, Volume 4: Trauma Emergencies
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Table of Contents
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Chapter 1: Trauma and Trauma Systems
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Chapter 2: Mechanism of Injury
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Chapter 3: Hemorrhage and Shock C
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7 h apter 4: Soft-
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Tissue Trauma Chapter 5: Burns
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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 t7 t7 b3
Chapter 1: Trauma and Trauma Systems t 7 t7 t 7 t 7
1) The purpose of determining the mechanism of injury and the index of suspicion for the tra
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u p m a tiaen t at the same time is to allow you to
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:
A) decide whether to transport the patient t 7 t 7 t 7 t 7 t 7
.
B) identify comorbid factors. t7 t 7
C) document a complete scene size-up. t 7 t 7 t 7 t 7
D) anticipate your patient's injuries. t7 t7 t7
Answer: D
Diff: 2 Page Ref: 9-10
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Standard: Trauma (Trauma Overview) t7 t7
O2) b 7
t 8
W j e chtiicvhe : o f 7 the following accounts for the highest number of trauma deaths in the United Stat
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t t7 %t 7 b3 t 7 t 7 t 7 J# J t7 t7 t7 Jt7 t7 t7 t7 J t7 t7 t7 t7 Jt7
oef s Am erica?8t 7 t7 t7
A) Motor vehicle crashes t 7 t 7
B) Falls
C) Assaults
D) Firearms injuries J
Answer: A
Diff: 2 Page Ref: 3 t 7 t 7 t 7
Standard:
Trauma (Trauma Overview) Object
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7 t 7 t 7 t 7iv e:t 2 7 t 7 t 7 t7
3) Which of the following acts resulted in the development of modern EMS systems A
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?) Ryan White Act
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B) Highway Safety Act of 1966 t7 t7 t 7 t 7
C) Good Samaritan Act t 7 t 7
D) The Trauma Care Systems Planning and Development Act of 19
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9 0 Answer: B
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Diff: 2 Page Ref: 4 t 7 t 7 t 7
Standard:
Trauma (Trauma Overview) Object i t7 t7 t7 t7
v e: t7 8
4) In addition to handling all types of specialty trauma, which level of trauma center provide
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c os ntinuing medical and public education programs?
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A) IV
B) III
C) I
D) II
Answer: C
Diff: 2 Page Ref: 7-8t 7 t 7 t 7
Standard:
Trauma (Trauma Overview) Object i t7 t7 t7 t7
v e: t7 4
, 5) Upon arriving on a scene where the mechanism of injury indicates a potenti
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ally li fe th-
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reatening injury, you should employ which of the following interventions to best help deli
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ve r the care that is needed?
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A) Reevaluate the scene size-up. t 7 t 7 t 7
B) Initiate transport immediately, delaying more extensive care until you are en route.
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C) Ask a surgeon to respond to the scene.
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D) Call immediately for air medical transport to reduce the "Golden Period.
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" A nswer: B
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Diff: 2 Page Ref: 13
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Standard:
Trauma (Trauma Overview) Object
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7 t 7 t 7 t 7 iv e:
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6) Which of the following physical findings indicates the need for immediate transport A
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?) Vital signs: systolic blood pressure 80, respiratory rate 8
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B) Glasgow Coma Scale score of 15 t 7 t 7 t 7 t 7 t 7
C) Second-
degree burns involving 9 percent of total body surface area in an adult patient
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D) Fracturedrightfemur
Answer: A
Diff: 2 Page Ref: 11-12
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Standard:
Trauma (Trauma Overview) Object i t7 t7 t7 t7
v e: t7 7
7) Which of the following requires immediate transport to a trauma cente A
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r) ? t7 A 40-year-old who fell 12 feet from a garage roof with a radius fracture
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B) A 36-year-old woman in a motor vehicle crash who has a blood pressure of 100/60
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C) A 22-year-old soccer player with lower leg pain
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D) A 47-year- t 7
old involved in a motor vehicle crash that resulted in the death of his passe
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n ger Answer:
t7 t7 D
Diff: 2 Page Ref: 12
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Standard:
Trauma (Trauma Overview) Object i t7 t7 t7 t7
v e: t7 7
8) As a paramedic, your role in trauma care consists of all of the following, EXCEPT:
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A) providing rapid transport to appropriate facilities. t7 t7 t 7 t 7 t 7
B) promoting injury prevention. t7 t7
C) providing care to seriously injured trauma patients. t7 t7 t 7 t7 t 7 t 7
D) providing surgical interventions to stop hemorrhage. t7 t7 t 7 t 7 t 7
Answer: D
Diff: 2 Page Ref: 3
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Standard:
Trauma (Trauma Overview) Object i t7 t7 t7 t7
v e: t7 3
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Table of Contents
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Chapter 1: Trauma and Trauma Systems
t 7 t 7 t 7 t 7 t 7
Chapter 2: Mechanism of Injury
t 7 t 7 t 7 t 7
Chapter 3: Hemorrhage and Shock C
t7 t7 t7 t7 b3 t
7 h apter 4: Soft-
t7 t7 t7
Tissue Trauma Chapter 5: Burns
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Chapter 6: Head, Neck, and Spinal Trauma
t 7 t 7 t 7 t 7 t 7 t 7
Chapter 7: Chest Trauma
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Chapter 8: Abdominal and Pelvic Trauma
t 7 t 7 t 7 t 7 t 7
Chapter 9: Orthopedic Trauma
t 7 t 7 t 7
Chapter 10: Environmental Trauma
t 7 t 7 t 7
Chapter 11: Special Considerations in Trauma
t 7 t 7 t 7 t 7 t 7
,Volume 4: Trauma Emergencies t7 t7 b3
Chapter 1: Trauma and Trauma Systems t 7 t7 t 7 t 7
1) The purpose of determining the mechanism of injury and the index of suspicion for the tra
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
u p m a tiaen t at the same time is to allow you to
t 7 t7 t 7 t7 t 7 t 7 t7 t7 t7 t7 t7 t7 t 7 t7
:
A) decide whether to transport the patient t 7 t 7 t 7 t 7 t 7
.
