TNCC Trauma Nursing Core Course 11th E
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1.fWhichfofftheffollowingfrequiresfyouftofdevelopfafplanfoffaction,finitiatefthefplan,freassessfth
efplanfasfcarefforfthefpatientfmovesfforward,fandfadjustfthefplanfasfthefpatient'sfconditionforfc
ircumstancesfchange?
A.fPrinciplesfoffPHTLS
B.fThefGoldenfPeriod
C.fThefXABCDEfassessment
D.fCriticalfthinkingfprocessf-fansQuestionf1:fD
TofhelpfachievefthefPHTLSfgoals,fyoufwillfapplyfyourfcriticalfthinkingfskillsfinftheffield.fCriticalf
thinkingfinfmedicinefisfafprocessfinfwhichfthefhealthcarefpractitionerfassessesfthefsituation,ft
hefpatient,fandfthefresourcesfavailablefandfusesfthefinformationftofdecidefonfandfprovidefthef
bestfcarefforfthefpatient.
1.fYoufandfyourfpartnerfarefrespondingftofafcallfforfaf2-year-
oldfpatientfwithfafburnfinjuryftofthefhand.fHefhasfafvisiblefburnftofthefleftfhand,fendingfatfthefle
velfabovefthefwrist,fredfcolor,fandfwetfinfappearance.fWhatftypefoffburnfdofyoufsuspectfthefpa
tientfhasfsustained?
A.fSuperficialf(firstfdegree)
B.fPartialfthicknessf(secondfdegree)
C.fFullfthicknessf(thirdfdegree)
D.fSubdermalf(fourthfdegree)f-fansQuestionf1:fB
Scaldfburnsfarefthefmostfcommonfburnsfseenfinfthefpediatricfpopulationfagesf1ftof5fyears.fS
caldsfarefpartialfthicknessfburns.fThefdermalflayerfisfdamaged,fandfblistersfarefpresentforfpo
pped.fItfisfalsofthefmostfpainfulftypefoffburn.
1.fYoufarefcalledftofthefscenefoffafpossiblefmassfcasualtyfmotorfvehiclefcollisionfonfthefhighw
ay.fOncefyoufarrivefonfscene,fwhatfisfyourffirstfpriority?
A.fImmediatelyfbeginftriagingfpatients.
B.fTreatfthefpatientfwithfthefmostfvisiblefbloodfloss.
C.fDeterminefthefneedfforfadditionalfresources.
D.fAssessfthefscenefandfensurefitfisfsafe.f-fansQuestionf1:fD
Ensurefsafetyfforfresponders,fbystanders,fandfpatient(s).fTheffirstfconsiderationfwhenfappr
oachingfanyfscenefisfthefsafetyfoffallfemergencyfresponders.fWhenfEMSfpersonnelfbecomef
victims,ftheyfnotfonlyfcanfnoflongerfassistfothers,fbutfalsofaddftofthefnumberfoffpatients.
1.fYoufarefcalledftofthefscenefoffanfexplosionfandffirefatfafchemicalfplantfwherefyouffindfmulti
plefcasualties.Triagefhasfbegun.fYourffirstfpatientfisfaf40-year-
oldfmanfwhofwasfnearfthefsourcefoffthefexplosion.fHefisfunconsciousfandfhasfextensivefinjur
ies.fYoufnotefgurglingfrespirations.fWhyfshouldfyoufuseftheftraumafjawfthrustfmaneuverffirstf
whenfdealingfwithfaftraumafpatient?
,TNCC Trauma Nursing Core Course 11th E
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A.fIt'sfanfeasyftechniquefthatfalwaysfworksftofopenfthefairway.
B.fItfallowsfyouftofopenfthefairwayfwithflittleforfnofmovementfoffthefheadfandfcervicalfspine.
C.fOtherftechniquesfandfinterventionsfdon'tfworkfasfwell.
