, Volume 4: Trauma Emergencies
J# J# J#
Table of Contents
J# J#
Chapter 1: Trauma and Trauma Systems
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Chapter 2: Mechanism of Injury
J# J# J# J#
Chapter 3: Hemorrhage and Shock Ch
J# J# J# J# J#
apter 4: Soft-
J# J#
Tissue Trauma Chapter 5: Burns
J# J# J# J#
Chapter 6: Head, Neck, and Spinal Trauma
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Chapter 7: Chest Trauma
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Chapter 8: Abdominal and Pelvic Trauma
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Chapter 9: Orthopedic Trauma
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Chapter 10: Environmental Trauma
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Chapter 11: Special Considerations in Trauma
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,Volume 4: Trauma Emergencies J# J# J#
Chapter 1: J# Trauma and Trauma Systems J# J# J#
1) The purpose of determining the mechanism of injury and the index of suspicion for the trau p m
J# J# J# J# J# J# J# J# J# J# J# J# J# J# J# J#
a tiae n t at the same time is to allow you to
J# J# J# J# J# J# J# J# J#
:
A) decide whether to transport the patient J# J# J# J# J#
.
B) identify comorbid factors. J# J#
C) document a complete scene size-up. J# J# J# J#
D) anticipate your patient's injuries. J# J# J#
Answer: D J # J #
Diff: 2 J# Page Ref: 9-10 J# J#
Standard: Trauma (Trauma Overview) J # J# J#
O2 )b Wj e chti cvhe : o f 7t h e following accounts for the highest number of trauma deaths in the United Stat oef sAm
8 % 8 % 8 % J# J# J# J# J# J# J# J# J# J# J# J# J# J# 8%
erica?
A) Motor vehicle crashes J# J#
B) Falls
C) Assaults
D) Firearms injuries J# J#
Answer: A J #
Diff: 2 J# Page Ref: 3 J# J#
Standard: Trauma (Trauma Overview) Objectiv J # J# J# J#
e: 2
J #
3) Which of the following acts resulted in the development of modern EMS systems A
J# J# J# J# J# J# J# J# J# J# J# J# J#
?) Ryan White Act
J# J# J#
B) Highway Safety Act of 1966 J# J# J# J#
C) Good Samaritan Act J# J#
D) The Trauma Care Systems Planning and Development Act of 1990
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Answer: B J#
Diff: 2 Page Ref: 4
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Standard: Trauma (Trauma Overview) Objectiv J # J# J# J#
e: 8
J #
4) In addition to handling all types of specialty trauma, which level of trauma center provide cos
J# J# J# J# J# J# J# J# J# J# J# J# J# J# J#
ntinuing medical and public education programs?
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A) IV
B) III
C) I
D) II
Answer: C J #
Diff: 2 Page Ref: 7-8
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Standard: Trauma (Trauma Overview) Objectiv J # J# J# J#
e: 4
J #
, 5) Upon arriving on a scene where the mechanism of injury indicates a potentially life
J# J# J# J# J# J# J# J# J# J# J# J# J#
th-
reatening injury, you should employ which of the following interventions to best help delive r
J# J# J# J# J# J# J# J# J# J# J# J# J# J #
the care that is needed?
J# J# J# J#
A) Reevaluate the scene size-up. J# J# J#
B) Initiate transport immediately, delaying more extensive care until you are en route.
J# J# J# J# J# J# J# J# J# J# J#
C) Ask a surgeon to respond to the scene.
