PHTLS 10TH EDITION POST TEST 2026
COMPLETE REVIEW
◉ Ethical Principles: Answer: Nonmaleficence, Beneficence,
Autonomy Justice = Do no harm, Do good, Right to consent / refusal,
fair distribution of goods / services
◉ Advanced Directives & Order of Importance Answer: Means of
patient making medical decisions in advance in case of incapacitated
condition; Order for life sustaining treatment (POLST) / Out of
Hospital medical order / DNR order >> Medical Power of Attorney
(MPOA) >> Living will
◉ Golden Hour / Period Answer: Short period of time from injury to
definitive care after which chance of survival is significantly lower;
We abide by the Platinum 10, where we transport within 10 minutes
of arrival
◉ Why Trauma Patients Die Answer: Massive acute blood loss >
Injury to vital organs > Airway obstruction and ventilatory failure
◉ Golden Principle #1 Answer: Ensure Safety of Care Provider and
Patient (Scene Safety / BSI)
, ◉ Golden Principle #2 Answer: Assess scene for need of additional
resources
◉ Golden Principle #3 Answer: Recognize physics of trauma (how
did this happen / what happened / how bad is it)
◉ Golden Principle #4 Answer: Identify life threats (XABCDE)
◉ Golden Principle #5 Answer: Manage Airway while ensuring C-
Spine immobilization
◉ Golden Principle #6 Answer: Support breathing
◉ Golden Principle #7 Answer: Control significant external
hemorrhages (Every Red Blood Cell Counts)
◉ Golden Principle #8 Answer: Provide basic shock therapy such as
splinting injuries and maintaining BODY TEMPERATURE
◉ Golden Principle #9 Answer: Determine need for spinal
stabilization
◉ Golden Principle #10 Answer: Initial transport to appropriate
Trauma center
COMPLETE REVIEW
◉ Ethical Principles: Answer: Nonmaleficence, Beneficence,
Autonomy Justice = Do no harm, Do good, Right to consent / refusal,
fair distribution of goods / services
◉ Advanced Directives & Order of Importance Answer: Means of
patient making medical decisions in advance in case of incapacitated
condition; Order for life sustaining treatment (POLST) / Out of
Hospital medical order / DNR order >> Medical Power of Attorney
(MPOA) >> Living will
◉ Golden Hour / Period Answer: Short period of time from injury to
definitive care after which chance of survival is significantly lower;
We abide by the Platinum 10, where we transport within 10 minutes
of arrival
◉ Why Trauma Patients Die Answer: Massive acute blood loss >
Injury to vital organs > Airway obstruction and ventilatory failure
◉ Golden Principle #1 Answer: Ensure Safety of Care Provider and
Patient (Scene Safety / BSI)
, ◉ Golden Principle #2 Answer: Assess scene for need of additional
resources
◉ Golden Principle #3 Answer: Recognize physics of trauma (how
did this happen / what happened / how bad is it)
◉ Golden Principle #4 Answer: Identify life threats (XABCDE)
◉ Golden Principle #5 Answer: Manage Airway while ensuring C-
Spine immobilization
◉ Golden Principle #6 Answer: Support breathing
◉ Golden Principle #7 Answer: Control significant external
hemorrhages (Every Red Blood Cell Counts)
◉ Golden Principle #8 Answer: Provide basic shock therapy such as
splinting injuries and maintaining BODY TEMPERATURE
◉ Golden Principle #9 Answer: Determine need for spinal
stabilization
◉ Golden Principle #10 Answer: Initial transport to appropriate
Trauma center