D.fItfcanfrelievefafvarietyfoffanatomicfairwayfobstructionsfinfpatientsfwhofarefbreathingfspont
aneously.f-fansQuestionf1:fB
Manualfmaneuversflikeftheftraumafjawfthrustforfchinfliftfarefalwaysftheffirstfairwayfmaneuverf
youfshouldfmakefwhenftreatingfaftraumafpatient.fInfpatientsfwithfsuspectedfhead,fneck,forfa
cialftrauma,fthefcervicalfspinefisfmaintainedfinfafneutralfin-
linefposition.Theftraumafjawfthrustfmaneuverfallowsfyouftofopenfthefairwayfwithflittleforfnofm
ovementfoffthefheadfandfcervicalfspine.
1.fYoufarefrespondingftofafcallfforf25-year-
old,ffitfandfhealthyffemalefwhoffellfofffafmountainfbike.fUponfarrival,fyouffindfthefpatientfwalki
ngfaround.fShefisfalertfbutfcomplainingfoffpainfinfherfclaviclefandfonfherfrightfsidefwhenfshefin
hales.fYoufnoticefthatfherfhelmetfisfsplitfinftwo.fWhatfisftheffirstfthingfyoufneedftofdo?
A.fCompletefafreviewfoffthefABCs.
B.fCheckfmotorfandfsensoryffunction.
C.fPerformfmanualfin-linefstabilization.
D.fPlacefherfonfafbackboard.f-fansQuestionf1:fC
Becausefthere'sfafpossibilityfoffspinalfinjury,fyoufshouldfbringfthefpatient'sfheadfintofafneutral
f in-linef position.
1.fYoufhavefbeenfperformingfongoingfmanagementfonfaf35-year-
oldffemalefpatientfwhofsustainedfthoracicftraumafwhenfafcarfhitfherfasfshefcrossedfthefstreet
.fOriginally,fyourfelectronicfmonitoringfdevicesfallfproducefresultsfconsistentfwithfyourfpatien
t'sfclinicalfcondition.fHowever,fenfrouteftheftraumafcenter,fthefmonitorsfstartftofdifferffromfyo
urfpatient'sfcurrentfclinicalfconditionfeachftimefyoufreassess.fHowfshouldfyoufhandlefthisfsitu
ation?
A.fTreatfthefpatient'sfcondition,fnotfthefmonitorfresults.
B.fContinueftofreassessfthefpatientfandfrecordfthefresultsfforftheftraumafcenter.
C.fTreatfyourfpatientfbasedfonftheftestfresults.
D.fStopftestingfandfwaitfuntilfyoufarrivefatftheftraumafcenterfforfthemftofperformfanfassessme
nt.f-fansQuestionf1:fA
Ifftherefarefinconsistentfdataffromfelectronicfmonitoringfdevices,freassessftofbefsurefthefmon
itorfmatchesfthefpatient'sfcurrentfclinicalfcondition.fHowever,fitfisfmostfimportantftoftreatfthefp
atient,fnotfthefmonitor,fsofusefotherfsignsfandfsymptomsfoffpotentialfpatientfdeterioration.
1.fYou'refcalledfoutftofanfassistedflivingffacilityfforfaf72-year-
oldfwomanfcomplainingfoffafseverefheadachefandfexperiencingfincreasedfconfusion.fStafffr
eportsfsheffellfoutfoffherfwheelchairfearlierfinfthefweekfbutfdidn'tfappearftofbefhurt;fhowever,fs
he'sfbecomefincreasinglyfdisorientedfoverftheflastfdayforfso.fVitalfsignsfshow:fBPf110/90;fhe
,TNCC Trauma Nursing Core Course 11th E
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artratef118fandfirregularlyfregular;fventilationfratef20fandfslightlyflabored;fSpO2f93%fonfroo
mfair.fShefisftakingfwarfarinfforfafclottingfissue.fWhichfofftheffollowingfshouldfyoufsuspect?
