Chapter One

Question 1

What did Accidental Death and Disability: The Neglected Disease of Modern Society state?

Answer 1

This included The White Papers which spelled out the deficiencies in prehospital emergency care and suggested guidelines for development of EMS systems, the training of prehospital emergency medical providers, and the upgrading of ambulances and their equipment.

Question 2

What did the National Highway Safety Act do?

Answer 2

Forced states to develop effective EMS care systems and provided grants for their creations as well as threatening states with losing federal funding for highway construction if these programs were not developed.

Question 3

Medical Director

Answer 3

Legally responsible for all clinical and patient care aspects of the system.

Question 4

Online medical direction

Answer 4

Qualified physician who gives direct orders to prehospital care providers.

Question 5

Intervener Physician

Answer 5

Physician that is on scene, willing to help and take responsibility for actions when on-line medical control is not accessible. Paramedic must always take orders from online physician if available.

Question 6

What are the four T’s for emergency care?

Answer 6

1) Triage
2) Treatment
3) Transport
4) Transfer

Question 7

Standing orders?

Answer 7

Preauthorized treatment procedures: a type of treatment protocol.

Question 8

What does priority dispatch do?

Answer 8

Uses set of medically approved protocols to interrogate a distressed caller, prioritize symptoms, select an appropriate response, and give lifesaving pre-arrival instructions.

Question 9

What are the three learning domains and what do they consist of?

Answer 9

Cognitive- Informational knowledge
Affective- Assignment of emotions, values, and attitudes to that information
Psychomotor- hands-on skills

Question 10

Certification

Answer 10

Process by which an agency grants recognition to an individual.

Question 11

Licensure

Answer 11

Governmental agency grants permission to engage in a given trade or profession.

Question 12

Reciprocity

Answer 12

Process by which an agency grants automatic certification or licensure to an individual who has comparable certification or licensure from another agency.

Question 13

Professionalism

Answer 13

Conduct or qualities that characterize a practitioner in a particular field.

Question 14

Cleaning

Answer 14

Washing an object with soap and water

Question 15

Disinfecting

Answer 15

Cleaning with a disinfecting agent which should kill many microorganisms, many but not all.

Question 16

Sterilizing

Answer 16

Use of a chemical or physical method such as pressurized steam to kill all microorganisms.

Question 17

What are the stages of the stress response?

Answer 17

1) Alarm
2) Resistance
3) Exhaustion

Question 18

Epidemiology

Answer 18

The study of the factors that influence the frequency, distribution, causing injury, disease, and other health related events in a population.

Question 19

Injury Risk

Answer 19

Real or potentially hazardous situation that puts people in danger of sustaining injury.

Question 20

Morals

Answer 20

Social, religious, or personal standards of right and wrong.

Question 21

Ethics

Answer 21

Rules or standards that govern the conduct of members of a particular group or profession.

Question 22

Ethical relativism

Answer 22

To say that each person must decide how to behave and whatever decision that person makes is okay.

Question 23

Beneficence

Answer 23

Actually doing good.

Question 24

Non-malfeasance

Answer 24

Not doing harm.

Question 25

Autonomy

Answer 25

Patients right to determine what happens to his own body.

Question 26

Justice

Answer 26

Refers to the paramedic’s obligation to treat all patients fairly.

Question 27

What is the single most important question?

Answer 27

What is in the patient’s best interest?

Question 28

Impartiality test

Answer 28

Asks whether you would be willing to undergo this procedure or action if you were in the patient’s place.

Question 29

Universalizability test

Answer 29

asks whether you would want this action performed in all relevantly similar circumstances.

Question 30

Interpersonal justifiability test

Answer 30

Asks whether you can defend or justify your actions to others.