QUESTIONS & VERIFIED ANSWERS|A+ GRADED|BRAND NEW
Which patients should you consider transferring, and what tests should be performed prior
to transfer?
ANSWER
Patients who injuries exceed your ability to care fore them, either d/t specialized needs, or
resource availability, only perform testing that enables the referring physician to resuscitate,
stabilize and ensure the safe transfer of the patient
T or F: Pulse ox measures the partial pressure of oxygen to carbon dioxide
ANSWER
F
Pulse ox does not measure the partial pressure of oxygen, only saturation. It can be con-
founded by carboxyhemoglobin, so this adjunct should be used w/ caution in pts w/ inhala-
tion injuries. Pulse ox also does not measure co2
You intubate the patient, reduce the femur fracture and immobilize it, and immobilize the
patient's pelvis with a binder. He has received 1 liter of warmed crystalloid and 1 unit of un-
crossmatched blood intravenously.
The patient's vital signs improve to: HR 97, BP 110/64, RR 24, oxygen saturation
96%. He starts to respond to verbal stimuli, opens his eyes to voice, and tries to brush away
the examiner's hands.
Answer question below based on this case scenario
-What additional adjuncts and treatments would you order at this time?
-When should the transfer occur, and what tests are necessary before transferring the pt?
1
,ANSWER
-Additional adjuncts should include: CXR, pelvic XR, and FAST. Also obtain ABG levels and in-
sert gastric tube. Order additional bloodwork, as appropriate
-Transfer should occur as soon as possible after you determine that the patient's needs ex-
ceed the capabilities of your facility and after the patient has been resuscitated and stabi-
lized. Only perform tests that directly affect your care of the patient (e.g., do not delay trans-
fer to perform a head CT head if a neurosurgeon is not available).
Why is info about the MOI so important?
ANSWER
The patient's condition is greatly influenced by the mechanism of injury. Knowledge of the
mechanism of injury can enhance understanding of the patient's physiologic state and pro-
vide clues to anticipated injuries. Some injuries can be predicted based on the direction and
amount of energy associated with the mechanism of injury.
What specialized diagnostic test may be performed during the secondary survey to identify
specific injuries?
ANSWER
Adjuncts to the secondary survey include additional x-ray examinations of the spine and ex-
tremities;
CT scans of the head, chest, abdomen, and spine; contrast urography and angiography;
transesophageal ultrasound; bronchoscopy; and esophagoscopy.
The secondary survey does not begin until?.. (3)
ANSWER
- primary survey (ABCDE) is completed
-resuscitative efforts are underway
-improvement of the pts vital functions have been demonstarted
Secondary survey assessment uses what acronym for hx?
2
, ANSWER
Allergies
Medications currently used
Past illnesses/Pregnancy
Last meal
Events/Environmental r/t the injury
Pt's condition is greatly influenced by the MOI. W/ understanding of the MOI it can influence
your knowledge by..
ANSWER
-understanding/anticipating pt's physiologic state and provide clues to anticipated injuries
-Some injuries can be predicted based on age groups and activities
What are your first steps when a patient's condition changes?
ANSWER
Go back to the primary survey to reassess whether there are any changes in A,B,or C that
need to be addressed
How is the secondary survey conducted?
ANSWER
Examine the patient from head to toe, exposing him or her in parts to maintain normother-
mia
What key info should prehospital providers obtain and report to receiving hospital?
A. details regarding the patient's primary care physician
B type of healthcare insurance
C.address of patient's residence.
D. Events associate with injury.
3
Which patients should you consider transferring, and what tests should be performed prior
to transfer?
ANSWER
Patients who injuries exceed your ability to care fore them, either d/t specialized needs, or
resource availability, only perform testing that enables the referring physician to resuscitate,
stabilize and ensure the safe transfer of the patient
T or F: Pulse ox measures the partial pressure of oxygen to carbon dioxide
ANSWER
F
Pulse ox does not measure the partial pressure of oxygen, only saturation. It can be con-
founded by carboxyhemoglobin, so this adjunct should be used w/ caution in pts w/ inhala-
tion injuries. Pulse ox also does not measure co2
You intubate the patient, reduce the femur fracture and immobilize it, and immobilize the
patient's pelvis with a binder. He has received 1 liter of warmed crystalloid and 1 unit of un-
crossmatched blood intravenously.
The patient's vital signs improve to: HR 97, BP 110/64, RR 24, oxygen saturation
96%. He starts to respond to verbal stimuli, opens his eyes to voice, and tries to brush away
the examiner's hands.
Answer question below based on this case scenario
-What additional adjuncts and treatments would you order at this time?
-When should the transfer occur, and what tests are necessary before transferring the pt?
1
,ANSWER
-Additional adjuncts should include: CXR, pelvic XR, and FAST. Also obtain ABG levels and in-
sert gastric tube. Order additional bloodwork, as appropriate
-Transfer should occur as soon as possible after you determine that the patient's needs ex-
ceed the capabilities of your facility and after the patient has been resuscitated and stabi-
lized. Only perform tests that directly affect your care of the patient (e.g., do not delay trans-
fer to perform a head CT head if a neurosurgeon is not available).
Why is info about the MOI so important?
ANSWER
The patient's condition is greatly influenced by the mechanism of injury. Knowledge of the
mechanism of injury can enhance understanding of the patient's physiologic state and pro-
vide clues to anticipated injuries. Some injuries can be predicted based on the direction and
amount of energy associated with the mechanism of injury.
What specialized diagnostic test may be performed during the secondary survey to identify
specific injuries?
ANSWER
Adjuncts to the secondary survey include additional x-ray examinations of the spine and ex-
tremities;
CT scans of the head, chest, abdomen, and spine; contrast urography and angiography;
transesophageal ultrasound; bronchoscopy; and esophagoscopy.
The secondary survey does not begin until?.. (3)
ANSWER
- primary survey (ABCDE) is completed
-resuscitative efforts are underway
-improvement of the pts vital functions have been demonstarted
Secondary survey assessment uses what acronym for hx?
2
, ANSWER
Allergies
Medications currently used
Past illnesses/Pregnancy
Last meal
Events/Environmental r/t the injury
Pt's condition is greatly influenced by the MOI. W/ understanding of the MOI it can influence
your knowledge by..
ANSWER
-understanding/anticipating pt's physiologic state and provide clues to anticipated injuries
-Some injuries can be predicted based on age groups and activities
What are your first steps when a patient's condition changes?
ANSWER
Go back to the primary survey to reassess whether there are any changes in A,B,or C that
need to be addressed
How is the secondary survey conducted?
ANSWER
Examine the patient from head to toe, exposing him or her in parts to maintain normother-
mia
What key info should prehospital providers obtain and report to receiving hospital?
A. details regarding the patient's primary care physician
B type of healthcare insurance
C.address of patient's residence.
D. Events associate with injury.
3
