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BY DANIEL J. LIMMER Test Bank For Emergency Care, 14e
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(Limmer/O\\\'Keefe/Dickinson)
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written by
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Emergency Care 14th Edition by Daniel Limmer, Michael F. O'Keefe and
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Edward T. Dickinson Test Bank m m m m
1) Which of the following refers to a program or process for evaluating an
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d improving the effectiveness of an EMS system?
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A) Quality improvement m
B) System effectiveness management m m
C) Process Improvement Plan (PIP) m m m
D) Total quality system - m m m
mA) CORRECT. Quality improvement (QI) consists of continuous self-
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review with the purpose of identifying aspects of the EMS system that require im
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provement, with subsequent action plans to make subsequent changes.
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B) INCORRECT. System effectiveness management does not refer to a program o
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f evaluating and improving an EMS system.
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C) INCORRECT. A program or process for evaluating and improving the
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effectiveness of an EMS system is not referred to as a Process Improvemen
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t Program.
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D) INCORRECT. The term "total quality system" does not refer to a program fo
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r improving the effectiveness of EMS systems.
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2) Which of the following groups is credited with developing the earlies
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t documented emergency medical service?
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A) The Spanish m
B) The Egyptians m
C) The Mayans m
D) The French - m m
mExplanation: A) INCORRECT. The Spanish did not develop the first document
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ed emergency medical service; the French did in the 1700s.
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B) INCORRECT. Although known for progress in technical areas, the Egyptians
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were not responsible for the first documented emergency medical service. In 1790
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, the French first began transporting wounded soldiers away from battlefields and
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to waiting medical care.
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C) INCORRECT. The earliest documented emergency medical service was in F
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rance in 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
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mwhen the French began transporting wounded soldiers from the scenes of battle t
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o waiting physicians.
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3) In 1966 the National Highway Safety Act charged which of the followin
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g agencies with 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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mExplanation: A) CORRECT. In 1966 the National Highway Safety Act charged
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the United States Department of Transportation (DOT) with developing EMS sta
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ndards and assisting the states to upgrade the quality of their prehospital emerge
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ncy care. m
B) INCORRECT. The U.S. Department of the Interior is charged with the mana
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gement and conservation of federal land and the country's natural resources. The
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mDepartment of Transportation was charged with developing EMS standards.
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C) INCORRECT. Although the U.S. Department of Health and Human Services i
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s charged with protecting the health of all Americans, the United States Departme
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nt of Transportation was assigned the task of developing emergency medical serv
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ice standards.
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D) INCORRECT. Although the U.S. Department of Homeland Security is tasked m m m m m m m m m m
with protecting the nation from threats, it was established in 2002 and did not exis
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t in 1966. It was the U.S. Department of Transportation that was charged with de
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veloping EMS standards. m m
4) Centralized coordination of emergency medical access, transportation, and car
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e most refers to which of the following?
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A) Emergency preparedness plan m m
B) Trauma system m
C) Resource management m
D) Central deployment - m m
mExplanation: A) INCORRECT. Emergency preparedness plans are usually develo
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ped to guide the actions of a specific group of people at the outset of an emergenc
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y, with the goal of protecting people and/or property. They generally will not addr
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ess the specifics of medical care or transport.
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B) INCORRECT. A trauma system is an organized, coordinated effort between f m m m m m m m m m m
acilities and responders within a defined geographic area to deliver a full range of
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mcare to injured patients. It does not address the coordination of basic (non-
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trauma) emergency care or transportation.
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C) CORRECT. Resource management refers to the centralized coordination of a
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n emergency response so that all victims have equal access to basic emergency c
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are and are transported by certified personnel, in a licensed and equipped ambula
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nce, to an appropriate facility.
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D) INCORRECT. The centralized coordination of emergency medical access m m m m m m m
, transportation, and care within an EMS system is not referred to as central
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deployment.
5) Which of the following agencies is responsible for establishing EMS syste
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m assessment programs?
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A) Department of Health and Human Services (HHS) m m m m m m
B) National Transportation Safety Board (NTSB) m m m m
C) National Highway Traffic Safety Administration (NHTSA)
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D) United States Health Services Agency (HSA) -
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mExplanation: A) INCORRECT. The Department of Health and Human Services (
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HHS) is not responsible for EMS system assessment programs.
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B) INCORRECT. The National Transportation Safety Board (NTSB) does no m m m m m m m m
t establish EMS system assessment programs.
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C) CORRECT. The National Highway Traffic Safety Administration (NHTSA
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) Technical Assistance Program has established assessment programs with set
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standards for EMS systems. m m m
D) INCORRECT. The United States Department of Health and Human Service m m m m m m m m m
s has no oversight of EMS systems.
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6) Which of the following BEST describes the purpose of the modern emergenc
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y medical services (EMS) system?
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A) To have trained personnel respond quickly and provide emergency care on th
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e scene, during transport, and at the hospital
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B) To have trained personnel capable of assessing and caring for injured and il
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l patients on the scene
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