A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left
shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation
his blood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per
minute and his respiratory rate is 28 breaths per minute. A tube thoracostomy is
performed for decreased left chest breath sounds with the return of a small amount
of blood and no air leak. After chest tube insertion, the most appropriate next step
is: - ANSWERre-examine the chest
A construction worker falls two stories from a building and sustains bilateral
calcaneal fractures. In the emergency department, he is alert, vital signs are normal,
and he is complaining of severe pain in both heels and his lower back. Lower
extremity pulses are strong and there is no other deformity. The suspected diagnosis
is most likely to be confirmed by: - ANSWERcomplete spine x-ray series
Which of the following is true regarding the initial resuscitation of a trauma patient?
- ANSWEREvidence of improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale score on reevaluation.
In managing a patient with a severe traumatic brain injury, the most important initial
step is to: - ANSWERsecure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss
of 2 liters. Which one of the following statements applies to this patient? -
ANSWERAn ABG would demonstrate a base deficit between -6 and -10 mEq/L.
The physiological hypervolemia of pregnancy has clinical significance in the
management of the severely injured, gravid woman by: - ANSWERincreasing the
volume of blood loss to produce maternal hypotension
The best assessment of fluid resuscitation of the adult burn patient is: -
ANSWERurinary output of 0.5 mL/kg/hr
The diagnosis of shock must include: - ANSWERevidence of inadequate organ
perfusion
A 7-year-old boy is brought to the emergency department by his parents several
minutes after he fell through a window. He is bleeding profusely from a 6-cm wound
of his medial right thigh. Immediate management of the wound should consist of: -
ANSWERdirect pressure on the wound
For the patient with severe traumatic brain injury, profound hypocarbia should be
avoided to prevent: - ANSWERcerebral vasoconstriction with diminished perfusion
,After being involved in a motor vehicle crash, a 25-year-old man is brought to a
hospital that has surgery capabilities available.. Computed tomography of the chest
and abdomen shows an aortic injury and splenic laceration with free abdominal fluid.
His blood pressure falls to 70 mm Hg after CT. The next step is: - ANSWERperform an
exploratory laparotomy
Which one of the following statements regarding abdominal trauma in the pregnant
patient is TRUE? - ANSWERLeakage of amniotic fluid is an indication for hospital
admission.
The first maneuver to improve oxygenation after chest injury is: - ANSWERadminister
supplemental oxygen
A 25-year-old man, injured in a motor vehicular crash, is admitted to the emergency
department. His pupils react sluggishly and his eyes open to pressure. He does not
follow commands, but he does moan periodically. His right arm is deformed and
does not respond to pressure; however, his left hand reaches purposefully toward
the stimulus. Both legs are stiffly extended. His GCS score is: - ANSWER9
A 20-year-old woman who is at 32 weeks gestation, is stabbed in the upper right
chest. In the emergency department, her blood pressure is 80/60 mm Hg. She is
gasping for breath, extremely anxious, and yelling for help. Breath sounds are
diminished in the right chest. The most appropriate first step is to: - ANSWERperform
needle or finger decompression of the right chest
Which one of the following findings in an adult is most likely to require immediate
management during the primary survey? - ANSWERrespiratory rate of 40 breaths per
minute
The most important, immediate step in the management of an open pneumothorax
is: - ANSWERplacement of an occlusive dressing over the wound
The following are contraindications for tetanus toxoid administration: -
ANSWERhistory of neurological reaction or severe hypersensitivity to the product
A 56-year-old man is thrown violently against the steering wheel of his truck during a
motor vehicle crash. On arrival in the emergency department he is diaphoretic and
complaining of chest pain. His blood pressure is 60/40 mm Hg and his respiratory
rate is 40 breaths per minute. Which of the following best differentiates cardiac
tamponade from tension pneumothorax as the cause of his hypotension? -
ANSWERbreath sounds
Bronchial intubation of the right or left mainstem bronchus can easily occur during
infant endotracheal intubation because: - ANSWERThe trachea is relatively short.
