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O'Keefe and Edward T. Dickinson Test Bank
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1) Which`of`the`following`refers`to`a`program`or`process`for`evaluating`and`i
mproving`the`effectiveness`of`an`EMS`system?
A) Quality`improvement
,Emergency Care 14th Edition by Daniel Limmer, Michael F
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O'Keefe and Edward T. Dickinson Test Bank
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B) System`effectiveness`management
C) Process`Improvement`Plan`(PIP)
D) Total`quality`system`-
`A)`CORRECT.`Quality`improvement`(QI)`consists`of`continuous`self-
review`with`the`purpose`of`identifying`aspects`of`the`EMS`system`that`requir
e`improvement,`with`subsequent`action`plans`to`make`subsequent
changes.
B) INCORRECT.`System`effectiveness`management`does`not`refer`to`a`
program`of`evaluating`and`improving`an`EMS`system.
C) INCORRECT.`A`program`or`process`for`evaluating`and`improving`the`e
ffectiveness`of`an`EMS`system`is`not`referred`to`as`a`Process`Improvement`Pr
ogram.
D) INCORRECT.`The`term`"total`quality`system"`does`not`refer`to`a`program`f
or`improving`the`effectiveness`of`EMS`systems.
2) Which`of`the`following`groups`is`credited`with`developing`the`earliest`d
ocumented`emergency`medical`service?
A) The`Spanish
B) The`Egyptians
C) The`Mayans
D) The`French`-
`Explanation:`A)`INCORRECT.`The`Spanish`did`not`develop`the`first`documented`e
mergency`medical`service;`the`French`did`in`the`1700s.`B)`INCORRECT.`Although`
known`for`progress`in`technical`areas,`the`Egyptians`were`not`responsible`for`the`firs
t`documented`emergency`medical`service.`In`1790,`the`French`first`began`transporti
ng`wounded`soldiers`away`from`battlefields`and`to
waiting`medical`care.
C) INCORRECT.`The`earliest`documented`emergency`medical`service`was`in`Fra
nce`in`1790,`nearly`a`thousand`years`after`the`Mayan`civilization`disappeared.
,Emergency Care 14th Edition by Daniel Limmer, Michael F
` ` ` ` ` ` ` `
O'Keefe and Edward T. Dickinson Test Bank
` ` ` ` ` `
D) 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.
3) In`1966`the`National`Highway`Safety`Act`charged`which`of`the`following`a
gencies`with`the`development`of`emergency`medical`service`standards?
A) U.S.`Department`of`Transportation
B) U.S.`Department`of`the`Interior
C) U.S.`Department`of`Health`Services
D) U.S.`Department`of`Homeland`Security`-
`Explanation:`A)`CORRECT.`In`1966`the`National`Highway`Safety`Act`charged`t
he`United`States`Department`of`Transportation`(DOT)`with`developing`EMS`stan
dards`and`assisting`the`states`to`upgrade`the`quality`of`their`prehospital`emergency
`care.
B) INCORRECT.`The`U.S.`Department`of`the`Interior`is`charged`with`the`man
agement`and`conservation`of`federal`land`and`the`country's`natural`resources.`The`
Department`of`Transportation`was`charged`with`developing`EMS`standards.
C) INCORRECT.`Although`the`U.S.`Department`of`Health`and`Human
Services`is`charged`with`protecting`the`health`of`all`Americans,`the`United`States`De
partment`of`Transportation`was`assigned`the`task`of`developing`emergency`medical
`service`standards.
D) INCORRECT.`Although`the`U.S.`Department`of`Homeland`Security`is`tas
ked`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.
4) Which`of`the`following`agencies`is`responsible`for`establishing`EMS`system`a
ssessment`programs?
A) Department`of`Health`and`Human`Services`(HHS)
B) National`Transportation`Safety`Board`(NTSB)
C) National`Highway`Traffic`Safety`Administration`(NHTSA)
D) United`States`Health`Services`Agency`(HSA)`-
`Explanation:`A)`INCORRECT.`The`Department`of`Health`and`Human`Services
`(HHS)`is`not`responsible`for`EMS`system`assessment`programs.
B) INCORRECT.`The`National`Transportation`Safety`Board`(NTSB)`does`not`
establish`EMS`system`assessment`programs.
, Emergency Care 14th Edition by Daniel Limmer, Michael F
` ` ` ` ` ` ` `
O'Keefe and Edward T. Dickinson Test Bank
` ` ` ` ` `
C) CORRECT.`The`National`Highway`Traffic`Safety`Administration`(NHTSA)
Technical`Assistance`Program`has`established`assessment`programs`with`set`standar
ds`for`EMS`systems.
D) INCORRECT.`The`United`States`Department`of`Health`and`Human`Services`h
as`no`oversight`of`EMS`systems.
5) Centralized`coordination`of`emergency`medical`access,`transportation,`and`care`
most`refers`to`which`of`the`following?
A) Emergency`preparedness`plan
B) Trauma`system
C) Resource`management
D) Central`deployment`-`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`prop
erty.`They`generally`will`not`address`the`specifics`of`medical`care`or`transport.
B) INCORRECT.`A`trauma`system`is`an`organized,`coordinated`effort`between`f
acilities`and`responders`within`a`defined`geographic`area`to`deliver`a`full`range`of`ca
re`to`injured`patients.`It`does`not`address`the`coordination`of`basic`(non-
trauma)`emergency`care`or`transportation.
C) CORRECT.`Resource`management`refers`to`the`centralized`coordination`of`
an`emergency`response`so`that`all`victims`have`equal`access`to`basic`emergency`car
e`and`are`transported`by`certified`personnel,`in`a`licensed`and`equipped
ambulance,`to`an`appropriate`facility.
D) INCORRECT.`The`centralized`coordination`of`emergency`medical`access,`t
ransportation,`and`care`within`an`EMS`system`is`not`referred`to`as`central
deployment.
6) Which`of`the`following`BEST`describes`the`purpose`of`the`modern`emergency`
medical`services`(EMS)`system?
A) To`have`trained`personnel`respond`quickly`and`provide`emergency`care`on`t
he`scene,`during`transport,`and`at`the`hospital