J# J# J# J# J # J# J#
D) Call immediately for air medical transport to reduce the "Golden Period." A
J# J# J# J# J# J# J# J# J# J# J#
nswer: B J#
Diff: 2 Page Ref: 13
J# J# J#
Standard: Trauma (Trauma Overview) Objectiv J # J# J# J#
e: 7
J #
6) Which of the following physical findings indicates the need for immediate transport A
J# J# J# J# J# J# J# J# J# J# J# J#
?) Vital signs: systolic blood pressure 80, respiratory rate 8
J # J# J# J# J# J# J# J# J#
B) Glasgow Coma Scale score of 15 J# J# J# J# J#
C) Second-
degree burns involving 9 percent of total body surface area in an adult patient
J# J# J# J# J# J# J# J# J# J# J# J# J#
D) Fractured right femur J# J# J#
Answer: A J #
Diff: 2 Page Ref: 11-12
J# J# J#
Standard: Trauma (Trauma Overview) Objectiv J # J# J# J#
e: 7
J #
7) Which of the following requires immediate transport to a trauma cente A
J# J# J# J# J# J# J# J# J# J# J#
r) ? A 40-year-old who fell 12 feet from a garage roof with a radius fracture
8 J#%J# J# J# J# J# J# J# J# J# J# J# J# J# J#
B) A 36-year-old woman in a motor vehicle crash who has a blood pressure of 100/60
J# J# J# J# J# J# J# J# J# J# J# J# J# J#
C) A 22-year-old soccer player with lower leg pain
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D) A 47-year- J#
old involved in a motor vehicle crash that resulted in the death of his passenger
J# J# J# J# J# J# J# J# J# J# J# J# J# J# J#
Answer: D J #
Diff: 2 Page Ref: 12
J# J# J#
Standard: Trauma (Trauma Overview) Objectiv J # J# J# J#
e: 7
J #
8) As a paramedic, your role in trauma care consists of all of the following, EXCEPT:
J# J# J # J# J# J# J# J# J# J# J# J# J# J#
A) providing rapid transport to appropriate facilities. J# J# J# J# J#
B) promoting injury prevention. J# J#
C) providing care to seriously injured trauma patients. J# J# J# J# J# J#
D) providing surgical interventions to stop hemorrhage. J# J# J# J# J#
Answer: D J # J #
Diff: 2 Page Ref: 3
J# J# J#
Standard: Trauma (Trauma Overview) Objectiv J # J# J# J#
e: 3
J #
J# J# J#
Table of Contents
J# J#
Chapter 1: Trauma and Trauma Systems
J# J# J# J# J#
Chapter 2: Mechanism of Injury
J# J# J# J#
Chapter 3: Hemorrhage and Shock Ch
J# J# J# J# J#
apter 4: Soft-
J# J#
Tissue Trauma Chapter 5: Burns
J# J# J# J#
Chapter 6: Head, Neck, and Spinal Trauma
J# J# J# J# J# J#
Chapter 7: Chest Trauma
J# J# J#
Chapter 8: Abdominal and Pelvic Trauma
J# J# J# J# J#
Chapter 9: Orthopedic Trauma
J# J# J#
Chapter 10: Environmental Trauma
J# J# J#
Chapter 11: Special Considerations in Trauma
J# J# J# J# J#
,Volume 4: Trauma Emergencies J# J# J#
Chapter 1: J# Trauma and Trauma Systems J# J# J#
1) The purpose of determining the mechanism of injury and the index of suspicion for the trau p m
J# J# J# J# J# J# J# J# J# J# J# J# J# J# J# J#
a tiae n t at the same time is to allow you to
J# J# J# J# J# J# J# J# J#
:
A) decide whether to transport the patient J# J# J# J# J#
.
B) identify comorbid factors. J# J#
C) document a complete scene size-up. J# J# J# J#
D) anticipate your patient's injuries. J# J# J#
Answer: D J # J #
Diff: 2 J# Page Ref: 9-10 J# J#
Standard: Trauma (Trauma Overview) J # J# J#
O2 )b Wj e chti cvhe : o f 7t h e following accounts for the highest number of trauma deaths in the United Stat oef sAm
8 % 8 % 8 % J# J# J# J# J# J# J# J# J# J# J# J# J# J# 8%
erica?
