PHTLS Review Study Exam Questions
and Answers33
Trauma is the leading cause of death for which age group? - ANSWERS-Ages 1-44
The mortality rate for young men is _______ that of women. - ANSWERS-2x
Reference 506 in LA County determines what? - ANSWERS-Trauma Criteria/Trauma Triage
Decision
What established trauma as a major problem in America? - ANSWERS-Highway Traffic Safety Act
of 1966 "White Papers - Accidental Death & Disability"
How many levels of trauma centers are there? - ANSWERS-4
Level 1 Trauma Center - ANSWERS-- Regional Trauma Center
- Tertiary Care
- All types of specialty surgeons 24/7
- Blood Bank
- CT scan & X-ray all in house and staffed
- Multisystem trauma's
- Injuries that will kill you w/in an hour
Level 2 Trauma Center - ANSWERS-- Area Trauma Center
- Most common trauma emergencies
,- Surgical capabilities 24/7
- Isolated injuries
Level 3 Trauma Center - ANSWERS-- Community Trauma Center
- Specialized ED
- Only some surgical capability
Level 4 Trauma Center - ANSWERS-- Community hospital
- Stabilizes and transfers
What different considerations fall under trauma decisions? - ANSWERS-Physiological
Anatomical
Mechanical
What are guidelines and special considerations? - ANSWERS-Considerations to transport to a
trauma center via consulting with base hospital
What is the Golden Hour? - ANSWERS-Best survivability from incident to surgery
What is the Platinum 10? - ANSWERS-The 10 minutes allowed on scene to stabilize, package,
and begin transporting patient
When is air transportation recommended? - ANSWERS-When it is faster or a higher skill level is
required
What are the types of injury prevention? - ANSWERS-- Engineering
- Enforcement
,- Education
- Economics
Engineering Injury Prevention - ANSWERS-Structural Design (ex. pool alarms, air bags, OnStar,
lane change detection, etc.)
Enforcement Injury Prevention - ANSWERS-Laws (ex. helmet, seatbelt, smoke detectors, etc.)
Education Injury Prevention - ANSWERS-Information, training classes (ex. PSA's, safety fairs,
school visits, car seat checks, etc.)
Economic Injury Prevention - ANSWERS-How to pay for programs (ex. grants, awards, taxes, etc.)
What falls under quality management? - ANSWERS-Quality Improvement
Quality Assurance
***ACCURATE DOCUMENTATION IS NEEDED FOR BOTH***
What is quality improvement? - ANSWERS-Examining and improving
What is quality assurance? - ANSWERS-Evaluate calls to determine if standards were met
Which categories must go to a trauma center per Reference 506.1? - ANSWERS-Categories 1, 2,
or 3
Which categories should go to a trauma center, but won't be in trouble if you don't per
Reference 506.1? - ANSWERS-Categories 4 & 5
, What percentage of injuries can be predicted accurately if kinematics are evaluated? -
ANSWERS-95%
What are the three phases of a crash? - ANSWERS-Pre-Crash (PMH, drugs, alcohol)
Crash (kinematics)
Post-Crash (MOI, IOS, assessment, management)
Three impacts during the crash phase? - ANSWERS-Object
Occupant
Organs
Newton's First Law of Motion - ANSWERS-A body at rest will remain at rest and a body in
motion will remain in motion until acted upon by an outside force
Law of Conservation of Energy - ANSWERS-Energy can neither be created nor destroyed, but can
change forms (ex. braking)
What plays the biggest role/factor for kinetic energy? - ANSWERS-Speed
What are the different types of injury patterns and their potential injuries? - ANSWERS--
Up/Over (face, airway, tracheal fracture, diaphragmatic rupture)
- Down/Under (femur and pelvic fracture)
- Lateral (clavicle, humerus, ribs, pelvis, femur)
- Rear (whiplash, cervical hyperextension)
- Rotational (shearing of heart, liver, lungs)
