Prehospital Trauma Life Support 2022 ( PHTLS ) Review Test Questions and Answers

Prehospital Trauma Life Support 2022 ( PHTLS ) Review Test Questions and Answers Inadequate Perfusion / Energy production at the cellular level. Shock Why are case studies important in the Hospital? It gives us evidence based practice. What is the definition of anaerobic metabolism? Without Oxygen When does hemorrhage control start in the trauma assessment? Right away, first thing to be done. Why do we needle decompress somebody? If there is an increase work of breathing / Absent lung sounds / Inadequate perfusion What is the easiest way to open the airway of a trauma patient? Jaw Thrust What is a problem with intubation? It requires a lot of practice. When you arrive on scene and find your patient with their airway full of blood, how long should you suction for? Until the airway is complete clear from blood. What is the best way to confirm you have good a good ET Tube in place? End Tidal When should you start the secondary assessment on a trauma patient? When time and situation allows. What are some pre-arrival factors you should be considering upon arrival to your designated call? Time of day / Weather / Location / Hazards Involved / Possible additional needs What is the main reason for a primary assessment on a trauma patient? To identify and treat immediate life threats. What is the most common type of shock and what is the main cause of shock? Hemorrhagic Shock due to either uncontrolled internal / external hemorrhage When wanting to get a patient off scene quickly what is a piece of equipment that is best suited for this situation? Scoop Stretcher What is the first thing that should be treated on a trauma patient? And once that is treated what should you focus on next? First treat the ABC's then any other immediate life threats What is one of the earliest signs you may see on a patient who is starting to go into shock? Increased Ventilatory Rate When you show up on scene and find your patient bleeding out, what are the two steps you should take to take care of that bleeding situation? Step 1 = direct pressure / step 2 = apply tourniquet What do you want your Blood Pressure to be at if you have a trauma patient? Systolic Blood Pressure of 80 What do you want your blood pressure to be for neurogenic patients? Systolic Blood Pressure of 90 What is the goal as prehospital providers that we want to establish for our patients? Restore and maintain airway, ventilation, oxygenation, circulation, and quick transport time for trauma patients. Two of the most important prehospital maneuvers are those that provide and maintain __________________________ patency and ______________________ ventilation. Airway Patency and Pulmonary Ventilation Refers to the process by which oxygen concentration increases within a tissue. Oxygenation Mechanical exchange of air between the outside environment and the alveoli of the lungs. Ventilation Are critical steps in minimizing the overall brain injury and improving the likelihood of good outcome. Ensure a patent airway / Maintaining patients oxygenation / Supporting Ventilation What two functions does the respiratory system serve? Provide Oxygen to red blood cells / Remove Carbon Dioxide from the body Process by which oxygen enters the bloodstream and Carbon Dioxide is removed. Gas Exchange With each breath, how much air does the average adult approximately take in? 500 ml of air The space in which the air is held that never actually makes it to the alveoli is called what? Dead Space Air What is the primary muscle used for breathing? The Diaphragm Damage that occurs at the moment of impact Primary Injury Everything that happens because of the primary injury and how we manage that injury Secondary Injury Causes cerebral vasodilation CO2 Earliest sign and best indicator of increasing ICP is a? Decreasing LOC If you have an injury or loss of sensation from the nipple line down you most likely have a ? T4 fracture Decompensate well but deteriorate quickly Pediatric Patient Fluid resissitation for a pediatric patient is ? 20/kg