ANSWERS GRADED A LATEST VERSION(GUARAN
SATISFACTION)
1. The primary indication for transferring a 4. Which one of the following s
patient to a higher level trauma center is: regarding patients with thoracic
TRUE?
unavailability of a surgeon or operating room Log-rolling may be dest
staff. fractures from T
multiple system injuries, including severe Adequate immobiliza
head injury. accomplished with the scoop
resource limitations as determined by the Spinal cord injury below T-10 usual
transferring doctor. bowel and bladder
resource limitations as determined by the Hyperflexion fractures in
hospital administration. thoracic spine are inherentl
widened mediastinum on chest x-ray These patients rarely present
following blunt thoracic trauma. shock in association with c
2. teen-aged bicycle rider is hit by a truck 5. young man sustains a ritle wo
traveling at a high rate of speed. In the abdomen. He is brought promp
emergency department, she is actively bleeding emergency department by preh
from open fractures of her legs, and has personnel. His skin is cool and d
abrasions on her chest and abdominal wall. Her his systolic blood pressure is 58
blood pressure is 80/50 mm Hg, heart rate is Warmed crystalloid fluids are i
140 beats per minute, respiratory rate is 8 improvement in his vital signs.
breaths per minute, and GCS score is 6. appropriate step is to perform:
The first step in managing this patient is to: a
an abdomin
obtain a lateral cervical spine x-ray. diagnostic la
insert a central venous pressure line. abdominal ultras
administer 2 liters of crystalloid solution. a diagnostic peritone
perform endotracheal intubation and
ventilation.
apply the PASG and inflate the leg 6. young woman sustains a seve
compartments. as the result of a motor vehicul
emergency department, her GC
blood pressure is 140/90 mm H
,administer an osmotic diuretic.
, prevent secondary bra