- Rollover (ejection, crush)
and Answers33
Trauma is the leading cause of death for which age group? - ANSWERS-Ages 1-44
The mortality rate for young men is _______ that of women. - ANSWERS-2x
Reference 506 in LA County determines what? - ANSWERS-Trauma Criteria/Trauma Triage
Decision
What established trauma as a major problem in America? - ANSWERS-Highway Traffic Safety Act
of 1966 "White Papers - Accidental Death & Disability"
How many levels of trauma centers are there? - ANSWERS-4
Level 1 Trauma Center - ANSWERS-- Regional Trauma Center
- Tertiary Care
- All types of specialty surgeons 24/7
- Blood Bank
- CT scan & X-ray all in house and staffed
- Multisystem trauma's
- Injuries that will kill you w/in an hour
Level 2 Trauma Center - ANSWERS-- Area Trauma Center
- Most common trauma emergencies
,- Surgical capabilities 24/7
- Isolated injuries
Level 3 Trauma Center - ANSWERS-- Community Trauma Center
- Specialized ED
- Only some surgical capability
Level 4 Trauma Center - ANSWERS-- Community hospital
- Stabilizes and transfers
What different considerations fall under trauma decisions? - ANSWERS-Physiological
Anatomical
Mechanical
What are guidelines and special considerations? - ANSWERS-Considerations to transport to a
trauma center via consulting with base hospital
What is the Golden Hour? - ANSWERS-Best survivability from incident to surgery
What is the Platinum 10? - ANSWERS-The 10 minutes allowed on scene to stabilize, package,
and begin transporting patient
When is air transportation recommended? - ANSWERS-When it is faster or a higher skill level is
required
What are the types of injury prevention? - ANSWERS-- Engineering
- Enforcement
,- Education
- Economics
Engineering Injury Prevention - ANSWERS-Structural Design (ex. pool alarms, air bags, OnStar,
lane change detection, etc.)
Enforcement Injury Prevention - ANSWERS-Laws (ex. helmet, seatbelt, smoke detectors, etc.)
Education Injury Prevention - ANSWERS-Information, training classes (ex. PSA's, safety fairs,
school visits, car seat checks, etc.)
Economic Injury Prevention - ANSWERS-How to pay for programs (ex. grants, awards, taxes, etc.)
What falls under quality management? - ANSWERS-Quality Improvement
Quality Assurance
***ACCURATE DOCUMENTATION IS NEEDED FOR BOTH***
What is quality improvement? - ANSWERS-Examining and improving
What is quality assurance? - ANSWERS-Evaluate calls to determine if standards were met
Which categories must go to a trauma center per Reference 506.1? - ANSWERS-Categories 1, 2,
or 3
Which categories should go to a trauma center, but won't be in trouble if you don't per
Reference 506.1? - ANSWERS-Categories 4 & 5
, What percentage of injuries can be predicted accurately if kinematics are evaluated? -
ANSWERS-95%
What are the three phases of a crash? - ANSWERS-Pre-Crash (PMH, drugs, alcohol)
Crash (kinematics)
Post-Crash (MOI, IOS, assessment, management)
Three impacts during the crash phase? - ANSWERS-Object
Occupant
Organs
Newton's First Law of Motion - ANSWERS-A body at rest will remain at rest and a body in
motion will remain in motion until acted upon by an outside force
Law of Conservation of Energy - ANSWERS-Energy can neither be created nor destroyed, but can
change forms (ex. braking)
What plays the biggest role/factor for kinetic energy? - ANSWERS-Speed
What are the different types of injury patterns and their potential injuries? - ANSWERS--
Up/Over (face, airway, tracheal fracture, diaphragmatic rupture)
- Down/Under (femur and pelvic fracture)
- Lateral (clavicle, humerus, ribs, pelvis, femur)
- Rear (whiplash, cervical hyperextension)
- Rotational (shearing of heart, liver, lungs)
- Rollover (ejection, crush)
