PHTLS: TRAUMA ASSESSMENT AND HEMORRHAGE EXAM

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PHTLS: TRAUMA ASSESSMENT AND HEMORRHAGE EXAM

QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -33 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: What does a GCS <14 with abnormal pupil examination indicate?

Answer:

Life-threatening TBI

Question 2: GCS

Answer:

Glasgow Coma Scale (or Score) Question 3: Increased tissue may impact ability for auscultation, palpation, and inspection.Transport logistics will be more complicated and can interfere with assessment.Specialized equipment may be needed.At greater risk for heat illness

Answer:

When can Traumatic Cardiac Arrest be withheld

Question 4: Priorities of Trauma Care

on the Scene

Answer:

X (control hemorrhage) A (maintain airway & c-spine)

B (ventilation & maintain SpO2 ? 92%) C (manage perfusion & body temp) D (Disability) E (expose/enviornment)

Question 5: Primary Survey-Breathing

Answer:

Observation and auscultation of patient ventilation depth and rate Assess oxygenation with oximetry and maintain SpO2 at or -NCD if applicable

Question 6: Triage-Yellow

Answer:

Examples of "Yellow" MOI (Triage)

Question 7: When can

Traumatic Cardiac Arrest be terminated (stopped)

Answer:

Venous bleeding

Question 8: Principles

Answer:

basis for maximizing a patient's chance of survival

Question 9: Language barrier

Hearing difficulty AMS Comorbidities medication effects Less force in mechanism of injury required Decreased airway protection HTN Hydration status prior to injury Increased risk of abuse as causal factor Positioning and stabilization or immobilization may need to be modified due to anatomical abnormalities Inability to maintain body temperature

Answer:

Pediatric patient consideration (<8 yo)

Question 10: Primary Survey-Circulation (C)

Answer:

Palpate pulse points to estimate blood pressure Assess the skin color, temperature, and moisture (determine perfusion status)

Question 11: Preference

Answer:

how the principle is implemented

Question 12: Primary Survey- Disability (D)

Answer:

Assess the LOC using GCS Observe PERRL

Question 13: It prevents further injury to blood vessels by fx bone

Answer:

Where can massive internal hemorrhage occur?

Question 14: Increased oxygen demand

Increased loss of body heat Abdominal organs poorly protected against blunt trauma Lung injury without associated rib injury More susceptible to airway occlusion Difficulty understanding, fear Mechanism of injury unlike that for adult patient Specialized equipment needed (stethoscope, BP cuff, oximetry probe) Modify the GCS scale Increased risk of abuse as causal factor

Answer:

Pregnant patient consideration

Question 15: Triage- Yellow Transport Destination

Answer:

Should be transported to any trauma center

Question 16: Inspect the abdomen-

for bruising around the umbilicus or either flank

Inspect limbs:

for swelling and deformity Palpate Abdominal- Palpate each abdominal quadrant to evaluate for tenderness, abdominal muscle guarding, and masses Palpate Pelvis- Gently palpate for pain and instability Palpate Limbs- Palpate for tenderness and deformity.

Answer:

START Triage stands for?

Question 17: Examples of "Red" Injury Patterns (Triage)

Answer:

Examples of "Red" Mental Status/Vitals (Triage)

Question 18: Priorities of Trauma Care

during transport

Answer:

Transport to closest appropriate facility ?Collect medical hx and perform secondary assessment ?communicate w/ receiving facility ?consider prolonged transport issues

Question 19: Triage- Red Transport Destination

Answer:

Highest level trauma center

Question 20: Primary Survey- General Impression

Answer:

Are there any clues to the kinematics involved and potential for significant injury?What is patient positioning and are there any gross deformities?Is there evidence of severe external hemorrhage?Does the patient appear awake and responsive?Ask the patient's name and assess the patient's ability to interact.