EMS 121 EXAM 1 QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS GRADED A++ LATEST UPDATE
What does NHTSA do?
Provides guidance for EMS systems and education at the FEDERAL level
What is "White Paper"?
Deficiencies and recommendations to improve pre-hospital care (1966)
1. Highway Safety Act (1966)
2. EMS System Act of 1973
3. NEMSE and Practice Blueprint (1993)
4. NHTSA act in 1996
5. NHTSA act in 2000
6. 2005, National EMS Core Content
1. Establish a safety system
2. Funding for EMS system planning, implementation, personnel, and training
3. Defined issues for EMS
4. EMS agenda for the future
5. EMS Education Agenda for the Future (education, training, certification, etc)
6. Defined the domain of knowledge found in National EMS Scope of Practice Model (4
levels of EMS licensure)
Standards
1. Regulation vs. policy
,2. E911
3. Why are cell phones challenging?
4. 4 levels of EMT training
1. Regulation is at the government level, policy is at the local level
2. Provides AN1 and AL1 - gives address and phone number for call
3. Can't be tracked as well
4.
-EMR (watered down EMT)
-EMT
-advanced EMT
-paramedic
1. Roles of EMT
2. Traits of EMT
1. Personal safety, safety of others, patient assessment, emergency care, safe lifting
and moving, transport and transfer of care, record keeping and data collection
2. Lift and carry things (up to 125 pounds), good eyesight (awareness of color vision
problems), good communication skills
Scene Safety
1. Primary assessment
2. Secondary assessment
1. Airway, breathing, circulation (ABC)
2. Stabilize and treat
*make sure the scene is safe before you even approach it!
,Characteristics of public health (3)
1. Health prevention and promotion
2. Injury prevention in geriatric and young
3. Disease surveillance
Five emotional stages of death and dying
1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
1. What should you do when in a death/dying situation?
2. High stress situations (5)
1. Maintain patient's dignity, show respect, communicate, don't give false assurances,
listen empathetically, use a gentle tone of voice
2. MCI's, children, injury/death of a coworker, responding to friends or family members,
abuse
1. Stress reactions (3)
2. Physiological aspects of stress (3 stages)
3. Characteristics of burnout
1. Acute, delayed, cumulative (at 5 years all EMT's have PTSD)
2.
-First Stage (alarm reaction - fight/flight)
-Second Stage (resistance - coping)
, -Third Stage (exhaustion - loss of ability to adapt)
3. Indecisiveness, irritability with coworkers, family, friends, loss of sexual desire,
inability to concentrate, isolation, difficulty sleeping, loss of interest in work, loss of
appetite, guilt/anxiety
Acute Stress Reaction
1. Develops when?
2. Types of symptoms
3. Types of reactions
1. Signs and symptoms develop soon after an incident
2. Physical, cognitive, emotional, and behavioral symptoms
3. Normal reactions to extraordinary situation
-May require professional help
Delayed Stress Reaction
1. Develops when?
2. Treating it?
3. Intervention?
1. Signs and symptoms aren't evident until long after the incident
2. Delay makes dealing with it much harder (PTSD)
-patient may not recognize what is causing the problem
3. Requires intervention by mental health professional
Cumulative Stress Reaction
1. Results from what?
2. Early signs
SOLUTIONS GRADED A++ LATEST UPDATE
What does NHTSA do?
Provides guidance for EMS systems and education at the FEDERAL level
What is "White Paper"?
Deficiencies and recommendations to improve pre-hospital care (1966)
1. Highway Safety Act (1966)
2. EMS System Act of 1973
3. NEMSE and Practice Blueprint (1993)
4. NHTSA act in 1996
5. NHTSA act in 2000
6. 2005, National EMS Core Content
1. Establish a safety system
2. Funding for EMS system planning, implementation, personnel, and training
3. Defined issues for EMS
4. EMS agenda for the future
5. EMS Education Agenda for the Future (education, training, certification, etc)
6. Defined the domain of knowledge found in National EMS Scope of Practice Model (4
levels of EMS licensure)
Standards
1. Regulation vs. policy
,2. E911
3. Why are cell phones challenging?
4. 4 levels of EMT training
1. Regulation is at the government level, policy is at the local level
2. Provides AN1 and AL1 - gives address and phone number for call
3. Can't be tracked as well
4.
-EMR (watered down EMT)
-EMT
-advanced EMT
-paramedic
1. Roles of EMT
2. Traits of EMT
1. Personal safety, safety of others, patient assessment, emergency care, safe lifting
and moving, transport and transfer of care, record keeping and data collection
2. Lift and carry things (up to 125 pounds), good eyesight (awareness of color vision
problems), good communication skills
Scene Safety
1. Primary assessment
2. Secondary assessment
1. Airway, breathing, circulation (ABC)
2. Stabilize and treat
*make sure the scene is safe before you even approach it!
,Characteristics of public health (3)
1. Health prevention and promotion
2. Injury prevention in geriatric and young
3. Disease surveillance
Five emotional stages of death and dying
1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
1. What should you do when in a death/dying situation?
2. High stress situations (5)
1. Maintain patient's dignity, show respect, communicate, don't give false assurances,
listen empathetically, use a gentle tone of voice
2. MCI's, children, injury/death of a coworker, responding to friends or family members,
abuse
1. Stress reactions (3)
2. Physiological aspects of stress (3 stages)
3. Characteristics of burnout
1. Acute, delayed, cumulative (at 5 years all EMT's have PTSD)
2.
-First Stage (alarm reaction - fight/flight)
-Second Stage (resistance - coping)
, -Third Stage (exhaustion - loss of ability to adapt)
3. Indecisiveness, irritability with coworkers, family, friends, loss of sexual desire,
inability to concentrate, isolation, difficulty sleeping, loss of interest in work, loss of
appetite, guilt/anxiety
Acute Stress Reaction
1. Develops when?
2. Types of symptoms
3. Types of reactions
1. Signs and symptoms develop soon after an incident
2. Physical, cognitive, emotional, and behavioral symptoms
3. Normal reactions to extraordinary situation
-May require professional help
Delayed Stress Reaction
1. Develops when?
2. Treating it?
3. Intervention?
1. Signs and symptoms aren't evident until long after the incident
2. Delay makes dealing with it much harder (PTSD)
-patient may not recognize what is causing the problem
3. Requires intervention by mental health professional
Cumulative Stress Reaction
1. Results from what?
2. Early signs