,A B23-year-old Bman Bsustains B4 Bstab Bwounds Bto Bthe Bupper Bright Bchest Bduring Ban
Baltercation Band Bis Bbrought Bby Bambulance Bto Ba Bhospital Bthat Bhas Bfull Bsurgical
Bcapabilities. BHis Bwounds Bare Ball Babove Bthe Bnipple. BHe Bis Bendotracheally Bintubated,
Bclosed Btube Bthoracostomy Bis Bperformed, Bfluid Bresuscitation Bis Binitiated Bthrough B2
Blarge-caliber BIVs. BFAST Bexam Bdoes Bnot Breveal Bintraabdominal Binjuries. BHis Bblood
Bpressure Bnow Bis B60/0 Bmm BHg, Bheart Brate Bis B160 Bbeats Bper Bminute, Band Brespiratory
Brate Bis B14 Bbreaths Bper Bminute B(ventilated Bwith B100% BO2). B1500 BmL Bof Bblood Bhas
Bdrained Bfrom Bthe Bright Bchest. BThe Bmost Bappropriate Bnext Bstep Bin Bmanaging Bthis
Bpatient Bis Bto: B- BANSWERurgently Btransfer Bthe Bpatient Bto Bthe Boperating Broom
A B39-year-old Bman Bis Badmitted Bto Bthe Bemergency Bdepartment Bafter Ban Bautomobile
Bcollision. BHe Bis Bcyanotic, Bhas Binsufficient Brespiratory Beffort, Band Bhas Ba BGCS Bscore Bof
B6. BHis Bfull Bbeard Bmakes Bit Bdifficult Bto Bfit Bthe Boxygen Bfacemask Bto Bhis Bface. BThe
Bmost Bappropriate Bnext Bstep Bis Bto: B- BANSWERrestrict Bcervical Bmotion Band Battempt
Borotracheal Bintubation Busing B2 Bpeople
A Bpatient Bis Bbrought Bto Bthe Bemergency Bdepartment Bafter Ba Bmotor Bvehicle Bcrash. BHe
Bis Bconscious Band Bthere Bis Bno Bobvious Bexternal Btrauma. BHe Barrives Bat Bthe Bhospital
Bcompletely Bimmobilized Bon Ba Blong Bspine Bboard. BHis Bblood Bpressure Bis B60/40 Bmm
BHg Band Bhis Bheart Brate Bis B70 Bbeats Bper Bminute. BHis Bskin Bis Bwarm. BWhich Bone Bof Bthe
Bfollowing Bstatements Bis BTRUE? B- BANSWERFlaccidity Bof Bthe Blower Bextremities Band
Bloss Bof Bdeep Btendon Breflexes Bare Bexpected.
Which Bone Bof Bthe Bfollowing Bis Bthe Bmost Beffective Bmethod Bfor Binitially Btreating
Bfrostbite? B- BANSWERmoist Bheat
A B32-year-old Bman's Bright Bleg Bis Btrapped Bbeneath Bhis Boverturned Bcar Bfor Bnearly B2
B hours Bbefore Bhe Bis Bextricated. BOn Barrival Bin Bthe Bemergency Bdepartment, Bhis Bright
Blower Bextremity Bis Bcool, Bmottled, Binsensate, Band Bmotionless. BDespite Bnormal Bvital
Bsigns, Bpulses Bcannot Bbe Bpalpated Bbelow Bthe Bright Bfemoral Bartery Band Bthe Bmuscles
Bof Bthe Blower Bextremity Bare Bfirm Band Bhard. BDuring Bthe Bmanagement Bof Bthis Bpatient,
Bwhich Bof Bthe Bfollowing Bis Bmost Blikely Bto Bimprove Bthe Bchances Bfor Blimb Bsalvage? B-
BANSWERsurgical Bconsultation Bfor Bright Blower Bextremity Bfasciotomy
