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Care of the trauma pa ent in the field is an evolving science and should be evidence-based. As
lifelong learners, we must be prepared to adapt our prac ces based on research. This is because
research may lead to, what? - Answers changes in our current prac ces
In trauma care, a 'principle' is defined as, what? - Answers what needs to be done
In addi on to oxygen, what is required to maintain the metabolic processes of life and energy
produc on? - Answers glucose
You respond for a pa ent who has sustained a GSW to the right upper thorax. He is barely
responsive, pale, and diaphore c. What device is most appropriate for transport? - Answers
scoop stretcher / Schaufeltrage
Units responding to a motor vehicle accident on the highway should consider what, as part of
their pre-arrival assessment? - Answers weather condi ons
The most appropriate airway maneuver for trauma pa ents is what technique? - Answers jaw
thrust maneuver / Esmarch Handgriff
Endo-tracheal in-tuba on is a technique that requires, what? - Answers Substan al training to
maintain proficiency / Umfassende Schulung zur Aufrechterhaltung der Kompetenz
What indicates that a trauma pa ent is having trouble breathing? - Answers the pa ent's
breathing is no ceable
, A pa ent presents with, a blunt trauma injury to the chest. On exam, he has absent breath
sounds on one side of his chest and respiratory distress. Which addi onal sign would indicate
that the pa ent has a tension pneumo-thorax? - Answers hemo-dynamic compromise (proper
blood flow is being prevented) / hämodynamische Einschränkungen (blu6luss/Versorgung
insuffizient)
In addi on to direct pressure, tourniquets, and immobilizing fractures, what is considered most
effec ve when controlling hemorrhage? - Answers hemo-sta c agents / hämossta ka
What is a preventable cause of secondary brain injury? - Answers systemic hypoxia /
systemische Hypoxie
You're called to treat a pa ent who was knocked unconscious when he slipped and fell on a wet
floor striking his head. It is now several hours later and he is awake but confused, does not
recall the incident, and is vomi ng with a headache. What injury is he most likely to have
suffered? - Answers concussion / Gehirnerschü:erung
What findings would indicate the need for immobiliza on when using a selec ve spinal
immobiliza on protocol? - Answers pain or tenderness along the spine / Schmerz oder
Empfindlichkeit an der Wirbelsäule
What pa ent should be treated first in a blast-related situa on involving mul ple pa ents? -
Answers a 30-year-old female with altered level of consciousness and decreased capillary refill
Excessive fluid resuscita on of the trauma pa ent can result in, what? - Answers increased
blood loss
When should the secondary survey be accomplished? - Answers when the me and situa on
allow
,When approaching a trauma pa ent, what is the first assessment that must be made? -
Answers scene safety
What is the most common type of shock resul ng from trauma? - Answers hemorrhagic
What informa on gathered can best guide the decision to provide spinal immobiliza on? -
Answers the (pa ent's) history and complaints
A 38 year old male sustained a large wound to his right thigh while at work. What ac on is the
most important ini al step? - Answers hemorrhage control / Bluts llung
A pa ent who sustained extensive blunt trauma to his trunk; has absent lung sounds on the
right, marked respiratory distress, tachy-cardia and hyper-tension. What is the most appropriate
interven on? - Answers needle decompression (DART) / Entlastungspunk on
The pre-hospital assessment of the trauma pa ent begins when? - Answers when informa on
is provided by the dispatcher
E.M.S. responds to a pa ent involved in a motor vehicle versus car collision. The pa ent is
unresponsive with vital signs of: BP 82, palpita on; respira ons, 24; pulse, 128. What is the
most likely type of shock? - Answers hypo-volemic
What defini on best describes shock? - Answers a state of inadequate energy produc on /
unzureichende Energieerzeigung
What is the most common cause of airway obstruc on in the unconscious trauma pa ent? -
Answers tongue
, While caring for a pa ent who was involved in an alterca on, he vomits and his airway is totally
obstructed with vomitus and blood. What is the maximum amount of me that you can suc on
his airway? - Answers suc on un l his airway is clear
When energy produced by cells occurs during the state of inadequate oxygena on, it is referred
to as what condi on? - Answers anaerobic metabolism
What sign of shock is not found during the primary survey? - Answers low blood pressure
measurement
E.M.S. responds to a pa ent who has sustained a blunt injury to the head. She had a period of
unconsciousness followed by a brief period of consciousness and then became unresponsive
just as E.M.S. arrived. Based solely on this informa on, what is most likely her injury? - Answers
epidural hema-toma
Inadvertent hyper-ven la on of a pa ent with suspected trauma c brain injury (TBI) may lead
to which complica on? - Answers cerebral vasoconstric on / cerebrale Vasokonstrik on
Spinal cord injuries can lead to hypo-tension due to what type of physiologic changes? -
Answers vasodila on below the level of injury
Which subset of pa ents compensate for blood loss the longest? - Answers pediatrics
A 55-year-old male is found unconscious aIer being assaulted. Assessment reveals: snoring
respira ons, brady-pnea, facial swelling, and unequal pupils. What is the most appropriate first
step? - Answers jaw thrust maneuver
What is the best method for confirming proper placement of an endo-tracheal tube in a trauma
pa ent that has a palpable pulse? - Answers capnography