PREHOSPITAL EMERGENCY CARE WITH ALL
CHAPTERS VERIFIED QUESTIONS AND
ANSWERS FINAL APPROVED AND BEST GRADE
A+
What was the "Accidental Death and Disability: The Neglected Disease of Modern
Society" or the "White Paper". - -answer--A report detailing the number of deaths and
injuries related to traffic crashes in the United States, it also identified severe
deficiencies in the delivery of prehospital care in the United States and made
recommendations intended to change ambulance systems, training requirements,
and the provision of prehospital care.
Highway Safety act of 1966 - -answer--Required each state to establish a highway
safety program that met prescribed federal standards and included emergency
medical services
Who took a leadership role in the development of emergency medical services?
What was one early focus and one initiative taken? - -answer--The National Highway
Traffic Safety Administration (NHTSA)
An early focus was improving education of prehospital personnel. An initiative taken
was the development of national standard curricula.
What is one of the most critical health problems in the united states? - -answer--
Sudden loss of life and disability caused by catastrophic accidents and illnesses.
Why do thousands of people die and suffer permanent harm every year? - -answer--
Lack of adequate and available emergency medical services.
EMS system (Emergency medical services system) - -answer--Permits patient care
to begin at the scene of the injury or illness, and EMS is part of continuum of patient
care that extends from the time of injury or illness until rehabilitation or discharge.
When did the modern EMS system evolve? - -answer--The 1960's.
Emergency medical services act of 1973 - -answer--Provided access to millions of
dollars of funding geared to EMS system planning and implementation, personnel
availability and training.
What is now a prerequisite to the EMT course due to the American Heart
Association? - -answer--CPR Course.
What was the National Emergency Medial Services Education and Practice Blueprint
released by the National Registry of EMT's in 1993 ? - -answer--It defined issues
related to EMS training and education and was meant to guide the development of
national training curricula .
,What did the national Highway traffic safety administration published in 1966? - -
answer--The EMS agenda for the future document which with the intent to make you
more as a greater component in the healthcare system United States
Quality improvement: - -answer--is a system internal and external reviews and audits
of all aspects of an emergency medical system
Goals of quality improvement
Document carefully
Perform reviews and audits
Obtain feedback
Maintain equipment
Participate in continuing education
Maintain skills
Evidence based medicine: - -answer--Focuses on research to provide clear evidence
that certain procedures, medications, and equipment improve patient outcome.
Steps in evidence based decision making:
Formulate a question about emergency care that needs to be answered
Search medical literature for research data that is related and applicable to the
question
If evidence supports the change in practice change protocols and implement change
in prehospital emergency care
What was that your Ems education agenda for the future of system approach? - -
answer--Release to address the issues of consistency in the education and training
and certification of entry level EMS personnel
What is the national EMS core content and who published it? - -answer--It defined
the domain of knowledge found in the national EMS scope of practice model and the
national Highway traffic safety administration and health resources and services
administration published it
What is the national EMS scope of practice model and who published it? - -answer--
Defines the four levels of EMS licensure and the corresponding knowledge and skills
necessary at each level. National highway traffic safety administration.
The Institute of medicine report the future of your EMS care: EMS at crossroads in
2006 - -answer--Recommended that all state governments adopt a common scope
of practice that allows for reciprocity between the states ,national accreditation for all
paramedic programs and ,national certification as a prerequisite for state licensure
and local credentialing
National EMS education standards - -answer--Outline the minimum terminal
objectives for entry level EMS personnel based on the national EMS scope of
practice model. The content of this textbook are based on the national EMS
education standards
Technical assistance program assessment standards - -answer--Regulation and
policy
Resource Management
,Human Resources and Training
Transportation
Facilities
Communications
Public Information and education
Medical direction
Trauma systems
Evaluation
Regulation and policy - -answer--Each state must have laws and regulation, policies
and procedures that govern the EMS system . State level EMS agency are also
required to provide leadership to local jurisdiction.
Resource Managment - -answer--Each state must have central control of EMS
resources so that each locality and all patients have equal access to acceptable
emergency care.
Human resources and training - -answer--All personnel that staff ambulances and
transport patients must be trained to at least an EMT level.
Transportation - -answer--Patients must be provided with safe reliable transportation
by ground or air ambulance.
Facilities - -answer--Each seriously ill or injured patient must be delivered in a timely
manner to an appropriate medical facility.
Communications - -answer--A system of communications must be in place to provide
public access to the system and communication among dispatcher, EMS personnel
and hospital.
Public information and education - -answer--EMS personnel should participate in
programs designed to educate the public in the prevention of injuries and how to
properly and appropriately access the ems system.
Medical Direction - -answer--Each EMS system must have a physician as a medical
director to provide medical oversight that includes overseeing patient care delegating
appropriate medical practices to EMTs and other EMS personnel.
