Intro To Advanced Prehospital Care

Question 0

What is just as important as acute health care and public safety responsibilities?

Answer 0

Illness and injury prevention

Question 1

Roles and responsibilities of a paramedic are diverse and encompass the disciplines of what?

Answer 1

Health care
Public health
Public safety

Question 2

In addition to functioning as a treatment provider, what else might a paramedic function as?

Answer 2

Facilitator of access to care

Question 3

You will seldom run into problem if you always?

Answer 3

Act in the patients best interest

Question 4

Paramedic must have 6 characteristics?

Answer 4

Excellent judgement 
Able to prioritize 
Develop rapport
Safely interview hostile patients
Communicate with members of diverse cultures.
Able to function independently

Question 5

A significant advance in EMS was made with w/ what document?

Answer 5

1998 publication by the DOT, of the revised EMT-P:National Standard Curriculum .

Question 6

Which document calls for 4 levels of EMS providers, and details the essential knowledge base and psycho motor skills for each?

Answer 6

2005; national scope of practice model.

Question 7

The paramedic must actively participate one what, in regard to reserch?

Answer 7

Design
Development
Evaluation
Publication

Question 8

For years what was paramedic practice based on?

Answer 8

Anecdotal data

Tradition

Question 9

5 additional duties a paramedic can apply for under expanded scope of practice?

Answer 9

Critical care
Primary care
Tactile EMS
Industrial medicine 
Sports mesicine

Question 10

What’s is EMS?

Answer 10

Comprehensive network of personnel, equipment, and resources established to deliver aid and emergency medical care to the community.

Question 11

EMS system is comprised of what?

Answer 11

In-hospital services

Out of hospital services

Question 12

EMS operation begins with what?

Answer 12

Citizen activation when someone calls 911

Question 13

The dispatcher also provides what?

Answer 13

pre arrival instructions to the caller

Question 14

First responders role is to?

Answer 14

Stabilize patient until more advanced personnel arrive

Question 15

“Tiered Response?”

Answer 15

Sending multiple levels of emergency care personnel to the same incident

Question 16

What is the most striking difference between the first “protocols” and EMS system today?

Answer 16

The absence of a physical exam

Question 17

Who formed the ambulance volante or “flying ambulance.

Answer 17

Napoleons chief surgeons, jean larrey

Question 18

During world war 1, high mortality was associated with what?

Answer 18

Average evacuation time of 18hrs

Question 19

Significant advances in trauma occurred during what

Answer 19

Wartime

Question 20

In 1966, congresses back what act?

Answer 20

National highway safety act, this stablished department of transportation

Question 21

What land mark publication set off a series of federal and private initiatives?

Answer 21

Publication of (Accidental Death and Disability: The Negleted disease of modern Society). Aka “the white paper”

Question 22

What act was passed by congress in 1973, that provided additional funding for a series of projects related to the delivery of trauma care.

Answer 22

Emergency Medical Services Act

Question 23

What act was passed in 1981 that essentially wiped out federal funding for EMS?

Answer 23

Consolidated Omnibus Budget Reconciliation Act (COBRA)

Question 24

The four "T's" of Emergency Care

Answer 24

Triage Treatment Transport Transfer

Question 25

Protocol

Answer 25

Policies and procedures for all components of an ems system

Question 26

Certification?

Answer 26

Recognition granted to a person who has met it's qualifications

Question 27

Licensure

Answer 27

Permission granted to engage in a given occupation to an applicant who has attained the degree of competency required to ensure the publics protection

Question 28

Four levels of EMS training/certification

Answer 28

EMR-stabalize patient BASIC- INTERMEDIATE/Advanced Paramedic

Question 29

Professionalism

Answer 29

Conduct and qualities that characterize a practitioner in a particular field or operation

Question 30

Rules of evidence?

Answer 30

Developed by Joseph p. ornate. Guidelines for permitting a new medication, process, or procedure to be used in EMS on the basis of proven efficacy

Question 31

4 guidelines included in the rules of evidence

Answer 31

1. Must be a theoretical basis for the change 2. There must be ample research 3. It must be clinically important 4. Practical, affordable, and teachable

Question 32

People must be able to take it for granted what?

Answer 32

That EMS will respond quickly to 911 call. And act at the highest level of professionalism.

