EMS Jurisprudence Practice Exam

An ambulance authorized at the BLS with MICU capability becomes active when staffed by which of the following?

1. One EMT Intermediate and one Emergency Care Attendant

2. At least one certified paramedic and one EMT basic

3. Two paramedics

4. No specific staff required

The correct answer is: At least one certified paramedic and one EMT basic

The reasoning behind the selection of having at least one certified paramedic and one EMT basic is based on the operational standards and regulations governing ambulance staffing. An ambulance designated as Basic Life Support (BLS) with Mobile Intensive Care Unit (MICU) capability requires personnel who can provide a higher level of care than typically offered by standard BLS. Having a certified paramedic on board ensures that advanced life support procedures can be administered, which is crucial for patient care during transport for more critical patients. The EMT basic plays a supportive role, helping with protocols within their scope of practice. This combination is essential for an ambulance operating under MICU protocols to meet the necessary care requirements and ensure patient safety. Other staffing combinations, such as an EMT Intermediate or two paramedics, may not align with the regulatory requirements for what qualifies as a BLS system with MICU capability. The option specifying no specific staff required would fail to meet the rigorous standards needed to provide adequate care in a critical situation. Therefore, the requirement for a certified paramedic guarantees adherence to the necessary operational standards for patient transport under specific medical emergencies.