PHTLS Trauma Assessment Test
Questions and Answers
Priorities of Care - ANSWER-1. Obtaining a general impression of the situation for
scene safety for responders, bystanders, and patients (Weather included too - as that is
a part of scene safety it is the number 1 priority - your initial steps are your priorities.
Your method is based on priorities)
2. Determining the need for additional resources
3. Considering the MOI
When taking over from civilians or other responders over equal or lower care, always -
ANSWER-Reassess LOC XABCDE
When assessing the airway of an unconscious trauma patient, or any unwitnessed
unconscious patient, always - ANSWER-Look in the airway
If gurgling is present, immediately - ANSWER-Suction the airway (You know what's up)
If the patient is snoring, immediately - ANSWER-Reposition the airway
GCS Classification of TBIs - ANSWER-Mild: 13-15
Moderate: 9-12
Severe: 3-8
Disability - ANSWER-Anything that can affect our GCS
PHTLS assessment is - ANSWER-XABCDE
PHTLS Principles and Preferences - ANSWER-Principles:
What must be done to ensure patient survival
Preferences:
How you do it
Platinum 10 minutes - ANSWER-The goal for on-scene time when caring for a trauma
or shock patient.
Golden Hour - ANSWER-The time from injury to definitive care, during which treatment
of shock and traumatic injuries should occur because survival potential is best; also
called the Golden Period.
, Everything going to be close to an hour? Get a helicopter
Controlling X-anguinating hemorrhage - ANSWER-Manual Pressure, Pressure
Dressing, Tourniquet/hemostatics.
Every degree you drop temperature, coagulopathy drops 10-15%
Cooling a bleeding patient - ANSWER-Yes it constricts blood vessels but it creates
coagulopathy
What affects Expose (removing of clothes) for the trauma patient? - ANSWER-
Temperature, weather conditions. Hence that being a consideration for emergent moves
which interrupt the primary survey
Withholding resuscitation - ANSWER-
Special considerations when considering withoulding resuscitation - ANSWER-Pregnant
Pediatrics
Drowning
Lightning Strikes
Drowning
Do not terminate resuscitation with - ANSWER-ROSC
...
...
How long does it take for clots to form? - ANSWER-10 minutes
3 seconds with hemostatic dressings
4 Social Consideration groups - ANSWER-Geriatrics
Pediatrics
Obstetrics
Bariatrics
You can NEVER use a full chest self because - ANSWER-It will ALWAYS rapidly cause
a tension pneumothorax and has to be burped - wasting time
Heaven assessment for Difficult intubation - ANSWER-H: Hypoxemia
E: Extremes of Size
A: Anatomic Challenge
V: Vomit/Blood/Fluid
E: Exsanguinating Hemorrhage/Suspected Anemia
N: Neck Mobility
Respiration vs ventilation problem - ANSWER-
Questions and Answers
Priorities of Care - ANSWER-1. Obtaining a general impression of the situation for
scene safety for responders, bystanders, and patients (Weather included too - as that is
a part of scene safety it is the number 1 priority - your initial steps are your priorities.
Your method is based on priorities)
2. Determining the need for additional resources
3. Considering the MOI
When taking over from civilians or other responders over equal or lower care, always -
ANSWER-Reassess LOC XABCDE
When assessing the airway of an unconscious trauma patient, or any unwitnessed
unconscious patient, always - ANSWER-Look in the airway
If gurgling is present, immediately - ANSWER-Suction the airway (You know what's up)
If the patient is snoring, immediately - ANSWER-Reposition the airway
GCS Classification of TBIs - ANSWER-Mild: 13-15
Moderate: 9-12
Severe: 3-8
Disability - ANSWER-Anything that can affect our GCS
PHTLS assessment is - ANSWER-XABCDE
PHTLS Principles and Preferences - ANSWER-Principles:
What must be done to ensure patient survival
Preferences:
How you do it
Platinum 10 minutes - ANSWER-The goal for on-scene time when caring for a trauma
or shock patient.
Golden Hour - ANSWER-The time from injury to definitive care, during which treatment
of shock and traumatic injuries should occur because survival potential is best; also
called the Golden Period.
, Everything going to be close to an hour? Get a helicopter
Controlling X-anguinating hemorrhage - ANSWER-Manual Pressure, Pressure
Dressing, Tourniquet/hemostatics.
Every degree you drop temperature, coagulopathy drops 10-15%
Cooling a bleeding patient - ANSWER-Yes it constricts blood vessels but it creates
coagulopathy
What affects Expose (removing of clothes) for the trauma patient? - ANSWER-
Temperature, weather conditions. Hence that being a consideration for emergent moves
which interrupt the primary survey
Withholding resuscitation - ANSWER-
Special considerations when considering withoulding resuscitation - ANSWER-Pregnant
Pediatrics
Drowning
Lightning Strikes
Drowning
Do not terminate resuscitation with - ANSWER-ROSC
...
...
How long does it take for clots to form? - ANSWER-10 minutes
3 seconds with hemostatic dressings
4 Social Consideration groups - ANSWER-Geriatrics
Pediatrics
Obstetrics
Bariatrics
You can NEVER use a full chest self because - ANSWER-It will ALWAYS rapidly cause
a tension pneumothorax and has to be burped - wasting time
Heaven assessment for Difficult intubation - ANSWER-H: Hypoxemia
E: Extremes of Size
A: Anatomic Challenge
V: Vomit/Blood/Fluid
E: Exsanguinating Hemorrhage/Suspected Anemia
N: Neck Mobility
Respiration vs ventilation problem - ANSWER-
