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Expeditemtransfermtomthemclosestmtraumamcenter-
mAm56m y/om Mmpt.m involvedm inmammotorm vehiclemcrashmhem wasmbroughtmtomthemEDmofmamrur
almcriticalmaccessmfacility.mHemcomplainsmofmneckmpain,mSOB,mandmdiffusemabdmpain.mHis
mGCSmism15.m HismVS:mBPm98/71,mHRm125,mRRm26,mSpO2m94%monmhigh-
flowmO2mviamNRBmmask.mWhichmofmthemfollowingmismthempriorityminterventionmformthismpati
ent?
ampertinentmmedicalmhxmismcrucialm–
Whichmofmthemfollowingmconsiderationsmismthemmostmimportantmwhenmcaringmformamgeriatr
icmtraumampt.?
Mitigation-
Followingmamreviewmofmrecentmdrillsmandmarealmdisastermevent,mamhospitalmhasmidentifiedm
deficienciesmandmismtakingmstepsmtomminimizemthemimpactmofmamfuturemdisasterm.Whichmp
hasemofmthemdisastermlifemcyclemdoesmthismdescribe?
Multiplerequestsforwater-
EMSbringsaptwhofellwhileridinghisbicycle.UsingtheAmerican mCollegemofmSurgeons’msc
reeningmguidelines,mwhichmassessmentmfindingmwouldmpromptmthemRNmtompreparemthemp
t.mformamradiologicmspinemclearance?
hemoglobindoesnotreadilyreleaseO2forusebythetissues m–
Whatmismthemeffectmofmhypothermiamonmthemoxyhemoglobinmdissociationmcurve?
Acidosis-Whichmofmthemfollowingmismamcomponentmofmthemtraumatriadmofmdeath?
Complete-
EMSbringsaptfromMVC.VS:BP90/49,mHR48,mRR12,mtemp97.2Fm(36.2C).mThemptmexhibi
tsmurinarymincontinencemandmpriapism.mThesemassessmentmfindingsmaremmostmconsisten
tmwithmwhichmofmthemfollowingmtypesmofmspinalmcordminjury?
Fluctuationminmthemwatermsealmchamberm–
Whichmofmthemfollowingmismanmexpectedmfindingminmaptmwithmamtubemthoracotomymconnec
tedmtomamchestmdrainagemsystem?
Insertmanmoropharynxmngealairmwaymifmthemreisnogagreflexm–
Duringmthemprimarymsurveymofmanmunconsciousmpt.mwithmmulti-
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A35y/omPresentsmwithmfacialmtraumamaftermbeingmstruckminmthemfacemwithmambaseball.mAmt
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compensatedm-
mAmtraumamptmism restlessm andmrepeatedlym askingm "wheremamm i?"mVSmuponarrival:BP110/
60,HR96,RR24.Herskiniscoolanddry.CurrentVSareBP104/84,HR m108,mRRm28.mThemptmi
smdemonstratingms/sxmofmwhichmstagemofmshock?
ventilatemwithmambagmmaskmdevicem-
mAnmunresponsive mtraumamptmhasmanmoropharygealairwayinplace,shallowandlaboredres
pirations,andduskyskin.Thetrauma mteamhasadministeredmedicationsfordrug-
assistedintubationandattemptedintubationbutwasunsuccessful.What mismthemmostmappr
opriatemimmediatemnextmstep?
within24mhrsoftrauma-Whenisthetertiarysurveycompletedforatraumapt?
pressure-
AnintubatedandsedatedptintheEDhasmultipleextremityinjurieswiththepotential mformcau
singmcompartmentmsyndrome.mWhatmismthemmostmreliablemindicationmofcompartmentmsy
ndromeminmampatientmwhomismunconscious?
worseningpneumothorax-Whichofthefollowingispossiblecomplicationofpositive-
pressuremventilation?
pelvicstability-
themostreassuringfindingforamaleptwithhippainafterafalliswhich mofmthemfollowing?
narrowedm-Whichofthefollowingpulsepressuresindicateearlyhypovolemic mshock?
dysrhythmias-
Patientswithacrushinjuryshouldbemonitoredforwhichofthefollowing mconditions?
subduralhematoma-
Tearingofthebridgingveinsismostfrequentlyassociatedwithwhich mbrainminjury?
straightmcathmformurinemsamplem-
mAm20m y/om MmpresentsmtomthemEDm complainingmof mseverelowerabdpainafterlandinghard
onthebicyclecrossbarswhilepreforminganaerialBMX mmaneuver.mSecondarymassessme
ntmrevealsmlowermabdmtendernessmandmscrotalecchymosis.mWhichmofmthemfollowingmorde
rsmwouldmthemRNmquestion?
placentalmabruptionm-
m Youmaremcaringmformamptm whom wasm involvedminmam MVCmandmism32weeksm pregnant.mFindi
ngsmofmyourmsecondarymsurveymincludemabdmpainmonmpalpation,fundalmhtmatmthemcostalm
margin,mandmsomemdarkmbloodymshow.mVaryingmaccelerationsmanddecelerationsarenote
doncariocgraphy.Thesefindingsaremostconsistentwithwhichof mthemfollowing?
itcanworsencorddamagefromanunstablespinalinjury m-
Whichofthefollowingistrueaboutmthemlog-roll?
defusings-
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Expeditemtransfermtomthemclosestmtraumamcenter-
mAm56m y/om Mmpt.m involvedm inmammotorm vehiclemcrashmhem wasmbroughtmtomthemEDmofmamrur
almcriticalmaccessmfacility.mHemcomplainsmofmneckmpain,mSOB,mandmdiffusemabdmpain.mHis
mGCSmism15.m HismVS:mBPm98/71,mHRm125,mRRm26,mSpO2m94%monmhigh-
flowmO2mviamNRBmmask.mWhichmofmthemfollowingmismthempriorityminterventionmformthismpati
ent?
ampertinentmmedicalmhxmismcrucialm–
Whichmofmthemfollowingmconsiderationsmismthemmostmimportantmwhenmcaringmformamgeriatr
icmtraumampt.?