Trauma systems - -answer--Each state must develop a system of specialized care
for trauma patients, including one or more trauma centers and rehabilitation
programs, plus systems for assigning and transporting patients to those facilities.
Evaluations - -answer--Each state must have a quality improvement system for the
continuing evaluation and upgrading of the system.
911 - -answer--the nationwide number used to access emergency services including
police, fire, and EMS.
E-911 - -answer--Provide (ANI) and (ALI) Displays on dispatchers screen even if
caller hangs up. Immediate response can be dispatched with E-911
, PSAP - -answer--public service answering point , where call takers collect verify and
record the information about the emergency, then decides which service must
respond , and facilitates alerting the necessary service.
EMDs - -answer--Takes psap calls and facilitate instructions for lifesaving
emergency care, such as bleeding control, CPR, that can be administrated by the
caller or another Pearson on the scene.
FCC - -answer--Federal communications commission: adopts rules to improve the
accuracy of location information provided to PSAPs by wireless technology
companies.
Basic 911 - -answer--The wireless service provider to transmits all calls to PSAP
regardless or whether or not the caller subscribes to the providers service.
Phase 1 enhanced 911 - -answer--The wireless service provider must provide the
PSAP with the telephone number of the device placing the call and location of the
cell site or base station transmitting the call.
Phase 2 Enhanced 911 - -answer--The wireless service provider must provide the
latitude and longitude of the caller. The information must be accurate with 50 to 300
meters depending on the type of tech used.
EMR (emergency medical responder) - -answer--First responder level, provides
immediate life saving care to patients who have accessed the ems system and is
awaiting the response from a higher level EMS practitioner.
EMT (emergency medical technician) - -answer--Provides basic emergency care and
transportation to patients who have accessed the EMS system. Interventions like the
ones used by the EMR but with basic equipment found on the ambulance.
AEMT (advanced emergency medical technician) - -answer--provides both basic and
advanced emergency medical care and transportation to patients in the prehospital
environment.
Paramedic - -answer--scope of practice includes the skills performed by the EMT
and AEMT with the addition of more advanced assessment and patient management
skills and provision of the highest level of prehospital care.
Prehospital care - -answer--Emergency medical treatment given to patients before
they are transported to the hospital or other facility
Out of hospital care - -answer--providing care on the scene without subsequent
transport to a hospital, also includes treatment given during inter-facility transport.
special facilities that patients may need to be transported to: - -answer--trauma
center
burn center
obstetrical center
CHAPTERS VERIFIED QUESTIONS AND
ANSWERS FINAL APPROVED AND BEST GRADE
A+
What was the "Accidental Death and Disability: The Neglected Disease of Modern
Society" or the "White Paper". - -answer--A report detailing the number of deaths and
injuries related to traffic crashes in the United States, it also identified severe
deficiencies in the delivery of prehospital care in the United States and made
recommendations intended to change ambulance systems, training requirements,
and the provision of prehospital care.
Highway Safety act of 1966 - -answer--Required each state to establish a highway
safety program that met prescribed federal standards and included emergency
medical services
Who took a leadership role in the development of emergency medical services?
What was one early focus and one initiative taken? - -answer--The National Highway
Traffic Safety Administration (NHTSA)
An early focus was improving education of prehospital personnel. An initiative taken
was the development of national standard curricula.
What is one of the most critical health problems in the united states? - -answer--
Sudden loss of life and disability caused by catastrophic accidents and illnesses.
Why do thousands of people die and suffer permanent harm every year? - -answer--
Lack of adequate and available emergency medical services.
EMS system (Emergency medical services system) - -answer--Permits patient care
to begin at the scene of the injury or illness, and EMS is part of continuum of patient
care that extends from the time of injury or illness until rehabilitation or discharge.
When did the modern EMS system evolve? - -answer--The 1960's.
Emergency medical services act of 1973 - -answer--Provided access to millions of
dollars of funding geared to EMS system planning and implementation, personnel
availability and training.
What is now a prerequisite to the EMT course due to the American Heart
Association? - -answer--CPR Course.
What was the National Emergency Medial Services Education and Practice Blueprint
released by the National Registry of EMT's in 1993 ? - -answer--It defined issues
related to EMS training and education and was meant to guide the development of
national training curricula .
,What did the national Highway traffic safety administration published in 1966? - -
answer--The EMS agenda for the future document which with the intent to make you
more as a greater component in the healthcare system United States
Quality improvement: - -answer--is a system internal and external reviews and audits
of all aspects of an emergency medical system
Goals of quality improvement
Document carefully
Perform reviews and audits
Obtain feedback
Maintain equipment
Participate in continuing education
Maintain skills
Evidence based medicine: - -answer--Focuses on research to provide clear evidence
that certain procedures, medications, and equipment improve patient outcome.
