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Emergency Medical Responder Review Questions with correct Answers
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Emergency Medical Responder Review Questions with correct Answers
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Emergency Medical Responder ReviewQuestions with correct Answers
What is the purpose of the EMS? (p. 2) - Answer -A network of resources linked
together to provide emergency care and transport to victims of sudden illness or injury.
What are two basic ways to access the EMS system? (p. 4) - Answer -1. 9-1-1
2. non-9-1-1
How many nationally recognized levels of training are offered in the EMS system?
Describe each. (pp. 4-6) - Answer -1. EMR: First person on scene with emergency
training.
2. PCP: Can do everything the EMR does and more including IV's and certain symptom
relief drugs.
3. ACP: Can do everything an EMR and PCP can do and also preform a number of
advanced techniques and administer many medications.
4. CCP: Most advanced EMS.
What are the EMR's responsibilities? (pp. 6-7) - Answer -1. Guard your personal health
and safety
2. Maintain a caring attitude
3. Maintain your composure
4. Keep your appearance neat, clean, and professional
5. Maintain socioeconomic and cultural sensitivity
6. Keep your knowledge and skills up to date
7. Keep your knowledge of local, provincial, and national issues affecting the EMS
system up to date.
What are two types of medical control? Describe each. (p. 7) - Answer -1. Direct
medical control: also called "online," medical director or another physician directs an
EMS rescuer at the scene of an emergency. May also be exercised through a
paramedic medical supervisor.
2. Indirect medical control: also called "offline," "retrospective," or "prospective,"
includes system design and quality management. protocols that spell out the accepted
practice for EMR's in your area.
What are the five stages of the grieving process? (pp. 12-13) - Answer -1. Denial
,2. Anger
3. Bargaining
4. Depression
5. Acceptance
What is critical incident stress debriefing (CISD)? (p. 16) - Answer -a system developed
to help rescuers cope with critical incident stress. Combining a team of peer counsellors
with mental health professionals. Includes anyone involved in an incident , eg . police,
firefighters, ems..
How does debriefing differ from defusing? (p. 16) - Answer -Defusing is much shorter
and less formal than a debriefing and is held within hours of the critical incident, where
as debriefing is usually held within 24-72 hrs.
Defusing gives rescuers an outlet to vent feelings and gather information before larger
meetings.
Debriefing rescuers are urged to explore any physical , mental, or emotional symptoms
they are experiencing.
How does an infectious disease spread from person to person? (p. 17) - Answer -
Pathogens , either directly or indirectly (contaminated object)
List five immunizations that should be kept up to date by an EMR. (p. 22) - Answer -1.
Tetanus prophylaxis (every 10 years)
2. Hepatitis B vaccine
3. Influenza vaccine (every year)
4. Polio vaccine
5. Measles, mumps, rubella (MMR) vaccine
What rule applies to all unsafe emergency scenes? (p. 23) - Answer -If the scene is
unsafe, make it safe before you enter. Otherwise, wait for help.
Explain the difference between express and implied consent. (pp. 29-30) - Answer -
Express consent may consist of verbal consent, a nod, or an affirming gesture from a
competent adult. To get it, you must explain your plan for emergency care in terms that
the patient can understand.
Implied consent applies when you assume that a patient who cannot consent (due to
being unconscious, or mental state) to life-saving care would do so if he or she were
able to.
What is an advance care plan? (p. 31) - Answer -An advance directive, advance care
plan, or health care directive (HCD) is written in advance of an emergency. Such
directives express a patient's desire regarding the rendering or withholding of treatment
options.
It MUST be signed by the patient.
, What is a DNR order? What should an EMR do if presented with one? (pp. 31-32) -
Answer -Documents the wish of the chronically or terminally ill patient not to be
resuscitated. It allows the EMR to legally withhold resuscitation.
The document must be physically present when needed.
How should you handle a patient's refusal of treatment? (pp. 32-33) - Answer -1. Try
again to persuade the patient to accept treatment or transport.
2. Be sure the patient is able to make a rational, informed decision.
3. Obtain medical direction as required by local protocol.
4. Have the patient sign a refusal or "release from lia-bility" form
What must happen in order for an EMR to be liable for abandonment or negligence? (p.
34) - Answer -Abandonment means you stopped providing care to a patient without
making sure that the same or better care would be continued.
Negligence is defined as carelessness, inattention, disregard, inadvertence, or oversight
that was accidental but avoidable. Care must not deviate from the accepted Standard of
Care.
which includes:
1. The EMR had a duty to act
2. There was a breach of duty
3. The patient was injured physically or psychologically
4. The EMR caused the injury
What does it mean for an EMR to have a duty to act? (p. 34) - Answer -a Contractual or
legal obligation to provide care. While you are on duty you must care for a patient who
needs it and consents to it.
Under what conditions may an EMR release confidential patient information? (p. 34) -
Answer -To release this information, you must have a written form signed by the patient
or a parent or legal guardian.
OR one of the following:
1. Another health care provider needs it in order to continue medical care.
2. You are required by legal subpoena to provide it in court
What are some ways an EMR can help preserve evidence at a crime scene? (p. 35) -
Answer -When on the scene of a potential crime, do not disturb any item that may be
evidence.
1. Observe and document anything unusual at the scene
2. Touch only what you need to touch
3. Never wipe away blood. It can be used as evidence
4. Move only what you need to move to protect the patient and provide emergency care
5. Do not use the telephone unless the police give you permission to do so. They may
wish to find out who the last caller was
6. Move the patient only if he or she is in danger or must be moved in order for you to
provide emergency care.
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