A Bpatient Barrives Bin Bthe Bemergency Bdepartment Bafter Bbeing Bbeaten Babout Bthe Bhead
Band Bface Bwith Ba Bwooden Bclub. BHe Bis Bcomatose Band Bhas Ba Bpalpable Bdepressed Bskull
Bfracture. BHis Bface Bis Bswollen Band Becchymotic. BHe Bhas Bgurgling Brespirations Band
Bvomitus Bon Bhis Bface Band Bclothing. BThe Bmost Bappropriate Bstep Bafter Bproviding
Bsupplemental Boxygen Band Belevating Bhis Bjaw Bis Bto: B- BANSWERsuction Bthe Boropharynx
A B22-year-old Bman Bsustains Ba Bgunshot Bwound Bto Bthe Bleft Bchest Band Bis Btransported
Bto Ba Bsmall Bcommunity Bhospital Bno Bsurgical Bcapabilities Bare Bavailable. BIn Bthe
Bemergency Bdepartment, Ba Bchest Btube Bis Binserted Band B700 BmL Bof Bblood Bis
Bevacuated. BThe Btrauma Bcenter Baccepts Bthe Bpatient Bin Btransfer. BJust Bbefore Bthe
Bpatient Bis Bplaced Bin Bthe Bambulance Bfor Btransfer, Bhis Bblood Bpressure Bdecreases Bto
B80/68 Bmm BHg Band Bhis Bheart Brate Bincreases Bto B136 Bbeats Bper Bminute. BThe Bnext
Bstep Bshould Bbe Bto: B- BANSWERrepeat Bthe Bprimary Bsurvey Band Bproceed Bwith Btransfer
, A B64-year-old Bman Binvolved Bin Ba Bhigh-speed Bcar Bcrash, Bis Bresuscitated Binitially Bin Ba
Bsmall Bhospital Bwithout Bsurgical Bcapabilities. BHe Bhas Ba Bclosed Bhead Binjury Bwith Ba
BGCS Bscore Bof B13. BHe Bhas Ba Bwidened Bmediastinum Bon Bchest Bx-ray Bwith Bfractures Bof
Bleft Bribs B2 Bthrough B4, Bbut Bno Bpneumothorax. BAfter Binitiating Bfluid Bresuscitation, Bhis
Bblood Bpressure Bis B110/74 Bmm BHg, Bheart Brate Bis B100 Bbeats Bper Bminute, Band
Brespiratory Brate Bis B18 Bbreaths Bper Bminute. BHe Bhas Bgross Bhematuria Band Ba Bpelvic
Bfracture. BYou Bdecide Bto Btransfer Bthis Bpatient Bto Ba Bfacility Bcapable Bof Bproviding Ba
Bhigher Blevel Bof Bcare. BThe Bfacility Bis B128 Bkm B(80 Bmiles) Baway. BBefore Btransfer, Byou
Bshould Bfirst: B- BANSWERcall Bthe Breceiving Bhospital Band Bspeak Bto Bthe Bsurgeon Bon Bcall
Hemorrhage Bof B20% Bof Bthe Bpatient's Bblood Bvolume Bis Bassociated Busually Bwith: B-
BANSWERtachycardia
Which Bone Bof Bthe Bfollowing Bstatements Bconcerning Bintraosseous Binfusion Bis BTRUE?
B- BANSWERAspiration Bof Bbone Bmarrow Bconfirms Bappropriate Bpositioning Bof Bthe
Bneedle.
A Byoung Bwoman Bsustains Ba Bsevere Bhead Binjury Bas Bthe Bresult Bof Ba Bmotor Bvehicle
Bcrash. BIn Bthe Bemergency Bdepartment, Bher BGCS Bis B6. BHer Bblood Bpressure Bis B140/90
Bmm BHg Band Bher Bheart Brate Bis B80 Bbeats Bper Bminute. BShe Bis Bintubated Band
Bmechanically Bventilated. BHer Bpupils Bare B3 Bmm Bin Bsize Band Bequally Breactive Bto Blight.