A.fCerebralfcontusion
B.fEpiduralfhematoma
C.fSubarachnoidfhemorrhage
D.fSubduralfhematomaf-fansQuestionf1:fD
Thefpatient'sfage,fusefoffafbloodfthinner,fandftheffactfsheffellfrecentlyfpointftofafsubduralfhem
atoma.
1.fYourfpartnerfisfcompressingfthefbleedingfsitefoffafmalefpatientfwhofwasfstabbedfmultiplefti
mesfinfthefleftfchest.fThefbleedingfseemsftofbefcontrolled,fyetfthefpatientfbecomesfcombativ
e.fHefisfpalefandfisfbreathingfrapidly,fyetfstatesfthatfhef"can'tfbreathe"fandffeelsfthatfhefisfabo
utftofdie.fYourfnextfstepfinfpatientfmanagementfisfto:
A.fstartfassistedfventilation.
B.fgivefhigh-flowfoxygen.
C.fdecompressfthefleftfchest.
D.fgivefaf250-mLffluidfbolus.f-fansQuestionf1:fC
AfterfXfcomefAfandfB.fYoufcanfquicklyfauscultateftheflungsf(pneumothoraxfisfalmostfcertainf
withfmultiplefstabsfinfthefchest)fandfdecompressfthefchest.fDecompressingfaftensionfpneum
othoraxfisfthefquickestfwayftoftreatfshock.
1.fYourfpatientfisfexperiencingfseverefpainfafterfsustainingfaffemurffracturefinfafmotorcyclefcr
ash.fYoufhavefaf20fminuteftransportftofthefnearestftraumafcenter.fTherefarefnofotherfinjuriesf
notedfonfyourfprimaryfandfsecondaryfassessments.fWhichfofftheffollowingfmedicationsfwoul
dfbefthefbestfpainfmanagementfchoice?
A.fNSAIDs
B.fAcetaminophen
C.fFentanyl
D.fMorphinef-fansQuestionf1:fC
Fentanylfisfoftenfaffirst-
linefagentfdueftofspeedfoffonset,fshortfdurationfoffaction,fandfminimalfeffectfonfhemodynami
cs.fFentanylfcanfbeadministeredfIN,fIM,fIO,forfIV.fThefIVfroutefprovidesfeffectsfinstantlyfwher
easthefINfandfIMfroutefhavefanfonsetfoff<10fminutes.fThefdurationfofffentanylfisfshortfatf30fmi
nutesftofanfhour.fThisfwillfprovidefenoughftimeftofeasefpainfduringftransportfandfletftheftraum
acenterfdecidefpainfmanagementfuponfarrival.
2.fAftraumafpatientffromfthefhighwayfincidentfisfholdingfherfrightfarm,fandfyoufnotefafsignifica
ntfamountfoffbloodfsteadilyfflowingffromfaflongfgash.fThisfisfanfexamplefoffwhatftypefoffhemor
rhage?f
A.fCapillaryfbleeding
B.fVenousfbleeding
C.fArterialfbleeding
, TNCC Trauma Nursing Core Course 11th E
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D.fRoadfrashf-fansQuestionf2:fB
Venousfbleedingftypicallyfresultsfinfafsteadyfflowfoffdarkfredfblood.
2.fDuringfprimaryfsurvey,fyouffindftheffollowing:
.fLOC:falertfandforiented;fspeakingfinffullfsentencesf
.fGCS:f15
.fAirway:fgoodfairfentryftofbases
.fBreathing:fbilateral
.fCirculation:fskinfwarm,fflushed,fdry
.fPulsefrate:f112fbpm,fstrongfandregular
.fBP:f90/42fmmfHg
.fPain:fPatientfcomplainsfoffseverefpainfatfclaviclefsitefandfpainfonfinspirationfatfsitefoffpossib
leffracturedfribs.fNofotherfinjuriesfdetected.fWhatfisfyourfnextfstep?
A.fApplyfafcervicalfcollarfandfin-linefimmobilizationfdevice.
B.fTreatfforfhypovolemicfshock.
C.fApplyfanfarmfslingfforfthefclaviclefinjury.
