, Volume 4: Trauma Emergencies
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Table of Contents
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Chapter 1: Trauma and Trauma Systems
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Chapter 2: Mechanism of Injury
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Chapter 3: Hemorrhage and Shock C
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h apter 4: Soft-
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Tissue Trauma Chapter 5: Burns
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Chapter 6: Head, Neck, and Spinal Trauma
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Chapter 7: Chest Trauma
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Chapter 8: Abdominal and Pelvic Trauma
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Chapter 9: Orthopedic Trauma
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Chapter 10: Environmental Trauma
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Chapter 11: Special Considerations in Trauma
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,Volume 4: Trauma Emergencies b3 b3 b3
Chapter 1: b3 Trauma and Trauma Systems b3 b3 b3
1) The purpose of determining the mechanism of injury and the index of suspicion for the trau
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
p m a tiaen t at the same time is to allow you to
b3 b3 b3 b3 b 3 b3 b3 b3 b3 b3 b3 b3 b3
:
A) decide whether to transport the patient
b3 b3 b3 b3 b3
.
B) identify comorbid factors. b3 b3
C) document a complete scene size-up. b3 b3 b3 b3
D) anticipate your patient's injuries. b3 b3 b3
Answer: D
Diff: 2 Page Ref: 9-10
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Standard: Trauma (Trauma Overview) b 3 b 3 b3 b3
O2 )b W
b3 j e chtii cvhe : o f 7 the following accounts for the highest number of trauma deaths in the United Stat oef s
8b 3 b3 b3 b3 b3 %b 3 b3 b 3 % b3 b3 J# J# b3 b3 J# b3 b3 b3 J# b3 b3 b3 J# 8b 3
Am erica?
b3
A) Motor vehicle crashes b3 b3
B) Falls
C) Assaults
D) Firearms injuries J#
Answer: A
Diff: 2 Page Ref: 3
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Standard: Trauma (Trauma Overview) Object
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iv e:
b3 2
3) Which of the following acts resulted in the development of modern EMS systems A
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?) Ryan White Act
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B) Highway Safety Act of 1966 b3 b3 b3 b3
C) Good Samaritan Act b3 b3
D) The Trauma Care Systems Planning and Development Act of 199
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0 Answer: B
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Diff: 2 Page Ref: 4
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Standard: Trauma (Trauma Overview) Object
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iv e:
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4) In addition to handling all types of specialty trauma, which level of trauma center provide c
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os ntinuing medical and public education programs?
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A) IV
B) III
C) I
D) II
Answer: C
Diff: 2 Page Ref: 7-8
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Standard: Trauma (Trauma Overview) Object
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iv e:
b3 4
, 5) Upon arriving on a scene where the mechanism of injury indicates a potentially li
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fe th-
b3
reatening injury, you should employ which of the following interventions to best help delive
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b
3 r the care that is needed?
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A) Reevaluate the scene size-up. b3 b3 b3
B) Initiate transport immediately, delaying more extensive care until you are en route.
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
C) Ask a surgeon to respond to the scene.
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D) Call immediately for air medical transport to reduce the "Golden Period."
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3A nswer: B
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Diff: 2 Page Ref: 13
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Standard: Trauma (Trauma Overview) Object
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iv e:
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6) Which of the following physical findings indicates the need for immediate transport A
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?) Vital signs: systolic blood pressure 80, respiratory rate 8
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B) Glasgow Coma Scale score of 15 b3 b3 b3 b3 b3
C) Second-
degree burns involving 9 percent of total body surface area in an adult patient
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D) Fracturedrightfemur b3
Answer: A
Diff: 2 Page Ref: 11-12
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Standard: Trauma (Trauma Overview) Object
b 3 b3 b3 b3
iv e:
b3 7
7) Which of the following requires immediate transport to a trauma cente A
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r) ?b3 A 40-year-old who fell 12 feet from a garage roof with a radius fracture
8 b 3 b 3 J# b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
B) A 36-year-old woman in a motor vehicle crash who has a blood pressure of 100/60
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C) A 22-year-old soccer player with lower leg pain
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D) A 47-year- b3
old involved in a motor vehicle crash that resulted in the death of his passen
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ger Answer: b3 D
Diff: 2 Page Ref: 12
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Standard: Trauma (Trauma Overview) Object
b 3 b3 b3 b3
iv e:
b3 7
8) As a paramedic, your role in trauma care consists of all of the following, EXCEPT:
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A) providing rapid transport to appropriate facilities.
b3 b3 b3 b3 b3
B) promoting injury prevention. b3 b3
C) providing care to seriously injured trauma patients.
b3 b3 b3 b3 b3 b3
D) providing surgical interventions to stop hemorrhage.
