2. The patient's respiration improves markedly, but he remains confused. He has an
absent radial pulse, and his carotid pulse is fast and thready. Your partner asks if he can
let the compression go to put in an IV. How should you respond?
A. "Oh yes, that's a great idea!"
B. "Yes, but we have to immobilize him first"
C. "Take a blood pressure first to see if he needs an IV."
D. "No, keep the pressure and let's get out of here!"
Question 2: D
This patient is likely in decompensated shock with internal bleeding, so rapid
transport is the next priority. You should maintain pressure on the wound,
because having massive external bleeding start up again is the last thing you
want in this situation.
,2. A trauma patient from the highway incident is holding her right arm, and you note a
significant amount of blood steadily flowing from a long gash. This is an example of what
type of hemorrhage?
A. Capillary bleeding
B. Venous bleeding
C. Arterial bleeding
D. Road rash
Question 2: B
Venous bleeding typically results in a steady flow of dark red blood.
2. The patient's care giver is a babysitter who reports the child was crawling on the
counter and placed his hand in a pot of water that was boiling on the stove. She is
applying ice to the burn and the child is shivering. What is your next step?
A. Administer analgesia for pain.
B. Cover the patient with a blanket to stop the shivering.
C. Start IV for fluid resuscitation.
D. Stop the burning process and remove the ice pack.
Question 2: D
A common error that results in damage to the zone of stasis is the application
of ice by a bystander or prehospital care practitioner. When ice is applied to a
burn, the patient will experience some reduction in pain; however, the pain
relief will be at the expense of additional tissue destruction.
, 2. During primary survey, you find the following:
. LOC: alert and oriented; speaking in full sentences
. GCS: 15
. Airway: good air entry to bases
. Breathing: bilateral
. Circulation: skin warm, flushed, dry
. Pulse rate: 112 bpm, strong andregular
. BP: 90/42 mm Hg
. Pain: Patient complains of severe pain at clavicle site and pain on inspiration at site of
possible fractured ribs. No other injuries detected. What is your next step?
A. Apply a cervical collar and in-line immobilization device.
B. Treat for hypovolemic shock.
C. Apply an arm sling for the clavicle injury.
D. Administer pain medication.
Question 2: A
Although the patient's GCS is normal, she does have a distracting injury, and
the state of her helmet indicates possible spinal compression/flexion, so you
should immobilize the patient.
1. Which of the following requires you to develop a plan of action, initiate the plan,
reassess the plan as care for the patient moves forward, and adjust the plan as the
patient's condition or circumstances change?
A. Principles of PHTLS
B. The Golden Period
C. The XABCDE assessment
D. Critical thinking process
absent radial pulse, and his carotid pulse is fast and thready. Your partner asks if he can
let the compression go to put in an IV. How should you respond?
A. "Oh yes, that's a great idea!"
B. "Yes, but we have to immobilize him first"
C. "Take a blood pressure first to see if he needs an IV."
D. "No, keep the pressure and let's get out of here!"
Question 2: D
This patient is likely in decompensated shock with internal bleeding, so rapid
transport is the next priority. You should maintain pressure on the wound,
because having massive external bleeding start up again is the last thing you
want in this situation.
,2. A trauma patient from the highway incident is holding her right arm, and you note a
significant amount of blood steadily flowing from a long gash. This is an example of what
type of hemorrhage?
A. Capillary bleeding
B. Venous bleeding
C. Arterial bleeding
D. Road rash
Question 2: B
Venous bleeding typically results in a steady flow of dark red blood.
2. The patient's care giver is a babysitter who reports the child was crawling on the
counter and placed his hand in a pot of water that was boiling on the stove. She is
applying ice to the burn and the child is shivering. What is your next step?
A. Administer analgesia for pain.
B. Cover the patient with a blanket to stop the shivering.
C. Start IV for fluid resuscitation.
D. Stop the burning process and remove the ice pack.
Question 2: D
A common error that results in damage to the zone of stasis is the application
of ice by a bystander or prehospital care practitioner. When ice is applied to a
burn, the patient will experience some reduction in pain; however, the pain
relief will be at the expense of additional tissue destruction.
, 2. During primary survey, you find the following:
. LOC: alert and oriented; speaking in full sentences
. GCS: 15
. Airway: good air entry to bases
. Breathing: bilateral
. Circulation: skin warm, flushed, dry
. Pulse rate: 112 bpm, strong andregular
. BP: 90/42 mm Hg
. Pain: Patient complains of severe pain at clavicle site and pain on inspiration at site of
possible fractured ribs. No other injuries detected. What is your next step?
A. Apply a cervical collar and in-line immobilization device.
B. Treat for hypovolemic shock.
C. Apply an arm sling for the clavicle injury.
D. Administer pain medication.
Question 2: A
Although the patient's GCS is normal, she does have a distracting injury, and
the state of her helmet indicates possible spinal compression/flexion, so you
should immobilize the patient.
1. Which of the following requires you to develop a plan of action, initiate the plan,
reassess the plan as care for the patient moves forward, and adjust the plan as the
patient's condition or circumstances change?
A. Principles of PHTLS
B. The Golden Period
C. The XABCDE assessment
D. Critical thinking process