D.fAdministerfpainfmedication.f-fansQuestionf2:fA
Althoughfthefpatient'sfGCSfisfnormal,fshefdoesfhavefafdistractingfinjury,fandfthefstatefoffherf
helmetfindicatesfpossiblefspinalfcompression/flexion,fsofyoufshouldfimmobilizefthefpatient.
2.fThefpatientfbecomesfapneic.fYoufsuspectfhefhasfafcervicalfinjury.fWhichftypefoffairwayfsh
ouldfyoufuse?
A.fSupraglotticfairway
B.fBlindfnasotrachealfintubation
C.fOropharyngealfairway
D.fSurgicalfairwayf-fansQuestionf2:fA
Thefsupraglotticfairway'sfgreatestfadvantagefisfthatfitfcanfbefinsertedfindependentfoffthefpati
ent'sfposition,fwhichfmayfbefespeciallyfimportantfinftraumafpatientsfwithfhighfsuspicionfoffcer
vicalfinjury.
2.fThefpatient'sfcarefgiverfisfafbabysitterfwhofreportsfthefchildfwasfcrawlingfonfthefcounterfan
dfplacedfhisfhandfinfafpotfoffwaterfthatfwasfboilingfonfthefstove.fShefisfapplyingficeftofthefburnf
andfthefchildfisfshivering.fWhatfisfyourfnextfstep?
A.fAdministerfanalgesiafforfpain.
B.fCoverfthefpatientfwithfafblanketftofstopfthefshivering.
C.fStartfIVfforffluidfresuscitation.
D.fStopfthefburningfprocessfandfremoveftheficefpack.f-fansQuestionf2:fD
Afcommonferrorfthatfresultsfinfdamageftofthefzonefoffstasisfisfthefapplicationfofficefbyfafbysta
nderforfprehospitalfcarefpractitioner.fWhenficefisfappliedftofafburn,fthefpatientfwillfexperiencef
somefreductionfinfpain;fhowever,fthefpainfrelieffwillfbefatfthefexpensefoffadditionalftissuefdest
ruction.
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1.fWhichfofftheffollowingfrequiresfyouftofdevelopfafplanfoffaction,finitiatefthefplan,freassessfth
efplanfasfcarefforfthefpatientfmovesfforward,fandfadjustfthefplanfasfthefpatient'sfconditionforfc
ircumstancesfchange?
A.fPrinciplesfoffPHTLS
B.fThefGoldenfPeriod
C.fThefXABCDEfassessment
D.fCriticalfthinkingfprocessf-fansQuestionf1:fD
TofhelpfachievefthefPHTLSfgoals,fyoufwillfapplyfyourfcriticalfthinkingfskillsfinftheffield.fCriticalf
thinkingfinfmedicinefisfafprocessfinfwhichfthefhealthcarefpractitionerfassessesfthefsituation,ft
hefpatient,fandfthefresourcesfavailablefandfusesfthefinformationftofdecidefonfandfprovidefthef
bestfcarefforfthefpatient.
1.fYoufandfyourfpartnerfarefrespondingftofafcallfforfaf2-year-
oldfpatientfwithfafburnfinjuryftofthefhand.fHefhasfafvisiblefburnftofthefleftfhand,fendingfatfthefle
velfabovefthefwrist,fredfcolor,fandfwetfinfappearance.fWhatftypefoffburnfdofyoufsuspectfthefpa
tientfhasfsustained?
A.fSuperficialf(firstfdegree)
B.fPartialfthicknessf(secondfdegree)
C.fFullfthicknessf(thirdfdegree)
D.fSubdermalf(fourthfdegree)f-fansQuestionf1:fB
Scaldfburnsfarefthefmostfcommonfburnsfseenfinfthefpediatricfpopulationfagesf1ftof5fyears.fS
caldsfarefpartialfthicknessfburns.fThefdermalflayerfisfdamaged,fandfblistersfarefpresentforfpo
pped.fItfisfalsofthefmostfpainfulftypefoffburn.