Question 33

Another way to accomplish "take it for granted" quality improvement?

Answer 33

Through ongoing education and personnel

Question 34

Ethics?

Answer 34

Standards that govern the conduct of a group or profession.

Question 35

What did the federal government establish 2005?

Answer 35

National EMS scope of practice model. Called for four levels of EMS providers.

Question 36

What program was established by the NHTSA 1988 that defines the "10 elements" necessary to all EMS systems.

Answer 36

Statewide EMS Technical Assessment Program.

Question 37

Customer satisfaction can be created or destroyed by what?

Answer 37

With a simple word or deed

Question 38

Kind of quality that customers get excited about, feel good about, and tell stories about?

Answer 38

Service quality AKA "customer satisfaction"

Question 39

EMS quality is decided into two categories?

Answer 39

"Take-it-for-granted" quality Service quality

Question 40

Paramedics can play a valuable role in data collection, evaluation, and interpretation of research. What is the component of a research project that paramedics play a huge role in?

Answer 40

Begin the study, and collection of raw data

Question 41

Primary responsibilities of a paramedic

Answer 41

``` Preparation Response Scene size up Patient assessment Patient management Disposition and transfer Documentation Cleanup, maintenance, and review ```

Question 42

Additional responsibilities

Answer 42

Community involvement Support for primary care Citizen involvement Personal and professional development

Question 43

Whenever possible member of the community should be used in the what? Parts of EMS SYSTEM

Answer 43

Development, evaluation, and regulation

Question 44

What is essential to the reduction of the long-term disability and accidental death

Answer 44

EMS injury prevention projects

Question 45

Cardiovascular endurance results from what?

Answer 45

Exercising at least 3 days a week vigorously enough to raise your pulse to its target heart rate

Question 46

Isometric exercise?

Answer 46

Active exercise against n stable resistance

Question 47

Isotonic exercise

Answer 47

Active exercise when muscles are worked through their range of motion

Question 48

Whole grains provide what?

Answer 48

Fiber

Question 49

What will help prevent both cancer and cardiovascular disease

Answer 49

Exercising and eating well

Question 50

In regards to back safety and moving objects, how should you position the load you are carrying?

Answer 50

As close to your body and center of gravity as possible

Question 51

In regards of back safety, and carrying objects. Should your palms be up or down

Answer 51

Up

Question 52

Always avoid what when carrying

Answer 52

Twisting and turning

Question 53

Let which muscles do the lifting for you?

Answer 53

Large leg muscles

Question 54

Do want to exhale or inhale when you lift?

Answer 54

Exhale

Question 55

Do you want to push or pull if given a option

Answer 55

Push

Question 56

Should you move forward or backward when carrying an object?

Answer 56

Forward

Question 57

Incubation period for AIDS

Answer 57

Several months and years

Question 58

Incubation period for hepatitis b, c

Answer 58

Weeks or months

Question 59

Tuberculosis incubation period

Answer 59

2 to 6 weeks

Question 60

Any disease caused by the growth of pathogenic microorganism a, which may be spread from person to person

Answer 60

Infectious disease

Question 61

Strict form of infection control that is based on the assumption that all blood and other body fluids are infectious

Answer 61

Standard precautions

Question 62

What is, washing an object with cleaners such as soap and water

Answer 62

Cleaning

Question 63

What is, use of a chemical or physical method such as pressurized steam to kill all microorganisms.

Answer 63

Sterilizing

Question 64

Any occurrence of blood or body fluid coming in contact with no intact skin, mucous membrane, or parent real contact

Answer 64

Exposure

Question 65

Stages of loss

Answer 65

``` Denial Anger Bargaining Depression Acceptance ```

Question 66

What is good stress called?

Answer 66

Eustress

Question 67

As a person adapts to stress they develop 3 things?

Answer 67

Defensive strategies Coping Problem-solving skills

Question 68

To manage your own stress what should you identify, 3 thjngs?

Answer 68

Your personal stressors The amount of stress you can take What stress management techniques work for you

Question 69

3 phases of stress response?

Answer 69

Stage 1- alarm Stage 2- resistance Stage 3-exhaustion

Question 70

What happens during stage 1 of stress response physiologically?

Answer 70

Epi/Nor-epi from the adrenal glands increase the heart rate, blood pressure, dilate pupils, increase blood Sugar, and slow digestion, and relax the bronchial tree.