B) identify comorbid factors. t7 t 7
C) document a complete scene size-up. t 7 t 7 t 7 t 7
D) anticipate your patient's injuries. t7 t7 t7
Answer: D
Diff: 2 Page Ref: 9-10
t 7 t 7 t 7
Standard: Trauma (Trauma Overview) t7 t7
O2) b 7
t 8
W j e chtiicvhe : o f 7 the following accounts for the highest number of trauma deaths in the United Stat
b3 7t 7
t t7 %t 7 b3 t 7 t 7 t 7 J# J t7 t7 t7 Jt7 t7 t7 t7 J t7 t7 t7 t7 Jt7
oef s Am erica?8t 7 t7 t7
A) Motor vehicle crashes t 7 t 7
B) Falls
C) Assaults
D) Firearms injuries J
Answer: A
Diff: 2 Page Ref: 3 t 7 t 7 t 7
Standard:
Trauma (Trauma Overview) Object
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7 t 7 t 7 t 7iv e:t 2 7 t 7 t 7 t7
3) Which of the following acts resulted in the development of modern EMS systems A
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?) Ryan White Act
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B) Highway Safety Act of 1966 t7 t7 t 7 t 7
C) Good Samaritan Act t 7 t 7
D) The Trauma Care Systems Planning and Development Act of 19
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9 0 Answer: B
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Diff: 2 Page Ref: 4 t 7 t 7 t 7
Standard:
Trauma (Trauma Overview) Object i t7 t7 t7 t7
v e: t7 8
4) In addition to handling all types of specialty trauma, which level of trauma center provide
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c os ntinuing medical and public education programs?
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A) IV
B) III
C) I
D) II
Answer: C
Diff: 2 Page Ref: 7-8t 7 t 7 t 7
Standard:
Trauma (Trauma Overview) Object i t7 t7 t7 t7
v e: t7 4
, 5) Upon arriving on a scene where the mechanism of injury indicates a potenti
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t 7 t7
ally li fe th-
t7 t7 t7
reatening injury, you should employ which of the following interventions to best help deli
t7 t 7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
ve r the care that is needed?
t 7 t7 t7 t7 t7 t7
A) Reevaluate the scene size-up. t 7 t 7 t 7
B) Initiate transport immediately, delaying more extensive care until you are en route.
t7 t 7 t 7 t7 t 7 t7 t7 t 7 t 7 t7 t 7
C) Ask a surgeon to respond to the scene.
t 7 t 7 t 7 t 7 t7t7 t 7 t 7
D) Call immediately for air medical transport to reduce the "Golden Period.
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
" A nswer: B
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Diff: 2 Page Ref: 13
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Standard:
Trauma (Trauma Overview) Object
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7 t 7 t 7 t 7 iv e:
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6) Which of the following physical findings indicates the need for immediate transport A
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?) Vital signs: systolic blood pressure 80, respiratory rate 8
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B) Glasgow Coma Scale score of 15 t 7 t 7 t 7 t 7 t 7
C) Second-
degree burns involving 9 percent of total body surface area in an adult patient
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D) Fracturedrightfemur
Answer: A
Diff: 2 Page Ref: 11-12
t 7 t 7 t 7
Standard:
Trauma (Trauma Overview) Object i t7 t7 t7 t7
v e: t7 7
7) Which of the following requires immediate transport to a trauma cente A
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r) ? t7 A 40-year-old who fell 12 feet from a garage roof with a radius fracture
t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7 t7
B) A 36-year-old woman in a motor vehicle crash who has a blood pressure of 100/60
t 7 t 7 t 7 t 7 t 7 t 7 t 7 t 7 t 7 t 7 t 7 t 7 t 7 t 7
C) A 22-year-old soccer player with lower leg pain
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D) A 47-year- t 7
old involved in a motor vehicle crash that resulted in the death of his passe
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n ger Answer:
t7 t7 D
Diff: 2 Page Ref: 12
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Standard:
Trauma (Trauma Overview) Object i t7 t7 t7 t7
v e: t7 7
8) As a paramedic, your role in trauma care consists of all of the following, EXCEPT:
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A) providing rapid transport to appropriate facilities. t7 t7 t 7 t 7 t 7
B) promoting injury prevention. t7 t7
C) providing care to seriously injured trauma patients. t7 t7 t 7 t7 t 7 t 7
D) providing surgical interventions to stop hemorrhage. t7 t7 t 7 t 7 t 7
Answer: D
Diff: 2 Page Ref: 3
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Standard:
Trauma (Trauma Overview) Object i t7 t7 t7 t7
v e: t7 3
