EMERGENCY CARE
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,Chapter 1 Introduction to Emergency Medical Care
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 -
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 e
valuating and improving an EMS system.
C) INCORRECT. A program or process for evaluating and improving the eff
ectiveness of an EMS system is not referred to as a Process Improvement Prog
ram.
D) INCORRECT. The term "total quality system" does not refer to a program for i
mproving the effectiveness of EMS systems.
2) Which of the following groups is credited with developing the earliest d
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ocumented emergency medical service?
A) The Spanish
B) The Egyptians
C) The Mayans
D) The French -
Explanation: A) INCORRECT. The Spanish did not develop the first documented
emergency medical service; the French did in the 1700s.
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B) INCORRECT. Although known for progress in technical areas, the Egyptians
, were not responsible for the first documented emergency medical service. In 1790, t
he French first began transporting wounded soldiers away from battlefields and to w
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aiting medical care.
C) INCORRECT. The earliest documented emergency medical service was in Fra
nce 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 w
aiting physicians.
3) In 1966 the National Highway Safety Act charged which of the following a
gencies with the development of emergency medical service standards?
A) U.S. Department of Transportation
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B) U.S. Department of the Interior
C) U.S. Department of Health Services
D) U.S. Department of Homeland Security -
Explanation: A) CORRECT. In 1966 the National Highway Safety Act charged the
United States Department of Transportation (DOT) with developing EMS standard
s and assisting the states to upgrade the quality of their prehospital emergency care.
B) INCORRECT. The U.S. Department of the Interior is charged with the manage
ment and conservation of federal land and the country's natural resources. The Dep
artment of Transportation was charged with developing EMS standards.
C) INCORRECT. Although the U.S. Department of Health and Human Services is c
harged with protecting the health of all Americans, the United States Department of
Transportation was assigned the task of developing emergency medical service stan
dards.
D) INCORRECT. Although the U.S. Department of Homeland Security is tasked w
ith protecting the nation from threats, it was established in 2002 and did not exist in 1
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966. It was the U.S. Department of Transportation that was charged with developing
EMS standards.