309 NREMT Cognitive Exam Prep
Questions and Answers
Where does the modern EMS system have its origin? >>>The modern EMS system has
its origins in funeral homes, which often operated ambulances. However, funeral home
...
309 NREMT Cognitive Exam Prep
Questions and Answers
Where does the modern EMS system have its origin? >>>The modern EMS system has
its origins in funeral homes, which often operated ambulances. However, funeral home
operators were often serving competing business interests and patients received little
trained care until the hospital.
What is considered the "birth" of EMS? >>>In 1966, a paper titled "Accidental Death
and Disability: The Neglected Disease of Modern Society" is published by the National
Academy of Sciences. This paper is widely known in the EMS profession as the White
Paper. The White Paper is widely considered the birth of modern EMS. It spotlighted
inadequacies of prehospital care in the United States, particularly related to trauma.
Who developed the first EMT National Standard Curriculum? >>>Early in the 1970s, the
US Department of Transportation developed the first EMT National Standard
Curriculum.
What are the levels of EMS training? >>>Emergency Medical Responder (EMR):
provides basic, immediate care including bleeding control, CPR, AED and emergency
childbirth.
Emergency Medical Technician (EMT): includes all EMR skills, advanced oxygen and
ventilation skills, pulse oximetry, noninvasive blood pressure monitoring, and
administration of certain medications.
Advanced Emergency Medical Technician (AEMT): includes all EMT skills, advanced
airway devices, intravenous and intraosseous access, blood glucose monitoring, and
administration of additional medications.
Paramedic: includes all preceding training levels, advanced assessment and
management skills, various invasive skills, and extensive pharmacology interventions.
This is the highest level of prehospital care outlined in the National EMS Education
Standards.
What are EMT roles and responsibilities? >>>Equipment preparedness
Emergency vehicle operations
Establish, maintain scene safety
Patient assessment and treatment
Lifting and moving
Strong verbal and written communication skills
Patient advocacy
Professional development
Quality improvementIllness and injury prevention
Maintain certification/licensure
What is the role of the medical director? >>>The medical director is a physician
responsible for providing medical oversight. The medical director oversees quality
improvement.
What are the two types of medical direction? >>>Online medical direction: direct contact
between the physician and EMT via or radio.
Offline medical direction: written guidelines and protocols.
What is an EMT's first priority? >>>The EMT's first priority is always his or her own
safety. Scene safety is always the top priority!
The EMT's safety priorities after personal safety are for his/her partner(s), patients and
bystanders.
What are the types of stress? >>>Acute stress: an immediate physiological and
psychological reaction to a specific event.
Delayed stress: a stress reaction that develops after the stressful event. It does not
interfere with the EMT's ability to perform during the stressful event. PTSD is an
example of delayed stress.
Cumulative stress: the result of exposure to stressful situations over a prolonged period
of time.
What are the stages of grief? >>>Denial
Anger
Bargaining
Depression
Acceptance
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