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EMT exam 1 questions
and chpt 1 vocab
| Question | Answer |
|---|---|
| Americans with disabilities act (ADA) | comprehensive legislation that is designed to protect people with disabilities against discrimination |
| define community paramedicine | a health care model in which experienced paramedics receive advanced training to equip them to provide additional services in the prehospital environment, |
| describe CQI | a system of internal and external reviews and audits of all aspects of an EMS system aiming at improving outcomes |
| define emergency medical dispatch (EMD) | a system that assists dispatchers in selecting appropriate units to respond to a particular call for assistance and provides callers with vital instructions until the arrival of EMS crews |
| define emergency medical services | a multidisciplinary system that represents the combined efforts of several professional and agencies to provide prehospital care to the sick and injured |
| define EMT | an individual who has training in basic life support, including AED, use of definitive airway adjunct, and assisting pts with certain meds |
| define Evidence based medicine | an approach to medicine where decisions are based on well-conducted research, classifying recommendations based on the strength of the scientific based evidence |
| define HIPAA | federal legislation passed in 1996. Its main effect in EMS is in limiting availability of pt's health care info and penalizing violation of pt privacy |
| define Medical Control | Physician instructions given directly by radio or cell phone (online/direct) or indirectly by protocol/guidelines (offline/indirect) as authorized by the medical director of the service program |
| define Medical Director | the physician who authorizes who delegates to the EMT the authority to provide medial care in the field |
| define Mobile integrated health care (MIH) | a method of delivering health care that involves providing health care within the community rather than at a physician's office or hospital |
| define National EMS Scope of Practice Model | a document created by the National Highway Traffic Safety Administration (NHTSA) that outlines the skills performed by various EMS providers |
| define Primary Prevention | efforts to prevent an injury or illness from ever occurring |
| define Primary service area | the designated area in which the EMS agency of responsible for the provision of prehospital emergency care and transportation to the hospital |
| define Public Access Point | a call center, staffed by trained personnel who are responsible for managing requests for police, fire, and ambulance services |
| define Quality Control | oversight by the medial director to ensure the appropriate medical care standards are met by EMTs on each call |
| define Secondary Prevention | efforts to limit the effects of an injury or illness that you cannot completely prevent |
| What are the 4 levels of EMT | EMR, EMT, AEMT, Paramedic |
| What are the effects of a felony or misdemeanors for an EMT applicant | prohibit person from becoming an EMT |
| Who authorizes the EMTs in the service to provide medical care in the field? | Medical Director |
| Hx, 1966, | Accidental Death and Disability: The Neglected Disease of Modern Society established EMS |
| Hx Early 1970s | DOT published the first EMT training curriculum |
| Hx 1973 | Emergency Medical Services Act |
| Hx 1971 | AAOS published the first EMT textbook |
| What are the routes of transmission of pathogen/Dz | Direct contact (eg, bloodborne pathogens) Indirect contact (eg, needlesticks) Airborne transmission (eg, sneezing) Foodborne transmission (eg, contaminated food) Vector-borne transmission (eg, fleas) |
| What immunizations are required for EMTs? | chicken-pox, MMR, and wooping cough |
| Critical incident stress is caused by acute severe stressors. | Serious injury or traumatic death of a child, Crashes with injuries caused by an emergency, provider while traveling to or from a call, Death or serious injury of a coworker in the line of duty |
| Critical incident stress management | Used to help providers relieve stress Can occur formally or at an ongoing scene Facilitated by trained professionals |
| Types of consent: Expressed Consent | The patient acknowledges he or she wants you to provide care or transport. To be valid, the patient must provide informed consent. You have explained the treatment, risks, and benefits to the patient. |
| Types of consent: Implied Consent | Applies to patients who are: Unconscious. Otherwise incapable of making an informed decision. Should never be used unless there is a threat to life or limb. Known as the emergency doctrine. Try to get consent from a spouse or relative. |
| Types of consent: Involuntary Consent | Applies to patients who are: Mentally ill. In behavioral crisis. Developmentally delayed. Obtain consent from guardian or conservator. |
| What are the 3 stages of stress? | Alarm, reaction, recovery (or exhaustion) |
| You are transporting a chest pain to the hospital and pull up on another accident. What do you do? | stay with the patient being transported. |
| Describe the chain of evidence. | notify the dispatcher of crime, take care cutting clothes, maintain care to the pt., don't disturb the crime scene |
| Administrative information gathered from PCR (8 parts) | time the incident was reported, time EMS was notified, time EMS arrived on scene, time EMS crew made contact with pt., time EMS left the scene, times EMS arrived at receiving facility, time pt care was transferred, time unit was back in service |
| Types of radios: base station | Any radio hardware containing a transmitter and receiver that is located in a fixed place |
| Types of radios: Mobile radio | installed in a vehicle and usuall operated at lower power than a base station |
| What are the different frequencies for Mobile radios? | VHF 30-300 MHz, UHF 300-3000 MHz, many now are 800 MHz |
| Types of radios: Portable radio | are handheld devices that operate at 1 to 5 watts of power. |
| Types of radios: Repeater-based systems | a special base station radio that receives messages and signals on one frequency and them automatically retransmits them on a second frequency. |
| What is the job of the dispatcher? | 1) Properly screen and assign priority to each call 2) select and alert the appropriate EMS units 3)dispatch and direct EMS to the correct location 4) coordinate EMS with other public safety services 5) provide emergency medical instruction to the caller |
| If you can not get in touch with medical control, how do you continue to treat the pt.? | follow protocols |
Created by:
smiddleton
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