1.fYoufarefcalledftofthefscenefoffafpossiblefmassfcasualtyfmotorfvehiclefcollisionfonfthefhighw
ay.fOncefyoufarrivefonfscene,fwhatfisfyourffirstfpriority?
A.fImmediatelyfbeginftriagingfpatients.
B.fTreatfthefpatientfwithfthefmostfvisiblefbloodfloss.
C.fDeterminefthefneedfforfadditionalfresources.
D.fAssessfthefscenefandfensurefitfisfsafe.f-fansQuestionf1:fD
Ensurefsafetyfforfresponders,fbystanders,fandfpatient(s).fTheffirstfconsiderationfwhenfappr
oachingfanyfscenefisfthefsafetyfoffallfemergencyfresponders.fWhenfEMSfpersonnelfbecomef
victims,ftheyfnotfonlyfcanfnoflongerfassistfothers,fbutfalsofaddftofthefnumberfoffpatients.
1.fYoufarefcalledftofthefscenefoffanfexplosionfandffirefatfafchemicalfplantfwherefyouffindfmulti
plefcasualties.Triagefhasfbegun.fYourffirstfpatientfisfaf40-year-
oldfmanfwhofwasfnearfthefsourcefoffthefexplosion.fHefisfunconsciousfandfhasfextensivefinjur
ies.fYoufnotefgurglingfrespirations.fWhyfshouldfyoufuseftheftraumafjawfthrustfmaneuverffirstf
whenfdealingfwithfaftraumafpatient?
,TNCC Trauma Nursing Core Course 11th E
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A.fIt'sfanfeasyftechniquefthatfalwaysfworksftofopenfthefairway.
B.fItfallowsfyouftofopenfthefairwayfwithflittleforfnofmovementfoffthefheadfandfcervicalfspine.
C.fOtherftechniquesfandfinterventionsfdon'tfworkfasfwell.
D.fItfcanfrelievefafvarietyfoffanatomicfairwayfobstructionsfinfpatientsfwhofarefbreathingfspont
aneously.f-fansQuestionf1:fB
Manualfmaneuversflikeftheftraumafjawfthrustforfchinfliftfarefalwaysftheffirstfairwayfmaneuverf
youfshouldfmakefwhenftreatingfaftraumafpatient.fInfpatientsfwithfsuspectedfhead,fneck,forfa
cialftrauma,fthefcervicalfspinefisfmaintainedfinfafneutralfin-
linefposition.Theftraumafjawfthrustfmaneuverfallowsfyouftofopenfthefairwayfwithflittleforfnofm
ovementfoffthefheadfandfcervicalfspine.
1.fYoufarefrespondingftofafcallfforf25-year-
old,ffitfandfhealthyffemalefwhoffellfofffafmountainfbike.fUponfarrival,fyouffindfthefpatientfwalki
ngfaround.fShefisfalertfbutfcomplainingfoffpainfinfherfclaviclefandfonfherfrightfsidefwhenfshefin
hales.fYoufnoticefthatfherfhelmetfisfsplitfinftwo.fWhatfisftheffirstfthingfyoufneedftofdo?
A.fCompletefafreviewfoffthefABCs.
B.fCheckfmotorfandfsensoryffunction.
C.fPerformfmanualfin-linefstabilization.
D.fPlacefherfonfafbackboard.f-fansQuestionf1:fC
Becausefthere'sfafpossibilityfoffspinalfinjury,fyoufshouldfbringfthefpatient'sfheadfintofafneutral
f in-linef position.
1.fYoufhavefbeenfperformingfongoingfmanagementfonfaf35-year-
oldffemalefpatientfwhofsustainedfthoracicftraumafwhenfafcarfhitfherfasfshefcrossedfthefstreet
.fOriginally,fyourfelectronicfmonitoringfdevicesfallfproducefresultsfconsistentfwithfyourfpatien
t'sfclinicalfcondition.fHowever,fenfrouteftheftraumafcenter,fthefmonitorsfstartftofdifferffromfyo
urfpatient'sfcurrentfclinicalfconditionfeachftimefyoufreassess.fHowfshouldfyoufhandlefthisfsitu
ation?
