Verified 100% correct
A young male patient has suffered a gunshot wound to the head. Realizing that there is
little chance for survival, the EMT notes that the patient is a potential organ donor. The
patient is unresponsive and breathing 4 times per minute on scene. The EMT initiates
positive-pressure ventilation. En route to the hospital, the patient stops breathing and
loses a pulse. Since the patient is a potential organ donor, the EMT should: -
ANSWER- Provide the same resuscitation as for a person who is not an organ donor
What action best indicates that informed consent has been obtained? - ANSWER- The
patient agrees to oxygen therapy after being told it may help decrease his chest pain
but may dry his nose, causing discomfort
An intoxicated 72-year-old male with an alcoholic history has fallen at home and has a
laceration on the back of his head. He states that he does not want treatment and
becomes combative when you try to talk to or assess him. What is your next best
course of action? - ANSWER- Contact medical direction
A patient with a terminal disease is unresponsive, not breathing, and without a pulse.
The family states that the patient has a "Do Not Resuscitate" (DNR) order signed by her
medical doctor, but they cannot find the current one. All they can find is a previous DNR
that expired 8 months ago. The EMT should: - ANSWER- Start cardiopulmonary
resuscitation
You have been asked to review a legal case in which a patient intentionally overdosed
on heroin and then died after EMS responders arrived. Those responders did not have
a bag-valve mask to ventilate the nonbreathing patient, so the patient was not ventilated
until a second EMS unit arrived. The evidence indicates that the EMT and paramedics
both signed their morning equipment check indicating that they had inspected the
ambulance and had all the necessary equipment to do their job. In this case, you would
realize: - ANSWER- The EMT and paramedics were negligent in caring for the patient
A woman calls the station and asks if you transported a patient named Patricia Gardner
earlier in the day. She says that she is her friend and wants to know if she is okay. An
appropriate response would be: - ANSWER- "Although I do not doubt that you are her
friend, I cannot release that information."
A state's Good Samaritan law would NOT protect the health care provider(s) in which of
these situations? - ANSWER- When an EMT is working for a volunteer EMS system
and performs an act of gross negligence
, The highest priority for the EMT working on a patient when approaching the scene of a
crime is: - ANSWER- Ensuring personal safety
You are approached by a college student who states that his college is working with a
physician on a project that examines the types of violent trauma occurring within your
jurisdiction. He then asks you if he may see copies of all patient care reports that
involved patients who were either stabbed or shot. Who would be the best person to
contact regarding this request? - ANSWER- Your service's privacy officer
The EMT shows she understands "Do Not Resuscitate" (DNR) orders and living wills
when she states: - ANSWER- "A DNR applies to resuscitation issues only, such as
when a patient stops breathing or the heart ceases to beat, whereas a living will
pertains to long-term life support care and equipment."
Your legal right to function as an EMT is contingent upon: - ANSWER- Following
standing orders and protocols, as approved by medical direction
In discussing an EMS response that involved potential negligence, your medical director
asks you to determine whether the statute of limitations is active. As a knowledgeable
EMT, you understand that you will need to determine which of these? - ANSWER- If the
allowed time for the patient to file a lawsuit has passed
You are an off-duty EMT and have come across a motor vehicle collision. A car has
crashed head-on into a utility pole. There is moderate damage to the vehicle and the
driver is walking about the scene. You stop and assess the patient. He has a large
bruise on his arm and is complaining of abdominal pain where the seat belt contacted
his body. Emergency Medical Responders (EMRs) are on scene, and a responding
ambulance has a 2-minute ETA. At this point, you realize that: - ANSWER- You cannot
leave until another EMT or paramedic arrives to assume care
You have been called to a local emergency department to transfer a 67-year-old male
to another facility. At the hospital, the emergency physician informs you that the patient
and his family have requested the transfer because his doctor is affiliated with the other
hospital. At the patient's bedside, you see that the patient is receiving an antibiotic
through an IV. Although your state does allow EMTs to perform nonemergent transports
of patients receiving normal saline through an IV, it does not allow transport of patients
receiving IV medications. When informed of this restriction, the physician states that the
antibiotic will be done in 10 minutes and that he will give written permission to start the
transport while the medication is infusing. Which EMT action would be most appropriate
at this time? - ANSWER- Transfer the patient once all the medication is infused
An alert and oriented patient complaining of a severe headache is refusing all treatment
as well as transport by the EMTs. After having signed the refusal, the patient suddenly