BThere Bis Bno Bother Bapparent Binjury. BThe Bmost Bimportant Bprinciple Bto Bfollow Bin Bthe
Bearly Bmanagement Bof Bher Bhead Binjury Bis Bto: B- BANSWERavoid Bhypotension
A B33-year-old Bwoman Bis Binvolved Bin Ba Bhead-on Bmotor Bvehicle Bcrash. BIt Btook B30
Bminutes Bto Bextricate Bher Bfrom Bthe Bcar. BUpon Barrival Bin Bthe Bemergency
Bdepartment, Bher Bheart Brate Bis B120 Bbeats Bper Bminute, BBP Bis B90/70 Bmm BHg,
Brespiratory Brate Bis B16 Bbreaths Bper Bminute, Band Bher BGCS Bscore Bis B15. BExamination
Breveals Bbilaterally Bequal Bbreath Bsounds, Banterior Bchest Bwall Becchymosis, Band
Bdistended Bneck Bveins. BHer Babdomen Bis Bflat, Bsoft, Band Bnot Btender. BHer Bpelvis Bis
Bstable. BPalpable Bdistal Bpulses Bare Bfound Bin Ball B4 Bextremities. BOf Bthe Bfollowing, Bthe
Bmost Blikely Bdiagnosis Bis: B- BANSWERcardiac Btamponade
A Bhemodynamically Bnormal B10-year-old Bgirl Bis Bhospitalized Bfor Bobservation Bafter Ba
BGrade BIII B(moderately Bsevere) Bsplenic Binjury Bhas Bbeen Bconfirmed Bby Bcomputed
Btomography B(CT). BWhich Bof Bthe Bfollowing Bmandates Bprompt Bceliotomy
B(laparotomy)?
- BANSWERdevelopment Bof Bperitonitis Bon Bphysical Bexam
A B40-year-old Bwoman Bwho Bwas Ba Brestrained Bdriver Bin Ba Bmotor Bvehicle Bcrash Bis
Bevaluated Bin Bthe Bemergency Bdepartment. BShe Bis Bhemodynamically Bnormal Band
Bfound Bto Bbe Bparaplegic Bat Bthe Blevel Bof BT10. BWhich Bof Bthe Bfollowing Bare Btrue
Bregarding Bher Bevaluation Band Bmanagement? B- BANSWERLog Brolling Busing B4 Bpeople Bis
Ba Bsafe Bapproach Bto Brestrict Bspinal Bmotion Bwhen Bmoving Bher.
A Btrauma Bpatient Bpresents Bto Byour Bemergency Bdepartment Bwith Binspiratory Bstridor
Band Ba Bsuspected Bc-spine Binjury. BOxygen Bsaturation Bis B88% Bon Bhigh-flow Boxygen Bvia
Ba
shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation
his blood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per
minute and his respiratory rate is 28 breaths per minute. A tube thoracostomy is
performed for decreased left chest breath sounds with the return of a small amount
of blood and no air leak. After chest tube insertion, the most appropriate next step
is: - ANSWERre-examine the chest
A construction worker falls two stories from a building and sustains bilateral
calcaneal fractures. In the emergency department, he is alert, vital signs are normal,
and he is complaining of severe pain in both heels and his lower back. Lower
extremity pulses are strong and there is no other deformity. The suspected diagnosis
is most likely to be confirmed by: - ANSWERcomplete spine x-ray series
Which of the following is true regarding the initial resuscitation of a trauma patient?
- ANSWEREvidence of improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale score on reevaluation.
In managing a patient with a severe traumatic brain injury, the most important initial
step is to: - ANSWERsecure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss
of 2 liters. Which one of the following statements applies to this patient? -
ANSWERAn ABG would demonstrate a base deficit between -6 and -10 mEq/L.
The physiological hypervolemia of pregnancy has clinical significance in the
management of the severely injured, gravid woman by: - ANSWERincreasing the
volume of blood loss to produce maternal hypotension
The best assessment of fluid resuscitation of the adult burn patient is: -
ANSWERurinary output of 0.5 mL/kg/hr
The diagnosis of shock must include: - ANSWERevidence of inadequate organ
perfusion
A 7-year-old boy is brought to the emergency department by his parents several
minutes after he fell through a window. He is bleeding profusely from a 6-cm wound
of his medial right thigh. Immediate management of the wound should consist of: -
ANSWERdirect pressure on the wound
For the patient with severe traumatic brain injury, profound hypocarbia should be
avoided to prevent: - ANSWERcerebral vasoconstriction with diminished perfusion
,After being involved in a motor vehicle crash, a 25-year-old man is brought to a
hospital that has surgery capabilities available.. Computed tomography of the chest
and abdomen shows an aortic injury and splenic laceration with free abdominal fluid.
