Emergency Services Emergency Medical Services (EMS) 1 — Questions and Answers
Question 1: What is the primary goal of the 'Golden Hour' concept in emergency trauma care?
- Stabilize and transport the patient to definitive care within 60 minutes of injury (Correct answer)
- Perform surgery at the scene within one hour
- Administer all medications within 60 minutes
- Document the incident within one hour
Correct answer: Stabilize and transport the patient to definitive care within 60 minutes of injury
The Golden Hour refers to the critical period after severe trauma during which rapid surgical intervention can prevent death.
Question 2: Which agency certifies EMTs and paramedics at the national level in the US?
- FEMA
- NREMT (Correct answer)
- AHA
- OSHA
Correct answer: NREMT
The National Registry of Emergency Medical Technicians (NREMT) provides national certification for EMS professionals.
Question 3: What does 'BLS' stand for in EMS?
- Basic Life Support (Correct answer)
- Basic Lifeguard Safety
- Blood Loss Syndrome
- Basic Laboratory Standard
Correct answer: Basic Life Support
BLS stands for Basic Life Support and includes CPR, AED use, and airway management techniques.
Question 4: When performing CPR on an adult, what is the recommended compression-to-ventilation ratio?
- 15:2
- 30:2 (Correct answer)
- 5:1
- 20:2
Correct answer: 30:2
Current AHA guidelines recommend a 30:2 compression-to-ventilation ratio for single-rescuer adult CPR.
Question 5: What is the correct sequence of the EMS assessment chain?
- Primary survey, secondary survey, reassessment
- Triage, transport, treatment
- Vitals, history, physical exam
- Scene size-up, primary survey, history, secondary survey, reassessment (Correct answer)
Correct answer: Scene size-up, primary survey, history, secondary survey, reassessment
The EMS patient assessment follows a structured sequence starting with scene size-up through ongoing reassessment.
Question 6: Which condition requires immediate AED use?
- Atrial fibrillation
- Ventricular fibrillation (Correct answer)
- Sinus bradycardia
- Second-degree heart block
Correct answer: Ventricular fibrillation
Ventricular fibrillation is a shockable, life-threatening rhythm that requires immediate defibrillation with an AED.
What is the primary goal of the 'Golden Hour' concept in emergency trauma care?