Podcast
Questions and Answers
What is a health care destination staffed by physicians, nurses, and others designed to evaluate and stabilize patients?
What is a health care destination staffed by physicians, nurses, and others designed to evaluate and stabilize patients?
It is a health care destination staffed by physicians, nurses, and others designed to evaluate and stabilize patients.
To review the assessment and treatment basics required by your medical director, which resource should you consult first?
To review the assessment and treatment basics required by your medical director, which resource should you consult first?
What action places the patient at greatest risk for a medical mistake?
What action places the patient at greatest risk for a medical mistake?
What would be a logical project for a quality improvement (QI) committee?
What would be a logical project for a quality improvement (QI) committee?
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What should you inform a concerned woman about the use of VoIP to access the emergency operations center?
What should you inform a concerned woman about the use of VoIP to access the emergency operations center?
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The act of contacting the emergency department physician for permission to administer additional aspirin is an example of:
The act of contacting the emergency department physician for permission to administer additional aspirin is an example of:
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Why is EMS in a unique position to contribute significantly to mobile integrated health care?
Why is EMS in a unique position to contribute significantly to mobile integrated health care?
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Which attribute of a person would not likely work out well in the EMS profession?
Which attribute of a person would not likely work out well in the EMS profession?
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Which statement by an EMT requires immediate intervention by a superior?
Which statement by an EMT requires immediate intervention by a superior?
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For a 40-year-old man with a collapsed lung and unstable vital signs, what is the best destination?
For a 40-year-old man with a collapsed lung and unstable vital signs, what is the best destination?
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What will the observing public remember about the EMS role at the scene of a minor motor vehicle collision?
What will the observing public remember about the EMS role at the scene of a minor motor vehicle collision?
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What is a primary purpose of the modern-day EMS system? (Select all that apply)
What is a primary purpose of the modern-day EMS system? (Select all that apply)
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What can an EMT do that an Emergency Medical Responder (EMR) cannot?
What can an EMT do that an Emergency Medical Responder (EMR) cannot?
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What advantage do EMDs have over regular call takers?
What advantage do EMDs have over regular call takers?
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What is the first responsibility of public health officials in the public health continuum?
What is the first responsibility of public health officials in the public health continuum?
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Which patient would most benefit from calling an enhanced 911 system from home?
Which patient would most benefit from calling an enhanced 911 system from home?
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In a community where all EMS practitioners are trained according to the National EMS Scope of Practice Model, what type of care do you expect EMRs to be providing?
In a community where all EMS practitioners are trained according to the National EMS Scope of Practice Model, what type of care do you expect EMRs to be providing?
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Which statement is true about an enhanced 911 system?
Which statement is true about an enhanced 911 system?
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In the case of a patient needing orally administered sugar for low blood sugar, what is an example of on-line medical direction?
In the case of a patient needing orally administered sugar for low blood sugar, what is an example of on-line medical direction?
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What is the correct order of response at a motor vehicle collision scene?
What is the correct order of response at a motor vehicle collision scene?
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How can the Americans with Disabilities Act (ADA) be satisfied for a pregnant emergency medical dispatcher (EMD) who uses a wheelchair?
How can the Americans with Disabilities Act (ADA) be satisfied for a pregnant emergency medical dispatcher (EMD) who uses a wheelchair?
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What is an appropriate question to ask the medical director during an interview for an EMT position?
What is an appropriate question to ask the medical director during an interview for an EMT position?
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What is the main role of the quality improvement committee in EMS?
What is the main role of the quality improvement committee in EMS?
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Which of these tasks is not typically provided by a mobile integrated health care system?
Which of these tasks is not typically provided by a mobile integrated health care system?
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What is an advantage of the universal 911 number?
What is an advantage of the universal 911 number?
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What is the first priority for an EMT when arriving at a medical emergency scene?
What is the first priority for an EMT when arriving at a medical emergency scene?
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Once a scene is free of safety hazards, the EMT must focus on the needs of the:
Once a scene is free of safety hazards, the EMT must focus on the needs of the:
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Which document marked a significant evolution in the modern-day EMS system?
Which document marked a significant evolution in the modern-day EMS system?
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Which statement about emergency medical services in the United States is true?
Which statement about emergency medical services in the United States is true?
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What action does an EMT take to act as a patient advocate in a public emergency?
What action does an EMT take to act as a patient advocate in a public emergency?
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What is an appropriate item of protective gear at an automobile collision?
What is an appropriate item of protective gear at an automobile collision?
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What should an EMT do first when exploring the use of special transport ventilators?
What should an EMT do first when exploring the use of special transport ventilators?
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In the case of a 14-year-old boy with a heavy laceration, what assistance can 911 operators provide?
In the case of a 14-year-old boy with a heavy laceration, what assistance can 911 operators provide?
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Before contacting medical direction for a patient with shortness of breath, what must the EMT do first?
Before contacting medical direction for a patient with shortness of breath, what must the EMT do first?
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What must a young man do first to become certified as an EMT?
What must a young man do first to become certified as an EMT?
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What should EMTs do at a suspected domestic violence scene before entering?
What should EMTs do at a suspected domestic violence scene before entering?
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What type of personal protective equipment should be worn by EMS providers at any emergency scene involving a shooting?
What type of personal protective equipment should be worn by EMS providers at any emergency scene involving a shooting?
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What situation recognizes a reasonable accommodation under the Americans with Disabilities Act (ADA)?