A.fTreatfthefpatient'sfcondition,fnotfthefmonitorfresults.
B.fContinueftofreassessfthefpatientfandfrecordfthefresultsfforftheftraumafcenter.
C.fTreatfyourfpatientfbasedfonftheftestfresults.
D.fStopftestingfandfwaitfuntilfyoufarrivefatftheftraumafcenterfforfthemftofperformfanfassessme
nt.f-fansQuestionf1:fA
Ifftherefarefinconsistentfdataffromfelectronicfmonitoringfdevices,freassessftofbefsurefthefmon
itorfmatchesfthefpatient'sfcurrentfclinicalfcondition.fHowever,fitfisfmostfimportantftoftreatfthefp
atient,fnotfthefmonitor,fsofusefotherfsignsfandfsymptomsfoffpotentialfpatientfdeterioration.
1.fYou'refcalledfoutftofanfassistedflivingffacilityfforfaf72-year-
oldfwomanfcomplainingfoffafseverefheadachefandfexperiencingfincreasedfconfusion.fStafffr
eportsfsheffellfoutfoffherfwheelchairfearlierfinfthefweekfbutfdidn'tfappearftofbefhurt;fhowever,fs
he'sfbecomefincreasinglyfdisorientedfoverftheflastfdayforfso.fVitalfsignsfshow:fBPf110/90;fhe
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artratef118fandfirregularlyfregular;fventilationfratef20fandfslightlyflabored;fSpO2f93%fonfroo
mfair.fShefisftakingfwarfarinfforfafclottingfissue.fWhichfofftheffollowingfshouldfyoufsuspect?
A.fCerebralfcontusion
B.fEpiduralfhematoma
C.fSubarachnoidfhemorrhage
D.fSubduralfhematomaf-fansQuestionf1:fD
Thefpatient'sfage,fusefoffafbloodfthinner,fandftheffactfsheffellfrecentlyfpointftofafsubduralfhem
atoma.
1.fYourfpartnerfisfcompressingfthefbleedingfsitefoffafmalefpatientfwhofwasfstabbedfmultiplefti
mesfinfthefleftfchest.fThefbleedingfseemsftofbefcontrolled,fyetfthefpatientfbecomesfcombativ
e.fHefisfpalefandfisfbreathingfrapidly,fyetfstatesfthatfhef"can'tfbreathe"fandffeelsfthatfhefisfabo
utftofdie.fYourfnextfstepfinfpatientfmanagementfisfto:
A.fstartfassistedfventilation.
B.fgivefhigh-flowfoxygen.
C.fdecompressfthefleftfchest.
D.fgivefaf250-mLffluidfbolus.f-fansQuestionf1:fC
AfterfXfcomefAfandfB.fYoufcanfquicklyfauscultateftheflungsf(pneumothoraxfisfalmostfcertainf
withfmultiplefstabsfinfthefchest)fandfdecompressfthefchest.fDecompressingfaftensionfpneum
othoraxfisfthefquickestfwayftoftreatfshock.
1.fYourfpatientfisfexperiencingfseverefpainfafterfsustainingfaffemurffracturefinfafmotorcyclefcr
ash.fYoufhavefaf20fminuteftransportftofthefnearestftraumafcenter.fTherefarefnofotherfinjuriesf
notedfonfyourfprimaryfandfsecondaryfassessments.fWhichfofftheffollowingfmedicationsfwoul
dfbefthefbestfpainfmanagementfchoice?
