Contamination - ANSWER p. 25 - The introduction of dangerous chemicals,
disease, or infections materials.
, Critical Incident Stress Management (CISM) - ANSWER p. 39 - A comprehensive
system that includes education and resources to both prevent stress and to deal with
stress appropriately when it occurs.
Decontamination - ANSWER p. 42 - The removal or cleansing of dangerous
chemicals and other dangerous or infectious materials
Hazardous Material Incident - ANSWER p. 41 - The release of a harmful
substance into the environment
Multiple-Casualty Incident (MCI) - ANSWER p. 38 - A single incident when there
are multiple patients.
Pathogens - ANSWER p. 23 - The organisms that cause infection, such as viruses
and bacteria.
Personal Protective Equipment (PPE) - ANSWER p. 24 - Equipment that protects
the EMS worker from infection and/or exposure to the dangers of rescue operations
Standard Precautions - ANSWER p. 23 - A strict form of infection control that is
based on the assumption that all blood and other body fluids are infectious.
Stress - ANSWER p. 36 - A state of physical and/or psychological arousal to a
stimulus
Ryan White CARE Act - ANSWER p. 32 - Requires a designated official within
every emergency response organization to gather information about airborne or
bloodborne disease exposures.
This type of Hepatitis has no vaccine - ANSWER Hepatitis C
Acute Stress Reaction - ANSWER p. 36 - Occurs simultaneously with or shortly
after a critical incident
Delayed Stress Reaction (PTSD) - ANSWER p. 36 - May occur at any time, days
to years, following a critical incident.
Cumulative Stress Reaction ( Burnout) - ANSWER p. 36 - Occurs as a result of
prolonged recurring stressors in work or private life.
The 5 Stages of Grief - ANSWER p. 40 - (In Order) Denial, Anger, Bargaining,
Depression, Acceptance
Actions Required to Respond to Danger - ANSWER p. 43 - Plan, Observe, React
3 Rs of Reacting to Danger - ANSWER p. 44-45 - Run, Radio, Reevaluate
Situation