Steps in evidence based decision making:
Formulate a question about emergency care that needs to be answered
Search medical literature for research data that is related and applicable to the
question
If evidence supports the change in practice change protocols and implement change
in prehospital emergency care
What was that your Ems education agenda for the future of system approach? - -
answer--Release to address the issues of consistency in the education and training
and certification of entry level EMS personnel
What is the national EMS core content and who published it? - -answer--It defined
the domain of knowledge found in the national EMS scope of practice model and the
national Highway traffic safety administration and health resources and services
administration published it
What is the national EMS scope of practice model and who published it? - -answer--
Defines the four levels of EMS licensure and the corresponding knowledge and skills
necessary at each level. National highway traffic safety administration.
The Institute of medicine report the future of your EMS care: EMS at crossroads in
2006 - -answer--Recommended that all state governments adopt a common scope
of practice that allows for reciprocity between the states ,national accreditation for all
paramedic programs and ,national certification as a prerequisite for state licensure
and local credentialing
National EMS education standards - -answer--Outline the minimum terminal
objectives for entry level EMS personnel based on the national EMS scope of
practice model. The content of this textbook are based on the national EMS
education standards
Technical assistance program assessment standards - -answer--Regulation and
policy
Resource Management
,Human Resources and Training
Transportation
Facilities
Communications
Public Information and education
Medical direction
Trauma systems
Evaluation
Regulation and policy - -answer--Each state must have laws and regulation, policies
and procedures that govern the EMS system . State level EMS agency are also
required to provide leadership to local jurisdiction.
Resource Managment - -answer--Each state must have central control of EMS
resources so that each locality and all patients have equal access to acceptable
emergency care.
Human resources and training - -answer--All personnel that staff ambulances and
transport patients must be trained to at least an EMT level.
Transportation - -answer--Patients must be provided with safe reliable transportation
by ground or air ambulance.
Facilities - -answer--Each seriously ill or injured patient must be delivered in a timely
manner to an appropriate medical facility.
Communications - -answer--A system of communications must be in place to provide
public access to the system and communication among dispatcher, EMS personnel
and hospital.
Public information and education - -answer--EMS personnel should participate in
programs designed to educate the public in the prevention of injuries and how to
properly and appropriately access the ems system.
Medical Direction - -answer--Each EMS system must have a physician as a medical
director to provide medical oversight that includes overseeing patient care delegating
appropriate medical practices to EMTs and other EMS personnel.
Trauma systems - -answer--Each state must develop a system of specialized care
for trauma patients, including one or more trauma centers and rehabilitation
programs, plus systems for assigning and transporting patients to those facilities.
Evaluations - -answer--Each state must have a quality improvement system for the
continuing evaluation and upgrading of the system.
911 - -answer--the nationwide number used to access emergency services including
police, fire, and EMS.
E-911 - -answer--Provide (ANI) and (ALI) Displays on dispatchers screen even if
caller hangs up. Immediate response can be dispatched with E-911
, PSAP - -answer--public service answering point , where call takers collect verify and
record the information about the emergency, then decides which service must
respond , and facilitates alerting the necessary service.
EMDs - -answer--Takes psap calls and facilitate instructions for lifesaving
emergency care, such as bleeding control, CPR, that can be administrated by the
caller or another Pearson on the scene.
FCC - -answer--Federal communications commission: adopts rules to improve the
accuracy of location information provided to PSAPs by wireless technology
companies.
Basic 911 - -answer--The wireless service provider to transmits all calls to PSAP
regardless or whether or not the caller subscribes to the providers service.
Phase 1 enhanced 911 - -answer--The wireless service provider must provide the
PSAP with the telephone number of the device placing the call and location of the
cell site or base station transmitting the call.
Phase 2 Enhanced 911 - -answer--The wireless service provider must provide the
latitude and longitude of the caller. The information must be accurate with 50 to 300
meters depending on the type of tech used.
EMR (emergency medical responder) - -answer--First responder level, provides
immediate life saving care to patients who have accessed the ems system and is
awaiting the response from a higher level EMS practitioner.
EMT (emergency medical technician) - -answer--Provides basic emergency care and
transportation to patients who have accessed the EMS system. Interventions like the
ones used by the EMR but with basic equipment found on the ambulance.
AEMT (advanced emergency medical technician) - -answer--provides both basic and
advanced emergency medical care and transportation to patients in the prehospital
environment.
Paramedic - -answer--scope of practice includes the skills performed by the EMT
and AEMT with the addition of more advanced assessment and patient management
skills and provision of the highest level of prehospital care.
Prehospital care - -answer--Emergency medical treatment given to patients before
they are transported to the hospital or other facility
Out of hospital care - -answer--providing care on the scene without subsequent
transport to a hospital, also includes treatment given during inter-facility transport.
special facilities that patients may need to be transported to: - -answer--trauma
center
burn center
obstetrical center