Mitigation-
Followingmamreviewmofmrecentmdrillsmandmarealmdisastermevent,mamhospitalmhasmidentifiedm
deficienciesmandmismtakingmstepsmtomminimizemthemimpactmofmamfuturemdisasterm.Whichmp
hasemofmthemdisastermlifemcyclemdoesmthismdescribe?
Multiplerequestsforwater-
EMSbringsaptwhofellwhileridinghisbicycle.UsingtheAmerican mCollegemofmSurgeons’msc
reeningmguidelines,mwhichmassessmentmfindingmwouldmpromptmthemRNmtompreparemthemp
t.mformamradiologicmspinemclearance?
hemoglobindoesnotreadilyreleaseO2forusebythetissues m–
Whatmismthemeffectmofmhypothermiamonmthemoxyhemoglobinmdissociationmcurve?
Acidosis-Whichmofmthemfollowingmismamcomponentmofmthemtraumatriadmofmdeath?
Complete-
EMSbringsaptfromMVC.VS:BP90/49,mHR48,mRR12,mtemp97.2Fm(36.2C).mThemptmexhibi
tsmurinarymincontinencemandmpriapism.mThesemassessmentmfindingsmaremmostmconsisten
tmwithmwhichmofmthemfollowingmtypesmofmspinalmcordminjury?
Fluctuationminmthemwatermsealmchamberm–
Whichmofmthemfollowingmismanmexpectedmfindingminmaptmwithmamtubemthoracotomymconnec
tedmtomamchestmdrainagemsystem?
Insertmanmoropharynxmngealairmwaymifmthemreisnogagreflexm–
Duringmthemprimarymsurveymofmanmunconsciousmpt.mwithmmulti-
systemmtrauma,mthemnursemnotesmsnoringmrespirations.mWhatmprioritymnursingminterventi
onsmshouldmbemperformedmnext?
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Globerupture-
A35y/omPresentsmwithmfacialmtraumamaftermbeingmstruckminmthemfacemwithmambaseball.mAmt
eardrop-shapedmleftmpupilmismnotedmonmexam.mWhatmtypemofminjurymismsuspected?
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m m m m m m m m m
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compensatedm-
mAmtraumamptmism restlessm andmrepeatedlym askingm "wheremamm i?"mVSmuponarrival:BP110/
60,HR96,RR24.Herskiniscoolanddry.CurrentVSareBP104/84,HR m108,mRRm28.mThemptmi
smdemonstratingms/sxmofmwhichmstagemofmshock?
ventilatemwithmambagmmaskmdevicem-
mAnmunresponsive mtraumamptmhasmanmoropharygealairwayinplace,shallowandlaboredres
pirations,andduskyskin.Thetrauma mteamhasadministeredmedicationsfordrug-
assistedintubationandattemptedintubationbutwasunsuccessful.What mismthemmostmappr
opriatemimmediatemnextmstep?
within24mhrsoftrauma-Whenisthetertiarysurveycompletedforatraumapt?
pressure-
AnintubatedandsedatedptintheEDhasmultipleextremityinjurieswiththepotential mformcau
singmcompartmentmsyndrome.mWhatmismthemmostmreliablemindicationmofcompartmentmsy
ndromeminmampatientmwhomismunconscious?
worseningpneumothorax-Whichofthefollowingispossiblecomplicationofpositive-
pressuremventilation?
pelvicstability-
themostreassuringfindingforamaleptwithhippainafterafalliswhich mofmthemfollowing?
narrowedm-Whichofthefollowingpulsepressuresindicateearlyhypovolemic mshock?
dysrhythmias-
Patientswithacrushinjuryshouldbemonitoredforwhichofthefollowing mconditions?
subduralhematoma-
Tearingofthebridgingveinsismostfrequentlyassociatedwithwhich mbrainminjury?
straightmcathmformurinemsamplem-
mAm20m y/om MmpresentsmtomthemEDm complainingmof mseverelowerabdpainafterlandinghard
onthebicyclecrossbarswhilepreforminganaerialBMX mmaneuver.mSecondarymassessme
ntmrevealsmlowermabdmtendernessmandmscrotalecchymosis.mWhichmofmthemfollowingmorde
rsmwouldmthemRNmquestion?
placentalmabruptionm-
m Youmaremcaringmformamptm whom wasm involvedminmam MVCmandmism32weeksm pregnant.mFindi
ngsmofmyourmsecondarymsurveymincludemabdmpainmonmpalpation,fundalmhtmatmthemcostalm
margin,mandmsomemdarkmbloodymshow.mVaryingmaccelerationsmanddecelerationsarenote
doncariocgraphy.Thesefindingsaremostconsistentwithwhichof mthemfollowing?
itcanworsencorddamagefromanunstablespinalinjury m-
Whichofthefollowingistrueaboutmthemlog-roll?
defusings-