PHTLS REVIEW 2024 QUESTIONS ALL
SOLVED QUESTIONS AND ANSWERS
ELABORATION
p How many people die from trauma annually? - Correct answer.Over 5 million
What is the leading cause of trauma deaths? - Correct answer.MVA
Where do over 90% of trauma deaths occur? - Correct answer.Low-Middle income countries.
What is the leading cause of death in people aged 1-44? - Correct answer.Trauma
What are the goals of PHTLS? - Correct answer.Reduce morbidity and mortality from trauma, and
provide appropriate care to the patient in the field.
What is the PHTLS philosophy? - Correct answer.Deliver the patient to the right facility, utilizing the right
mode of transportation, in the right amount of time, as safely as possible.
What are the components of scene assessment? - Correct answer.Safety, Pre arrival information, arrival
on scene, MOI, and Patients.
What is paramount for scene assessment? - Correct answer.Personal and Personnel safety.
What is the global view? - Correct answer.What you get before you get out of your vehicle.
What is the goal of the Primary Survey? - Correct answer.To immediately identify life threatening
situations and manage them as they are identified.
,What are the components of the primary survey? - Correct answer.Airway, Breathing, Circulation,
Disability, Exposure
When does assessment of the incident begin? - Correct answer.Before arriving at the patients side.
The findings of the scene assessment and primary survey help to determine what? - Correct answer.If
the patient is sick, not yet sick, or not sick
When should the secondary survey be completed? - Correct answer.Only if time and situation permit.
What are the components of the secondary survey? - Correct answer.Vital Signs, History, Physical
Examination, Treatment, Level of Care, Transportation, and Communication.
What are the components of a radio report? - Correct answer.Timely, Scene Description, Number of
Patients, Current Patient Status, Treatment Provided, ETA
What is a tracheal consideration with pediatric patients in regards to ETT intubation? - Correct
answer.Potential for right main-stem intubation.
What is the most common cause of airway obstruction in the trauma patient? - Correct answer.The
tongue.
When are basic maneuvers applied in regards to trauma airway management? - Correct answer.First
When are advanced airway maneuvers performed for trauma patients? - Correct answer.After basic,
only if needed.
What is the goal of managing a patients airway? - Correct answer.Maintain an open and patent airway
that allows for adequate breathing, ventilation, and oxygenation.
What does airway management entail? - Correct answer.Anticipating difficulties and planning for
alternate methods of airway control.
, What is ALWAYS the FIRST airway maneuver for the trauma patient? - Correct answer.Trauma Jaw
Thrust/Chin Lift
What should be considered SECOND for maintaining a patent airway in the trauma patient? - Correct
answer.OPA or NPA
What adjunct should be considered THIRD for airway management in the trauma patient? - Correct
answer.Supra-Glottic Airways
When should glottic airways be considered? - Correct answer.After jaw thrusts, OPA/NPA, and Supra
Glottic airways have failed.
What are some assessment criteria for Endotracheal Intubation? - Correct answer.Decreased LOC
(GCS<8), Inability to maintain patent airway, Upper Airway Burns, Signs of pending airway obstructions.
Which type of airway management should be considered last? - Correct answer.Surgical.
What types of methods should be used to verify tube placement? - Correct answer.One physiological
and one mechanical method.
When the patients breathing draws your attention you should...? - Correct answer.Assume there is a
problem until proven otherwise.
What are some s/s you are looking for in a trauma patients breathing assessment? - Correct
answer.Increased respiratory effort, visible trauma, paradoxical chest wall movement, sucking chest
wound.
What are some s/s you are feeling for in a trauma patients breathing assessment? - Correct
answer.Boney crepitus, subcutaneous emphysema.
What is the BIGGEST difference between a simple and a tension pneumothorax? - Correct answer.A
TENSION has hemodynamic compromise.
SOLVED QUESTIONS AND ANSWERS
ELABORATION
p How many people die from trauma annually? - Correct answer.Over 5 million
What is the leading cause of trauma deaths? - Correct answer.MVA
Where do over 90% of trauma deaths occur? - Correct answer.Low-Middle income countries.
What is the leading cause of death in people aged 1-44? - Correct answer.Trauma
What are the goals of PHTLS? - Correct answer.Reduce morbidity and mortality from trauma, and
provide appropriate care to the patient in the field.
What is the PHTLS philosophy? - Correct answer.Deliver the patient to the right facility, utilizing the right
mode of transportation, in the right amount of time, as safely as possible.
What are the components of scene assessment? - Correct answer.Safety, Pre arrival information, arrival
on scene, MOI, and Patients.
What is paramount for scene assessment? - Correct answer.Personal and Personnel safety.
What is the global view? - Correct answer.What you get before you get out of your vehicle.
What is the goal of the Primary Survey? - Correct answer.To immediately identify life threatening
situations and manage them as they are identified.
,What are the components of the primary survey? - Correct answer.Airway, Breathing, Circulation,
Disability, Exposure
When does assessment of the incident begin? - Correct answer.Before arriving at the patients side.
The findings of the scene assessment and primary survey help to determine what? - Correct answer.If
the patient is sick, not yet sick, or not sick
When should the secondary survey be completed? - Correct answer.Only if time and situation permit.
What are the components of the secondary survey? - Correct answer.Vital Signs, History, Physical
Examination, Treatment, Level of Care, Transportation, and Communication.
What are the components of a radio report? - Correct answer.Timely, Scene Description, Number of
Patients, Current Patient Status, Treatment Provided, ETA
What is a tracheal consideration with pediatric patients in regards to ETT intubation? - Correct
answer.Potential for right main-stem intubation.
What is the most common cause of airway obstruction in the trauma patient? - Correct answer.The
tongue.
When are basic maneuvers applied in regards to trauma airway management? - Correct answer.First
When are advanced airway maneuvers performed for trauma patients? - Correct answer.After basic,
only if needed.
What is the goal of managing a patients airway? - Correct answer.Maintain an open and patent airway
that allows for adequate breathing, ventilation, and oxygenation.
What does airway management entail? - Correct answer.Anticipating difficulties and planning for
alternate methods of airway control.
, What is ALWAYS the FIRST airway maneuver for the trauma patient? - Correct answer.Trauma Jaw
Thrust/Chin Lift
What should be considered SECOND for maintaining a patent airway in the trauma patient? - Correct
answer.OPA or NPA
What adjunct should be considered THIRD for airway management in the trauma patient? - Correct
answer.Supra-Glottic Airways
When should glottic airways be considered? - Correct answer.After jaw thrusts, OPA/NPA, and Supra
Glottic airways have failed.
What are some assessment criteria for Endotracheal Intubation? - Correct answer.Decreased LOC
(GCS<8), Inability to maintain patent airway, Upper Airway Burns, Signs of pending airway obstructions.
Which type of airway management should be considered last? - Correct answer.Surgical.
What types of methods should be used to verify tube placement? - Correct answer.One physiological
and one mechanical method.
When the patients breathing draws your attention you should...? - Correct answer.Assume there is a
problem until proven otherwise.
What are some s/s you are looking for in a trauma patients breathing assessment? - Correct
answer.Increased respiratory effort, visible trauma, paradoxical chest wall movement, sucking chest
wound.
What are some s/s you are feeling for in a trauma patients breathing assessment? - Correct
answer.Boney crepitus, subcutaneous emphysema.
What is the BIGGEST difference between a simple and a tension pneumothorax? - Correct answer.A
TENSION has hemodynamic compromise.
