PREHOSPITAL TRAUMA LIFE SUPPORT (PHTLS)
TEST 2026 COMPLETE STUDY BUNDLE WITH
CORRECT SOLUTIONS
◉ If possible, IV fluids should a be warmed to about ___ degrees F /
___ degrees C Answer: 102 degrees F / 39 degrees C
◉ Patients with suspected internal hemorrhage in the chest,
abdomen, or retroperitoneum (pelvis), should have titrated
crystalloid solution to maintain a MAP of ___ and SBP of ___ Answer:
MAP of 60-65 mm Hg / SBP of 80-90 mm Hg
◉ Once the PT arrives at the hospital, fluid administration continues
by giving plasma and blood in a ___:___ ratio until ________ Answer: 1:1
ratio ; hemorrhage is controlled
◉ For patients with suspected TBI, MAP and SBP should be
maintained to a minimum of Answer: MAP of 85-90 mm Hg or SBP
of 90 mm Hg
◉ TRUE OR FALSE: Volume resuscitation can be managed more
aggressively in controlled external hemorrhage even if there is a
reason to suspect to suspect associated intrathoracic, intra-
abdominal, or retroperitoneal injuries? Answer: FALSE - there must
, be no reason to suspect internal hemorrhage before aggressive fluid
resuscitation due to potential of "busting a potential clot" and
causing bleeding to continue
◉ Adult PT's who have significant external hemorrhage that is
CONTROLLED (ie by tourniquet or pressure bandage), are in Class 2,
Class 3, or Class 4 Shock, and there is no reason to suspect internal
hemorrhage can receive an initial bolus of ___, repeated up to a total
of ___ or when SBP reaches ___ Answer: Initial bolus of 250cc
repeated up to a total of 2 Liters or when SBP reaches 80mm Hg
◉ Class 1 Hemorrhagic Shock:
Blood loss (ml and % blood volume) = ___ and ___
Pulse rate = ___
BP (normal or decreased) = ___
Mental status / behavior = ___
Fluid replacement type = ___ Answer: Blood loss (ml and % blood
volume) = <750ml and <15%
Pulse rate = <100
BP (normal or decreased) = Normal
Mental status / behavior = slightly anxious to normal
Fluid replacement type = Crystalloid
TEST 2026 COMPLETE STUDY BUNDLE WITH
CORRECT SOLUTIONS
◉ If possible, IV fluids should a be warmed to about ___ degrees F /
___ degrees C Answer: 102 degrees F / 39 degrees C
◉ Patients with suspected internal hemorrhage in the chest,
abdomen, or retroperitoneum (pelvis), should have titrated
crystalloid solution to maintain a MAP of ___ and SBP of ___ Answer:
MAP of 60-65 mm Hg / SBP of 80-90 mm Hg
◉ Once the PT arrives at the hospital, fluid administration continues
by giving plasma and blood in a ___:___ ratio until ________ Answer: 1:1
ratio ; hemorrhage is controlled
◉ For patients with suspected TBI, MAP and SBP should be
maintained to a minimum of Answer: MAP of 85-90 mm Hg or SBP
of 90 mm Hg
◉ TRUE OR FALSE: Volume resuscitation can be managed more
aggressively in controlled external hemorrhage even if there is a
reason to suspect to suspect associated intrathoracic, intra-
abdominal, or retroperitoneal injuries? Answer: FALSE - there must
, be no reason to suspect internal hemorrhage before aggressive fluid
resuscitation due to potential of "busting a potential clot" and
causing bleeding to continue
◉ Adult PT's who have significant external hemorrhage that is
CONTROLLED (ie by tourniquet or pressure bandage), are in Class 2,
Class 3, or Class 4 Shock, and there is no reason to suspect internal
hemorrhage can receive an initial bolus of ___, repeated up to a total
of ___ or when SBP reaches ___ Answer: Initial bolus of 250cc
repeated up to a total of 2 Liters or when SBP reaches 80mm Hg
◉ Class 1 Hemorrhagic Shock:
Blood loss (ml and % blood volume) = ___ and ___
Pulse rate = ___
BP (normal or decreased) = ___
Mental status / behavior = ___
Fluid replacement type = ___ Answer: Blood loss (ml and % blood
volume) = <750ml and <15%
Pulse rate = <100
BP (normal or decreased) = Normal
Mental status / behavior = slightly anxious to normal
Fluid replacement type = Crystalloid