His blood pressure falls to 70 mm Hg after CT. The next step is: - ANSWERperform an
exploratory laparotomy
Which one of the following statements regarding abdominal trauma in the pregnant
patient is TRUE? - ANSWERLeakage of amniotic fluid is an indication for hospital
admission.
The first maneuver to improve oxygenation after chest injury is: - ANSWERadminister
supplemental oxygen
A 25-year-old man, injured in a motor vehicular crash, is admitted to the emergency
department. His pupils react sluggishly and his eyes open to pressure. He does not
follow commands, but he does moan periodically. His right arm is deformed and
does not respond to pressure; however, his left hand reaches purposefully toward
the stimulus. Both legs are stiffly extended. His GCS score is: - ANSWER9
A 20-year-old woman who is at 32 weeks gestation, is stabbed in the upper right
chest. In the emergency department, her blood pressure is 80/60 mm Hg. She is
gasping for breath, extremely anxious, and yelling for help. Breath sounds are
diminished in the right chest. The most appropriate first step is to: - ANSWERperform
needle or finger decompression of the right chest
Which one of the following findings in an adult is most likely to require immediate
management during the primary survey? - ANSWERrespiratory rate of 40 breaths per
minute
The most important, immediate step in the management of an open pneumothorax
is: - ANSWERplacement of an occlusive dressing over the wound
The following are contraindications for tetanus toxoid administration: -
ANSWERhistory of neurological reaction or severe hypersensitivity to the product
A 56-year-old man is thrown violently against the steering wheel of his truck during a
motor vehicle crash. On arrival in the emergency department he is diaphoretic and
complaining of chest pain. His blood pressure is 60/40 mm Hg and his respiratory
rate is 40 breaths per minute. Which of the following best differentiates cardiac
tamponade from tension pneumothorax as the cause of his hypotension? -
ANSWERbreath sounds
Bronchial intubation of the right or left mainstem bronchus can easily occur during
infant endotracheal intubation because: - ANSWERThe trachea is relatively short.
,A B23-year-old Bman Bsustains B4 Bstab Bwounds Bto Bthe Bupper Bright Bchest Bduring Ban
Baltercation Band Bis Bbrought Bby Bambulance Bto Ba Bhospital Bthat Bhas Bfull Bsurgical
Bcapabilities. BHis Bwounds Bare Ball Babove Bthe Bnipple. BHe Bis Bendotracheally Bintubated,
Bclosed Btube Bthoracostomy Bis Bperformed, Bfluid Bresuscitation Bis Binitiated Bthrough B2
Blarge-caliber BIVs. BFAST Bexam Bdoes Bnot Breveal Bintraabdominal Binjuries. BHis Bblood
Bpressure Bnow Bis B60/0 Bmm BHg, Bheart Brate Bis B160 Bbeats Bper Bminute, Band Brespiratory
Brate Bis B14 Bbreaths Bper Bminute B(ventilated Bwith B100% BO2). B1500 BmL Bof Bblood Bhas
Bdrained Bfrom Bthe Bright Bchest. BThe Bmost Bappropriate Bnext Bstep Bin Bmanaging Bthis
Bpatient Bis Bto: B- BANSWERurgently Btransfer Bthe Bpatient Bto Bthe Boperating Broom
A B39-year-old Bman Bis Badmitted Bto Bthe Bemergency Bdepartment Bafter Ban Bautomobile
Bcollision. BHe Bis Bcyanotic, Bhas Binsufficient Brespiratory Beffort, Band Bhas Ba BGCS Bscore Bof
B6. BHis Bfull Bbeard Bmakes Bit Bdifficult Bto Bfit Bthe Boxygen Bfacemask Bto Bhis Bface. BThe
Bmost Bappropriate Bnext Bstep Bis Bto: B- BANSWERrestrict Bcervical Bmotion Band Battempt
Borotracheal Bintubation Busing B2 Bpeople
A Bpatient Bis Bbrought Bto Bthe Bemergency Bdepartment Bafter Ba Bmotor Bvehicle Bcrash. BHe
Bis Bconscious Band Bthere Bis Bno Bobvious Bexternal Btrauma. BHe Barrives Bat Bthe Bhospital
Bcompletely Bimmobilized Bon Ba Blong Bspine Bboard. BHis Bblood Bpressure Bis B60/40 Bmm
BHg Band Bhis Bheart Brate Bis B70 Bbeats Bper Bminute. BHis Bskin Bis Bwarm. BWhich Bone Bof Bthe
Bfollowing Bstatements Bis BTRUE? B- BANSWERFlaccidity Bof Bthe Blower Bextremities Band
Bloss Bof Bdeep Btendon Breflexes Bare Bexpected.