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Answer: D
Diff: 2 Page Ref: 3
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Standard: Trauma (Trauma Overview) Object
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iv e:
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Table of Contents
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Chapter 1: Trauma and Trauma Systems
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Chapter 2: Mechanism of Injury
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Chapter 3: Hemorrhage and Shock C
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h apter 4: Soft-
b3 b3 b3
Tissue Trauma Chapter 5: Burns
b3 b3 b3 b3
Chapter 6: Head, Neck, and Spinal Trauma
b3 b3 b3 b 3 b 3 b3
Chapter 7: Chest Trauma
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Chapter 8: Abdominal and Pelvic Trauma
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Chapter 9: Orthopedic Trauma
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Chapter 10: Environmental Trauma
b3 b3 b3
Chapter 11: Special Considerations in Trauma
b3 b3 b3 b3 b3
,Volume 4: Trauma Emergencies b3 b3 b3
Chapter 1: b3 Trauma and Trauma Systems b3 b3 b3
1) The purpose of determining the mechanism of injury and the index of suspicion for the trau
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
p m a tiaen t at the same time is to allow you to
b3 b3 b3 b3 b 3 b3 b3 b3 b3 b3 b3 b3 b3
:
A) decide whether to transport the patient
b3 b3 b3 b3 b3
.
B) identify comorbid factors. b3 b3
C) document a complete scene size-up. b3 b3 b3 b3
D) anticipate your patient's injuries. b3 b3 b3
Answer: D
Diff: 2 Page Ref: 9-10
b3 b3 b3
Standard: Trauma (Trauma Overview) b 3 b 3 b3 b3
O2 )b W
b3 j e chtii cvhe : o f 7 the following accounts for the highest number of trauma deaths in the United Stat oef s
8b 3 b3 b3 b3 b3 %b 3 b3 b 3 % b3 b3 J# J# b3 b3 J# b3 b3 b3 J# b3 b3 b3 J# 8b 3
Am erica?
b3
A) Motor vehicle crashes b3 b3
B) Falls
C) Assaults
D) Firearms injuries J#
Answer: A
Diff: 2 Page Ref: 3
b3 b3 b3
Standard: Trauma (Trauma Overview) Object
b 3 b3 b3 b3
iv e:
b3 2
3) Which of the following acts resulted in the development of modern EMS systems A
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
?) Ryan White Act
b3 b3 b3
B) Highway Safety Act of 1966 b3 b3 b3 b3
C) Good Samaritan Act b3 b3
D) The Trauma Care Systems Planning and Development Act of 199
b3 b3 b3 b3 b3 b3 b3 b3 b3
0 Answer: B
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Diff: 2 Page Ref: 4
b3 b3 b3
Standard: Trauma (Trauma Overview) Object
b 3 b3 b3 b3
iv e:
b3 8
4) In addition to handling all types of specialty trauma, which level of trauma center provide c
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
os ntinuing medical and public education programs?
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A) IV
B) III
C) I
D) II
Answer: C
Diff: 2 Page Ref: 7-8
b3 b3 b3
Standard: Trauma (Trauma Overview) Object
b 3 b3 b3 b3
iv e:
b3 4
, 5) Upon arriving on a scene where the mechanism of injury indicates a potentially li
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b 3 b3 b3
fe th-
b3
reatening injury, you should employ which of the following interventions to best help delive
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b
3 r the care that is needed?
b3 b3 b3 b3 b3
A) Reevaluate the scene size-up. b3 b3 b3
B) Initiate transport immediately, delaying more extensive care until you are en route.
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
C) Ask a surgeon to respond to the scene.
b3 b3 b3 b3 b 3 b3 b3
D) Call immediately for air medical transport to reduce the "Golden Period."
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b
3A nswer: B
b3 b3
Diff: 2 Page Ref: 13
b3 b3 b3
Standard: Trauma (Trauma Overview) Object
b 3 b3 b3 b3
iv e:
b3 7
6) Which of the following physical findings indicates the need for immediate transport A
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
?) Vital signs: systolic blood pressure 80, respiratory rate 8
b 3 b3 b3 b3 b3 b3 b3 b3 b3
B) Glasgow Coma Scale score of 15 b3 b3 b3 b3 b3
C) Second-
degree burns involving 9 percent of total body surface area in an adult patient
b3 b3 b3 b3 b3 b3 b 3 b3 b3 b3 b3 b3 b3
D) Fracturedrightfemur b3
Answer: A
Diff: 2 Page Ref: 11-12
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Standard: Trauma (Trauma Overview) Object
b 3 b3 b3 b3
iv e:
b3 7
7) Which of the following requires immediate transport to a trauma cente A
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
r) ?b3 A 40-year-old who fell 12 feet from a garage roof with a radius fracture
8 b 3 b 3 J# b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
B) A 36-year-old woman in a motor vehicle crash who has a blood pressure of 100/60
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
C) A 22-year-old soccer player with lower leg pain
b3 b3 b3 b3 b3 b3 b3
D) A 47-year- b3
old involved in a motor vehicle crash that resulted in the death of his passen
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
ger Answer: b3 D
Diff: 2 Page Ref: 12
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Standard: Trauma (Trauma Overview) Object
b 3 b3 b3 b3
iv e:
b3 7
8) As a paramedic, your role in trauma care consists of all of the following, EXCEPT:
b3 b3 b 3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
A) providing rapid transport to appropriate facilities.
b3 b3 b3 b3 b3
B) promoting injury prevention. b3 b3
C) providing care to seriously injured trauma patients.
b3 b3 b3 b3 b3 b3
D) providing surgical interventions to stop hemorrhage.
b3 b3 b3 b3 b3
Answer: D
Diff: 2 Page Ref: 3
b3 b3 b3
Standard: Trauma (Trauma Overview) Object
b 3 b3 b3 b3
iv e:
b3 3