Explanation: A CORRECT. Quality improvement QI consists of continuous self-review with

1 Copyright © 2016 Pearson Education, Inc.Emergency Care, 13e (Limmer, et al.) 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?

• Quality improvement
• System effectiveness management
• Process Improvement Plan (PIP)
• Total quality system

Answer: A

Explanation: 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.

• INCORRECT. System effectiveness management does not refer to a program of evaluating

and improving an EMS system.

• INCORRECT. A program or process for evaluating and improving the effectiveness of an

EMS system is not referred to as a Process Improvement Program.

• INCORRECT. The term "total quality system" does not refer to a program for improving the

effectiveness of EMS systems.

Page Ref: 12

Objective: 1.1

2) Which of the following groups is credited with developing the earliest documented emergency medical service?

• The Spanish
• The Egyptians
• The Mayans
• The French

Answer: D

Explanation: A) INCORRECT. The Spanish did not develop the first documented emergency medical service; the French did in the 1700s.

• INCORRECT. Although known for progress in technical areas, the Egyptians were not

responsible for the first documented emergency medical service. In 1790, the French first began transporting wounded soldiers away from battlefields and to waiting medical care.

• INCORRECT. The earliest documented emergency medical service was in France in 1790,

nearly a thousand years after the Mayan civilization disappeared.

• CORRECT. The earliest documented emergency medical service was in 1790 when the

French began transporting wounded soldiers from the scenes of battle to waiting physicians.

Page Ref: 3

Objective: 1.2

Emergency Care 13e Daniel Limmer, Michael O'Keefe, Edward Dickinson, Harvey Grant, Bob Murray, David Bergeron (Test Bank All Chapters, 100% Original Verified, A+ Grade) 1 / 4

2 Copyright © 2016 Pearson Education, Inc.3) In 1966 the National Highway Safety Act charged which of the following agencies with the development of emergency medical service standards?

• U.S. Department of Transportation
• U.S. Department of the Interior
• U.S. Department of Health Services
• U.S. Department of Homeland Security

Answer: A

Explanation: A) CORRECT. In 1966 the National Highway Safety Act charged the United States Department of Transportation (DOT) with developing EMS standards and assisting the states to upgrade the quality of their prehospital emergency care.

• INCORRECT. The U.S. Department of the Interior is charged with the management and

conservation of federal land and the country's natural resources. The Department of Transportation was charged with developing EMS standards.

• INCORRECT. Although the U.S. Department of Health and Human Services is charged with

protecting the health of all Americans, the United States Department of Transportation was assigned the task of developing emergency medical service standards.

• INCORRECT. Although the U.S. Department of Homeland Security is tasked with protecting

the nation from threats, it was established in 2002 and did not exist in 1966. It was the U.S.Department of Transportation that was charged with developing EMS standards.

Page Ref: 4

Objective: 1.3

4) Centralized coordination of emergency medical access, transportation, and care most refers to which of the following?

• Emergency preparedness plan
• Trauma system
• Resource management
• Central deployment

Answer: C

Explanation: A) INCORRECT. Emergency preparedness plans are usually developed to guide the actions of a specific group of people at the outset of an emergency, with the goal of protecting people and/or property. They generally will not address the specifics of medical care or transport.

• INCORRECT. A trauma system is an organized, coordinated effort between facilities and

responders within a defined geographic area to deliver a full range of care to injured patients. It does not address the coordination of basic (non-trauma) emergency care or transportation.

• CORRECT. Resource management refers to the centralized coordination of an emergency

response so that all victims have equal access to basic emergency care and are transported by certified personnel, in a licensed and equipped ambulance, to an appropriate facility.

• INCORRECT. The centralized coordination of emergency medical access, transportation, and

care within an EMS system is not referred to as central deployment.

Page Ref: 4

Objective: 1.3 2 / 4

3 Copyright © 2016 Pearson Education, Inc.5) Which of the following agencies is responsible for establishing EMS system assessment programs?

• Department of Health and Human Services (HHS)
• National Transportation Safety Board (NTSB)
• National Highway Traffic Safety Administration (NHTSA)
• United States Health Services Agency (HSA)

Answer: C

Explanation: A) INCORRECT. The Department of Health and Human Services (HHS) is not responsible for EMS system assessment programs.

• INCORRECT. The National Transportation Safety Board (NTSB) does not establish EMS

system assessment programs.

• CORRECT. The National Highway Traffic Safety Administration (NHTSA) Technical

Assistance Program has established assessment programs with set standards for EMS systems.

• INCORRECT. The United States Department of Health and Human Services has no oversight

of EMS systems.

Page Ref: 4

Objective: 1.3

6) Which of the following BEST describes the purpose of the modern emergency medical services (EMS) system?

• To have trained personnel respond quickly and provide emergency care on the scene, during

transport, and at the hospital

• To have trained personnel capable of assessing and caring for injured and ill patients on the

scene

• To have trained personnel understand the limitations of their training and "do no harm," while

providing prompt transport to the hospital

• To have trained personnel knowledgeable in all aspects of prehospital care

Answer: A

Explanation: A) CORRECT. The modern Emergency Medical Services (EMS) system has been developed to get trained personnel to patients as quickly as possible and to provide emergency care on the scene, en route to the hospital, and at the hospital until care is assumed by the hospital staff.

• INCORRECT. In addition to having trained personnel able to help patients on scene, the

modern Emergency Medical Services (EMS) system also aims to provide that same assistance while en route to the hospital and at the hospital until hospital staff can take over care.

• INCORRECT. Although understanding limitations and doing "no harm" are important aspects

of an emergency care provider's job, the modern Emergency Medical Services (EMS) system was developed to get trained personnel to patients as quickly as possible and to provide emergency care on the scene, en route to the hospital, and at the hospital until care is assumed by the hospital staff.

• INCORRECT. Although knowledge is an important aspect of an emergency care provider's

job, the modern Emergency Medical Services (EMS) system was specifically developed to get trained personnel to patients as quickly as possible and to provide emergency care on the scene, en route to the hospital, and at the hospital until care is assumed by the hospital staff.

Page Ref: 3

Objective: 1.4

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4 Copyright © 2016 Pearson Education, Inc.7) What has the modern emergency medical services (EMS) system been developed to provide?

• Prehospital care
• Prompt emergency response
• Safe emergency transportation
• Trained medical personnel

Answer: A

Explanation: A) CORRECT. In 1966 the National Highway Safety Act charged the United States Department of Transportation (DOT) with assisting the states in upgrading the quality of their prehospital emergency care.

• INCORRECT. Prompt responses are an important part of any EMS system, but not what they

were specifically developed to provide.

• INCORRECT. Safe emergency transportation is only part of what modern EMS systems were

developed for.

• INCORRECT. Modern EMS systems were designed to provide more than just trained

medical personnel.

Page Ref: 3-4

Objective: 1.4

8) Which of the following is the most common gateway for hospital services for patients who need emergency medical assistance?

• Emergency department
• Emergency medical services system
• Surgical services department
• Emergency medical dispatch center

Answer: A

Explanation: A) CORRECT. The emergency department serves as the gateway for the rest of the services offered by a hospital.

• INCORRECT. The EMS system is not generally involved with hospital services other than

the emergency department.

• INCORRECT. Although an important component of a hospital's services, not all emergency

medical patients will require surgery.

• INCORRECT. An emergency medical dispatch center coordinates transports to the hospitals,

but is not involved in determining or promoting specific hospital services.

Page Ref: 5

Objective: 1.4

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