Which Bone Bof Bthe Bfollowing Bis Bthe Bmost Beffective Bmethod Bfor Binitially Btreating
Bfrostbite? B- BANSWERmoist Bheat
A B32-year-old Bman's Bright Bleg Bis Btrapped Bbeneath Bhis Boverturned Bcar Bfor Bnearly B2
B hours Bbefore Bhe Bis Bextricated. BOn Barrival Bin Bthe Bemergency Bdepartment, Bhis Bright
Blower Bextremity Bis Bcool, Bmottled, Binsensate, Band Bmotionless. BDespite Bnormal Bvital
Bsigns, Bpulses Bcannot Bbe Bpalpated Bbelow Bthe Bright Bfemoral Bartery Band Bthe Bmuscles
Bof Bthe Blower Bextremity Bare Bfirm Band Bhard. BDuring Bthe Bmanagement Bof Bthis Bpatient,
Bwhich Bof Bthe Bfollowing Bis Bmost Blikely Bto Bimprove Bthe Bchances Bfor Blimb Bsalvage? B-
BANSWERsurgical Bconsultation Bfor Bright Blower Bextremity Bfasciotomy
A Bpatient Barrives Bin Bthe Bemergency Bdepartment Bafter Bbeing Bbeaten Babout Bthe Bhead
Band Bface Bwith Ba Bwooden Bclub. BHe Bis Bcomatose Band Bhas Ba Bpalpable Bdepressed Bskull
Bfracture. BHis Bface Bis Bswollen Band Becchymotic. BHe Bhas Bgurgling Brespirations Band
Bvomitus Bon Bhis Bface Band Bclothing. BThe Bmost Bappropriate Bstep Bafter Bproviding
Bsupplemental Boxygen Band Belevating Bhis Bjaw Bis Bto: B- BANSWERsuction Bthe Boropharynx
A B22-year-old Bman Bsustains Ba Bgunshot Bwound Bto Bthe Bleft Bchest Band Bis Btransported
Bto Ba Bsmall Bcommunity Bhospital Bno Bsurgical Bcapabilities Bare Bavailable. BIn Bthe
Bemergency Bdepartment, Ba Bchest Btube Bis Binserted Band B700 BmL Bof Bblood Bis
Bevacuated. BThe Btrauma Bcenter Baccepts Bthe Bpatient Bin Btransfer. BJust Bbefore Bthe
Bpatient Bis Bplaced Bin Bthe Bambulance Bfor Btransfer, Bhis Bblood Bpressure Bdecreases Bto
B80/68 Bmm BHg Band Bhis Bheart Brate Bincreases Bto B136 Bbeats Bper Bminute. BThe Bnext
Bstep Bshould Bbe Bto: B- BANSWERrepeat Bthe Bprimary Bsurvey Band Bproceed Bwith Btransfer
, A B64-year-old Bman Binvolved Bin Ba Bhigh-speed Bcar Bcrash, Bis Bresuscitated Binitially Bin Ba
Bsmall Bhospital Bwithout Bsurgical Bcapabilities. BHe Bhas Ba Bclosed Bhead Binjury Bwith Ba
BGCS Bscore Bof B13. BHe Bhas Ba Bwidened Bmediastinum Bon Bchest Bx-ray Bwith Bfractures Bof
Bleft Bribs B2 Bthrough B4, Bbut Bno Bpneumothorax. BAfter Binitiating Bfluid Bresuscitation, Bhis
Bblood Bpressure Bis B110/74 Bmm BHg, Bheart Brate Bis B100 Bbeats Bper Bminute, Band
Brespiratory Brate Bis B18 Bbreaths Bper Bminute. BHe Bhas Bgross Bhematuria Band Ba Bpelvic
Bfracture. BYou Bdecide Bto Btransfer Bthis Bpatient Bto Ba Bfacility Bcapable Bof Bproviding Ba
Bhigher Blevel Bof Bcare. BThe Bfacility Bis B128 Bkm B(80 Bmiles) Baway. BBefore Btransfer, Byou
Bshould Bfirst: B- BANSWERcall Bthe Breceiving Bhospital Band Bspeak Bto Bthe Bsurgeon Bon Bcall
Hemorrhage Bof B20% Bof Bthe Bpatient's Bblood Bvolume Bis Bassociated Busually Bwith: B-
BANSWERtachycardia
Which Bone Bof Bthe Bfollowing Bstatements Bconcerning Bintraosseous Binfusion Bis BTRUE?
