Chapter 1 EMS Systems

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hiker0001
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288238
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Chapter 1 EMS Systems
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2014-11-05 14:03:34
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EMS Systems
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Chapter 1 EMS Systems
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  1. -Guarantees disabled individuals access to state and local government programs.
    -Prohibits employers from failing to provide full and equal employment to the disabled.
    Americans With Disabilities Act (ADA) of 1990
  2. In the United States, as late as the early ____, emergency ambulance service and care varied widely.
    1960s
  3. EMS as we know it today originated in ____ with the publication of Accidental Death and Disability: The Neglected Disease of Modern Society.
    1966
  4. EMS as we know it today originated in 1966 with the publication of:
    Accidental Death and Disability: The Neglected Disease of Modern Society.
  5. ____ published the first EMT training curriculum in the early 1970s.
    DOT
  6. DOT published the first EMT training curriculum in the early ____.
    1970s
  7. The American Academy of Orthopaedic Surgeons prepared the first EMT textbook in 1971.  It is often called:
    “The Orange Book.”
  8. The ____ ____ __ ____ ____ prepared the first EMT textbook in 1971.  It is often called “The Orange Book.”
    American Academy of Orthopaedic Surgeons
  9. The American Academy of Orthopaedic Surgeons prepared the first EMT textbook in ____.  It is often called “The Orange Book.”
    1971
  10. In the late ____, the DOT developed a recommended National Standard Curriculum.
    1970s
  11. In the late 1970s, the ____ developed a recommended National Standard Curriculum.
    DOT
  12. In the late 1970s, the DOT developed a recommended:
    National Standard Curriculum.
  13. In the ____, the NHTSA developed the EMS Agenda for the Future, a document that standardizes the levels of EMS education and providers.
    1990s
  14. In the 1990s, the ____ developed the EMS Agenda for the Future, a document that standardizes the levels of EMS education and providers.
    NHTSA
  15. In the 1990s, the NHTSA developed the ___ ____ ___ ___ ____, a document that standardizes the levels of EMS education and providers.
    EMS Agenda for the Future
  16. National document that provides overarching guidelines as to what skills each level of EMS provider should be able to attain.
    National EMS Scope of Practice Model
  17. The ____ ____ decides day-to-day limits of EMS personnel.
    medical director
  18. Four levels of EMS training:
    • EMR
    • EMT
    • AEMT
    • Paramedic
  19. The AEMT course adds knowledge and skills in three specific aspects of ALS for those trained and with experience as EMTs:
    • IV therapy
    • Advanced airway adjunctsc
    • Medication administration
  20. The EMS Agenda for the Future outlines __ components of an EMS system.
    14
  21. The ____ ____ ___ ___ ____ outlines 14 components of an EMS system.
    EMS Agenda for the Future
  22. The ____ ____ is the public safety access point.
    9-1-1 system
  23. An ____ ____ ____ (EMD) system has been developed to assist dispatchers in providing callers with vital medical instructions until EMS arrival.
    emergency medical dispatch
  24. Main area in which an agency operates.
    primary service area (PSA)
  25. The EMS Agenda for the Future outlines 14 components of an EMS system (don't memorize):
    • 1. Public access
    • 2. Communication systems
    • 3. Clinical care
    • 4. Human resources
    • 5. Medical direction
    • 6. Legislation and regulation
    • 7. Integration of health services
    • 8. Evaluation
    • 9. Information systems
    • 10. System finance
    • 11. Education systems
    • 12. Prevention
    • 13. Public education
    • 14. EMS research
  26. Physician ____ ____ authorizes EMTs to provide medical care in the field.
    medical director
  27. Appropriate care is described in ____ ____ and protocols.
    standing orders
  28. Appropriate care is described in standing orders and ____.
    protocols
  29. Medical control can be:
    off-line or online.
  30. Type of medical control that is indirect and includes standing orders, training, and supervision.
    off-line
  31. Type of medical control that is direct and includes physician directions given over the phone or radio.
    online
  32. The ____ ____ maintains quality control.
    medical director
  33. ____ reviews and performs audits of the EMS system to identify areas of improvement and/or assign remedial training.
    CQI
  34. Three types of error:
    • rules-based failure
    • knowledge-based failure
    • skills-based failure
  35. ____ ____ focuses on strategies that will prevent the event from ever happening. For example, with the development of a vaccine and within the span of one generation, polio went from a devastating disease to being virtually eliminated.
    Primary prevention
  36. ____ ____ occurs after the event has already happened. The question then is how can we decrease the effects of the event? Helmets and seatbelts are examples of secondary prevention.
    Secondary prevention
  37. Evidence-based decision making is based on ____.
    research
  38. Protection of patient privacy has drawn national attention with the passage of the:
    Health Insurance Portability and Accountability Act (HIPAA).
  39. Focused on examining the health needs of entire populations with the goal of preventing health problems.
    public health
  40. Efforts to limit the effects of an injury or illness that you cannot completely prevent.
    secondary prevention
  41. A call center, staffed by trained personnel who are responsible for managing requests for police, firefighting, and ambulance services.
    public safety access point
  42. A system of internal and external reviews and audits of all aspects of an EMS system.
    continuous quality improvement (CQI)

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