SOLVED

11) Approximately ________ percent of physicians practice in rural areas, which is proportionally ________ per capita than in urban areas. A) 10, lower B) 25, higher C) 10, higher D) 25, lower 12) Which of the following factors can account for a delay in the time it takes a patient in a rural setting to reach definitive care? A) Delays in family or bystanders discovering the ill or injured patient B) The time it takes providers to reach the squad building C) Lengthy transport times D) All of the above 13) Which of the following statements concerning the use of helicopters in rural EMS is TRUE? A) Helicopters should only be used when a short extrication time is anticipated. B) In some instances, it may be more efficient to transport patients by ground. C) Helicopter transport is contraindicated for the patient suffering from altitude sickness. D) The best use of helicopter transport is for the patient in traumatic cardiac arrest. 14) You are on the scene of a single-vehicle rollover collision in which the two teenage occupants were ejected. Both patients are seriously injured. Yours is the only transporting vehicle on the scene and you are the only paramedic, but there are two volunteer EMTs and two first responders on the scene. Helicopter transport is not available. There is a small community hospital 23 miles away but a larger level II regional trauma center 40 miles away. The closest BLS transporting unit is 18 miles away. Which of the following is the best transport decision? A) Transport both patients in one unit to the community hospital. B) Transport the first patient to the community hospital while one EMT and one first responder remain with the patient, then immediately return to the scene for the second patient. C) Transport both patients in one unit to the regional trauma center. D) Transport the first patient to the community hospital while one EMT and one first responder wait on the scene for the BLS transport unit. 15) Which of the following is a characteristic of the rural setting? A) People living in rural areas are less likely to have chronic health conditions. B) People living in rural areas have a much lower risk of serious injuries. C) There are fewer doctors per capita than in urban settings. D) All of the above are characteristics. 16) You are active in your local rural rescue squad as a paramedic. Your small town of 500 people does not have a hospital. There is a small community hospital 25 miles away and a large urban hospital 70 miles away. Recently, you have had two chest pain patients go into cardiac arrest and die after reaching the local community hospital, which does not have a cardiac catheterization lab or fibrinolytic therapy available. Given your rural setting, which of the following should you suggest to the medical director and rescue squad council as a solution? A) Allow paramedics with the rescue squad to perform 12-lead ECGs and carry bedside cardiac marker assays, heparin, and fibrinolytics. B) Suggest fund-raising activities to build a cardiac catheterization lab at the community hospital. C) Develop a general protocol that states all patients with chest pain of suspected cardiac origin should be transported directly from the scene to the urban hospital 70 miles away. D) Develop a general protocol that states all patients with chest pain of suspected cardiac origin should be transported to the community hospital for evaluation by the nurse practitioner before transporting to the urban hospital. 17) Which of the following may adversely impact the delivery of EMS in rural areas? A) Inadequate medical direction B) Reliance on volunteers C) Lack of opportunity for providers to use their skills D) All of the above 18) You have been dispatched to a family farm operation for a report of a tractor rollover with an injured person. Which of the following types of injuries should you anticipate? A) Degloving B) Crush C) Shearing D) Rapid deceleration 19) You have been dispatched to a hunting camp for a report of a four-wheeler ATV rollover with an injured person. Which of the following types of injuries should you anticipate? A) Degloving B) Crush C) Shearing