B- BANSWERAspiration Bof Bbone Bmarrow Bconfirms Bappropriate Bpositioning Bof Bthe
Bneedle.
A Byoung Bwoman Bsustains Ba Bsevere Bhead Binjury Bas Bthe Bresult Bof Ba Bmotor Bvehicle
Bcrash. BIn Bthe Bemergency Bdepartment, Bher BGCS Bis B6. BHer Bblood Bpressure Bis B140/90
Bmm BHg Band Bher Bheart Brate Bis B80 Bbeats Bper Bminute. BShe Bis Bintubated Band
Bmechanically Bventilated. BHer Bpupils Bare B3 Bmm Bin Bsize Band Bequally Breactive Bto Blight.
BThere Bis Bno Bother Bapparent Binjury. BThe Bmost Bimportant Bprinciple Bto Bfollow Bin Bthe
Bearly Bmanagement Bof Bher Bhead Binjury Bis Bto: B- BANSWERavoid Bhypotension
A B33-year-old Bwoman Bis Binvolved Bin Ba Bhead-on Bmotor Bvehicle Bcrash. BIt Btook B30
Bminutes Bto Bextricate Bher Bfrom Bthe Bcar. BUpon Barrival Bin Bthe Bemergency
Bdepartment, Bher Bheart Brate Bis B120 Bbeats Bper Bminute, BBP Bis B90/70 Bmm BHg,
Brespiratory Brate Bis B16 Bbreaths Bper Bminute, Band Bher BGCS Bscore Bis B15. BExamination
Breveals Bbilaterally Bequal Bbreath Bsounds, Banterior Bchest Bwall Becchymosis, Band
Bdistended Bneck Bveins. BHer Babdomen Bis Bflat, Bsoft, Band Bnot Btender. BHer Bpelvis Bis
Bstable. BPalpable Bdistal Bpulses Bare Bfound Bin Ball B4 Bextremities. BOf Bthe Bfollowing, Bthe
Bmost Blikely Bdiagnosis Bis: B- BANSWERcardiac Btamponade
A Bhemodynamically Bnormal B10-year-old Bgirl Bis Bhospitalized Bfor Bobservation Bafter Ba
BGrade BIII B(moderately Bsevere) Bsplenic Binjury Bhas Bbeen Bconfirmed Bby Bcomputed
Btomography B(CT). BWhich Bof Bthe Bfollowing Bmandates Bprompt Bceliotomy
B(laparotomy)?
- BANSWERdevelopment Bof Bperitonitis Bon Bphysical Bexam
A B40-year-old Bwoman Bwho Bwas Ba Brestrained Bdriver Bin Ba Bmotor Bvehicle Bcrash Bis
Bevaluated Bin Bthe Bemergency Bdepartment. BShe Bis Bhemodynamically Bnormal Band
Bfound Bto Bbe Bparaplegic Bat Bthe Blevel Bof BT10. BWhich Bof Bthe Bfollowing Bare Btrue
Bregarding Bher Bevaluation Band Bmanagement? B- BANSWERLog Brolling Busing B4 Bpeople Bis
Ba Bsafe Bapproach Bto Brestrict Bspinal Bmotion Bwhen Bmoving Bher.
A Btrauma Bpatient Bpresents Bto Byour Bemergency Bdepartment Bwith Binspiratory Bstridor
Band Ba Bsuspected Bc-spine Binjury. BOxygen Bsaturation Bis B88% Bon Bhigh-flow Boxygen Bvia
Ba