A.fNSAIDs
B.fAcetaminophen
C.fFentanyl
D.fMorphinef-fansQuestionf1:fC
Fentanylfisfoftenfaffirst-
linefagentfdueftofspeedfoffonset,fshortfdurationfoffaction,fandfminimalfeffectfonfhemodynami
cs.fFentanylfcanfbeadministeredfIN,fIM,fIO,forfIV.fThefIVfroutefprovidesfeffectsfinstantlyfwher
easthefINfandfIMfroutefhavefanfonsetfoff<10fminutes.fThefdurationfofffentanylfisfshortfatf30fmi
nutesftofanfhour.fThisfwillfprovidefenoughftimeftofeasefpainfduringftransportfandfletftheftraum
acenterfdecidefpainfmanagementfuponfarrival.
2.fAftraumafpatientffromfthefhighwayfincidentfisfholdingfherfrightfarm,fandfyoufnotefafsignifica
ntfamountfoffbloodfsteadilyfflowingffromfaflongfgash.fThisfisfanfexamplefoffwhatftypefoffhemor
rhage?f
A.fCapillaryfbleeding
B.fVenousfbleeding
C.fArterialfbleeding
, TNCC Trauma Nursing Core Course 11th E
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D.fRoadfrashf-fansQuestionf2:fB
Venousfbleedingftypicallyfresultsfinfafsteadyfflowfoffdarkfredfblood.
2.fDuringfprimaryfsurvey,fyouffindftheffollowing:
.fLOC:falertfandforiented;fspeakingfinffullfsentencesf
.fGCS:f15
.fAirway:fgoodfairfentryftofbases
.fBreathing:fbilateral
.fCirculation:fskinfwarm,fflushed,fdry
.fPulsefrate:f112fbpm,fstrongfandregular
.fBP:f90/42fmmfHg
.fPain:fPatientfcomplainsfoffseverefpainfatfclaviclefsitefandfpainfonfinspirationfatfsitefoffpossib
leffracturedfribs.fNofotherfinjuriesfdetected.fWhatfisfyourfnextfstep?
A.fApplyfafcervicalfcollarfandfin-linefimmobilizationfdevice.
B.fTreatfforfhypovolemicfshock.
C.fApplyfanfarmfslingfforfthefclaviclefinjury.
D.fAdministerfpainfmedication.f-fansQuestionf2:fA
Althoughfthefpatient'sfGCSfisfnormal,fshefdoesfhavefafdistractingfinjury,fandfthefstatefoffherf
helmetfindicatesfpossiblefspinalfcompression/flexion,fsofyoufshouldfimmobilizefthefpatient.
2.fThefpatientfbecomesfapneic.fYoufsuspectfhefhasfafcervicalfinjury.fWhichftypefoffairwayfsh
ouldfyoufuse?
A.fSupraglotticfairway
B.fBlindfnasotrachealfintubation
C.fOropharyngealfairway
D.fSurgicalfairwayf-fansQuestionf2:fA
Thefsupraglotticfairway'sfgreatestfadvantagefisfthatfitfcanfbefinsertedfindependentfoffthefpati
ent'sfposition,fwhichfmayfbefespeciallyfimportantfinftraumafpatientsfwithfhighfsuspicionfoffcer
vicalfinjury.
2.fThefpatient'sfcarefgiverfisfafbabysitterfwhofreportsfthefchildfwasfcrawlingfonfthefcounterfan
dfplacedfhisfhandfinfafpotfoffwaterfthatfwasfboilingfonfthefstove.fShefisfapplyingficeftofthefburnf
andfthefchildfisfshivering.fWhatfisfyourfnextfstep?
A.fAdministerfanalgesiafforfpain.
B.fCoverfthefpatientfwithfafblanketftofstopfthefshivering.
C.fStartfIVfforffluidfresuscitation.
D.fStopfthefburningfprocessfandfremoveftheficefpack.f-fansQuestionf2:fD
Afcommonferrorfthatfresultsfinfdamageftofthefzonefoffstasisfisfthefapplicationfofficefbyfafbysta
nderforfprehospitalfcarefpractitioner.fWhenficefisfappliedftofafburn,fthefpatientfwillfexperiencef
somefreductionfinfpain;fhowever,fthefpainfrelieffwillfbefatfthefexpensefoffadditionalftissuefdest
ruction.