Question 71

When does stage one end?

Answer 71

When the event is recognized is not dangerous

Question 72

What is the extreme end point in response to excessive stress exposure

Answer 72

Burnout

Question 73

What are the two groups of defense mechanisms and techniques for managing stress?

Answer 73

Beneficial Detrimental

Question 74

What are 3 beneficial techniques when managing stress?

Answer 74

Use controlled breathing Reframe- mentally reframe thoughts that interfere with your performance (I can't do this) Attend to the medical needs of the pt.

Question 75

For long term well being the best stress management technique is?

Answer 75

Take care of yourself, eating properly, exercise regularly, and take time off

Question 76

3 types of EMS stressors

Answer 76

Daily stress Small incidents Large incident/disaster

Question 77

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

Answer 77

Epidemiology

Question 78

providers should assess every scene and situation for injury risk and maintain statistics as part of what program?

Answer 78

Injury-surveillance program

Question 79

The ongoing systemic collection, analysis, and interpretation of injury data essential to the planning, implantation, and evaluation of public health practice.

Answer 79

Injury-surveillance program

Question 80

Type of prevention that keeps an injury or illness from ever occurring

Answer 80

Primary prevention

Question 81

Type of prevention which rehabilitation after an injury or illness that helps to prevent further problems from occurring

Answer 81

Tertiary prevention

Question 82

Type of prevention that includes medical care after an injury or illness that helps to prevent further problems from occurring

Answer 82

Secondary prevention

Question 83

How to get your target heart rate

Answer 83

220 minus your resting heart rate

Question 84

The areas involved in organizational commitment

Answer 84

Protection of EMS providers Education of EMS providers Data collection Financial support Empowerment of EMS providers

Question 85

Under EMS provider commitment, there are Written guidelines and policies that should promote wellness and safety among employees, they emphasize which 5 areas

Answer 85

``` Standard precautions Physical fitness Stress management Professional care and counseling Safe driving ```

Question 86

In motor vehicle collisions, young children are what?

Answer 86

Easily thrown on impact

Question 87

Since a child's head is large in proportion to his body, if unrestrained they tend to fly?

Answer 87

Head first into the windshield or out of the car when a collision occurs

Question 88

Which seat is the best for children, and under what age?

Answer 88

Back seat for children under 12

Question 89

Social, religious, or personal standards of right and wrong

Answer 89

Morals

Question 90

This word is related to benevolence, which means the desire to do good. But this word actually means doing good?

Answer 90

Beneficence

Question 91

Areas in need of prevention activities? 11?

Answer 91

Low birth weight Unrestrained children in motor vehicles Bicycle related injuries Household fire and burn injuries Unintentional firearm-related deaths Alcohol-related motor vehicle collisions Fall injuries in elderly Work place injuries Sports and recreation injuries Misuse or mishandling of medication Early discharge of patients

Question 92

Obligation not to harm

Answer 92

Nonmaleficence

Question 93

Under this the paramedic Is obligated to minimize the risk as much as possible. Making the scene safe, and protecting the patient from impaired or unqualified health care providers.

Answer 93

Nonmaleficence

Question 94

This term defines a patients right to determine what happens to his body

Answer 94

Autonomy

Question 95

Obligation to treat all patient fairly

Answer 95

Justice

Question 96

Three steps on solving a ethical problem?

Answer 96

State the action in a universal form List the implications or consequences of the action Compare them to relevant values

Question 97

Three ways to test ethics?

Answer 97

Impartiality test Universalizability test Interpersonal justifiability test

Question 98

This way of testing ethics is whether you would be willing to undergo this procedure or action if you were in the patients place

Answer 98

Impartiality test

Question 99

This way to test ethics asks whether you would want this action performed in all relevant circumstances, which helps the paramedic to avoid shortsightedness.

Answer 99

Universalizability test

Question 100

This way to test ethics asks whether you can defend or justify your actions to others.

Answer 100

Interpersonal justifiability test

Question 101

Citizen involvement in EMS helps give insiders what?

Answer 101

An outside, objective view of quality improvement and problem resolution.

Question 102

Citizen involvement in EMS helps give insiders what?

Answer 102

An outside, objective view of quality improvement and problem resolution.