A) Motor vehicle crashes J# J#
B) Falls
C) Assaults
D) Firearms injuries J# J#
Answer: A J #
Diff: 2 J# Page Ref: 3 J# J#
Standard: Trauma (Trauma Overview) Objectiv J # J# J# J#
e: 2
J #
3) Which of the following acts resulted in the development of modern EMS systems A
J# J# J# J# J# J# J# J# J# J# J# J# J#
?) Ryan White Act
J# J# J#
B) Highway Safety Act of 1966 J# J# J# J#
C) Good Samaritan Act J# J#
D) The Trauma Care Systems Planning and Development Act of 1990
J# J# J# J# J# J# J# J# J# J#
Answer: B J#
Diff: 2 Page Ref: 4
J# J# J#
Standard: Trauma (Trauma Overview) Objectiv J # J# J# J#
e: 8
J #
4) In addition to handling all types of specialty trauma, which level of trauma center provide cos
J# J# J# J# J# J# J# J# J# J# J# J# J# J# J#
ntinuing medical and public education programs?
J# J# J# J# J#
A) IV
B) III
C) I
D) II
Answer: C J #
Diff: 2 Page Ref: 7-8
J# J# J#
Standard: Trauma (Trauma Overview) Objectiv J # J# J# J#
e: 4
J #
, 5) Upon arriving on a scene where the mechanism of injury indicates a potentially life
J# J# J# J# J# J# J# J# J# J# J# J# J#
th-
reatening injury, you should employ which of the following interventions to best help delive r
J# J# J# J# J# J# J# J# J# J# J# J# J# J #
the care that is needed?
J# J# J# J#
A) Reevaluate the scene size-up. J# J# J#
B) Initiate transport immediately, delaying more extensive care until you are en route.
J# J# J# J# J# J# J# J# J# J# J#
C) Ask a surgeon to respond to the scene.
J# J# J# J# J # J# J#
D) Call immediately for air medical transport to reduce the "Golden Period." A
J# J# J# J# J# J# J# J# J# J# J#
nswer: B J#
Diff: 2 Page Ref: 13
J# J# J#
Standard: Trauma (Trauma Overview) Objectiv J # J# J# J#
e: 7
J #
6) Which of the following physical findings indicates the need for immediate transport A
J# J# J# J# J# J# J# J# J# J# J# J#
?) Vital signs: systolic blood pressure 80, respiratory rate 8
J # J# J# J# J# J# J# J# J#
B) Glasgow Coma Scale score of 15 J# J# J# J# J#
C) Second-
degree burns involving 9 percent of total body surface area in an adult patient
J# J# J# J# J# J# J# J# J# J# J# J# J#
D) Fractured right femur J# J# J#
Answer: A J #
Diff: 2 Page Ref: 11-12
J# J# J#
Standard: Trauma (Trauma Overview) Objectiv J # J# J# J#
e: 7
J #
7) Which of the following requires immediate transport to a trauma cente A
J# J# J# J# J# J# J# J# J# J# J#
r) ? A 40-year-old who fell 12 feet from a garage roof with a radius fracture
8 J#%J# J# J# J# J# J# J# J# J# J# J# J# J# J#
B) A 36-year-old woman in a motor vehicle crash who has a blood pressure of 100/60
J# J# J# J# J# J# J# J# J# J# J# J# J# J#
C) A 22-year-old soccer player with lower leg pain
J# J# J# J# J# J# J#
D) A 47-year- J#
old involved in a motor vehicle crash that resulted in the death of his passenger
J# J# J# J# J# J# J# J# J# J# J# J# J# J# J#
Answer: D J #
Diff: 2 Page Ref: 12
J# J# J#
Standard: Trauma (Trauma Overview) Objectiv J # J# J# J#
e: 7
J #
8) As a paramedic, your role in trauma care consists of all of the following, EXCEPT:
J# J# J # J# J# J# J# J# J# J# J# J# J# J#
A) providing rapid transport to appropriate facilities. J# J# J# J# J#
B) promoting injury prevention. J# J#
C) providing care to seriously injured trauma patients. J# J# J# J# J# J#
D) providing surgical interventions to stop hemorrhage. J# J# J# J# J#
Answer: D J # J #
Diff: 2 Page Ref: 3
J# J# J#
Standard: Trauma (Trauma Overview) Objectiv J # J# J# J#
e: 3
J #