What situation recognizes a reasonable accommodation under the Americans with Disabilities Act (ADA)?
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What requirement must someone meet to be a medical director of an ambulance service?
What requirement must someone meet to be a medical director of an ambulance service?
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What is the underlying benefit of using evidence-based medicine?
What is the underlying benefit of using evidence-based medicine?
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What are the four levels of EMS practitioners defined by the National EMS Scope of Practice Model?
What are the four levels of EMS practitioners defined by the National EMS Scope of Practice Model?
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What must an EMT have to provide medical care under the medical director's authority?
What must an EMT have to provide medical care under the medical director's authority?
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Which is an EMS public health initiative?
Which is an EMS public health initiative?
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What must an Emergency Medical Responder do to work full-time as an EMT?
What must an Emergency Medical Responder do to work full-time as an EMT?
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What is one of the functions of a state EMS agency?
What is one of the functions of a state EMS agency?
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What advanced care can a paramedic provide that an EMT cannot?
What advanced care can a paramedic provide that an EMT cannot?
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Study Notes
EMS System Purpose and Goals
- Primary aim of modern EMS is to reduce death and disability from injuries and illnesses.
- Enhanced 911 systems improve emergency response efficiency by providing location data to dispatchers.
Emergency Medical Responder (EMR) and EMT Distinctions
- EMTs can administer specific medications, unlike EMRs.
- Automated external defibrillators (AEDs) are within the scope of practice for EMRs.
Emergency Medical Dispatch (EMD)
- EMDs can give medical instructions to callers before EMS arrival, enhancing patient outcomes.
Public Health Responsibilities
- Public health officials must first identify community health issues before addressing them.
911 System Utilization
- Enhanced 911 benefits include automatic location identification of the caller.
- It is crucial for patients with sudden confusion to call enhanced 911 directly.
National EMS Scope of Practice
- EMRs are expected to perform automated external defibrillation.
- EMTs require medical director authority for advanced procedures and patient care.
Scene Management in Emergencies
- Before approaching a patient, bystanders must be cleared and safety ensured, especially in hazardous situations.
Americans with Disabilities Act (ADA)
- ADA compliance involves ensuring wheelchair access for disabled employees.
Emergency Care Protocols
- Regular updates and assessments are vital for maintaining effective emergency care protocols.
Quality Improvement Initiatives
- Quality improvement projects aim to enhance the performance and delivery of emergency care services.
Evidence-Based Medicine
- Evidence-based medicine incorporates research findings into clinical practice, improving effectiveness of care.
Roles and Responsibilities
- EMTs must operate under the medical director's guidance to provide proper care.
- Each state governs its own EMS operations, independent of federal interference.
Patient Advocacy and Safety
- The first priority of an EMT on scene is ensuring personal safety, followed by patient care.
Approaches to EMS Training and Certification
- Completion of a U.S. Department of Transportation-compliant course is required for EMT certification.
Protective Gear Requirements
- Basic PPE for EMS providers at shooting scenes includes gloves, while reflective clothing is necessary for auto collisions.
Transfer of Care Risks
- The process of transferring patient care between EMTs introduces risks for medical mistakes.
EMT and Paramedic Scope Differences
- Paramedics can perform IV therapy, a procedure not within the EMT's scope of practice.
Pediatric Care and Protocols
- When reviewing pediatric care, service protocols should be the first consulted resource.
Continuous Education in Quality Improvement
- Regular educational programs focusing on rare skills can enhance overall EMS competency.### 911 Access and Internet Providers
- Internet providers encouraged, but not legally required, to provide 911 access.
- Dispatch centers may need to obtain caller's address manually.
- Requirement for providing a callback number and physical location of the phone that initiated the call.
Medical Direction and EMT Protocol
- Contacting an emergency department physician for permission to administer additional aspirin is classified as on-line medical direction.
- Important for EMTs to establish clear communication with medical professionals when administering medication.
EMS and Mobile Integrated Health Care
- EMS providers trusted within the community due to uniform appearance.
- Familiarity with out-of-hospital environments allows effective service delivery.
- Capability to navigate various routes for medication administration enhances care.
Attributes for EMS Professionals
- Ability to adapt in chaotic situations is critical for effective emergency response.
- Maintaining patient confidentiality is essential for trust.
- Inability or reluctance to take charge can hinder performance in emergencies.
EMT Role and Responsibilities
- EMTs prioritize patient needs above all else, reflecting awareness of their responsibilities.
- Safety of the EMT should follow patient safety, demonstrating appropriate risk assessment.
Immediate Interventions Required
- Any claim of driving as fast as possible to a scene necessitates immediate intervention, indicating unsafe driving behavior.
- Always prioritizing safety protocols, including proper use of seatbelts, is vital.
Patient Destination for Critical Care
- In cases of serious injury, a trauma center is the most appropriate destination for patients with complex needs.
- Consideration of the patient's existing health conditions, such as diabetes and heart problems, when determining medical facility needs.
Public Perception of EMS
- Public observations can be greatly influenced by EMT behavior at the scene of emergencies.
- Professional conduct is essential; negative portrayals (e.g., yelling, cursing) can diminish community trust in EMS services.
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Test your knowledge on the primary purpose of the modern-day EMS system with these flashcards from MYBRADYLAB Chapter 1. This quiz covers essential concepts necessary for understanding emergency medical services and their impact on healthcare. Engage with the material to enhance your learning experience.