Prehospital Trauma Life Support ( PHTLS )
Exams With Complete Solution
Why do we needle decompress somebody? - ANSWER>>If there is an increase work of
breathing / Absent lung sounds / Inadequate perfusion
What is the easiest way to open the airway of a trauma patient? - ANSWER>>Jaw Thrust
What is a problem with intubation? - ANSWER>>It requires a lot of practice.
When you arrive on scene and find your patient with their airway full of blood, how long should
you suction for? - ANSWER>>Until the airway is complete clear from blood.
What is the best way to confirm you have good a good ET Tube in place? - ANSWER>>End Tidal
When should you start the secondary assessment on a trauma patient? - ANSWER>>When time
and situation allows.
What are some pre-arrival factors you should be considering upon arrival to your designated
call? - ANSWER>>Time of day / Weather / Location / Hazards Involved / Possible additional
needs
What is the main reason for a primary assessment on a trauma patient? - ANSWER>>To identify
and treat immediate life threats.
What is the most common type of shock and what is the main cause of shock? -
ANSWER>>Hemorrhagic Shock due to either uncontrolled internal / external hemorrhage
When wanting to get a patient off scene quickly what is a piece of equipment that is best suited
for this situation? - ANSWER>>Scoop Stretcher
What is the first thing that should be treated on a trauma patient? And once that is treated
what should you focus on next? - ANSWER>>First treat the ABC's then any other immediate life
threats
, What is one of the earliest signs you may see on a patient who is starting to go into shock? -
ANSWER>>Increased Ventilatory Rate
When you show up on scene and find your patient bleeding out, what are the two steps you
should take to take care of that bleeding situation? - ANSWER>>Step 1 = direct pressure / step
2 = apply tourniquet
What do you want your Blood Pressure to be at if you have a trauma patient? -
ANSWER>>Systolic Blood Pressure of 80
What do you want your blood pressure to be for neurogenic patients? - ANSWER>>Systolic
Blood Pressure of 90
1. Which of the following requires you to develop a plan of action, initiate the plan, reassess the
plan as care for the patient moves forward, and adjust the plan as the patient's condition or
circumstances change?
A. Principles of PHTLS
B. The Golden Period
C. The XABCDE assessment
D. Critical thinking process - ANSWER>>Question 1: D
To help achieve the PHTLS goals, you will apply your critical thinking skills in the field. Critical
thinking in medicine is a process in which the healthcare practitioner assesses the situation, the
patient, and the resources available and uses the information to decide on and provide the best
care for the patient.
2. When using the XABCDE assessment, which of the following takes precedence over all other
actions?
A. Controlling severe bleeding from a limb or other compressible site
B. Airway stabilization and assessing circulatory status
C. Exposing the body to allow a thorough evaluation
D. Ensuring adequate breathing - ANSWER>>Question 2: A
The "X" placed before "ABCDE" in the primary survey refers to the need to address
exsanguinating hemorrhage immediately after establishing scene safety and before addressing
airway. Severe exsanguinating hemorrhage, particularly arterial bleeding, has the potential to
lead to loss of total or near total blood volume in a relatively short period of time.
Exams With Complete Solution
Why do we needle decompress somebody? - ANSWER>>If there is an increase work of
breathing / Absent lung sounds / Inadequate perfusion
What is the easiest way to open the airway of a trauma patient? - ANSWER>>Jaw Thrust
What is a problem with intubation? - ANSWER>>It requires a lot of practice.
When you arrive on scene and find your patient with their airway full of blood, how long should
you suction for? - ANSWER>>Until the airway is complete clear from blood.
What is the best way to confirm you have good a good ET Tube in place? - ANSWER>>End Tidal
When should you start the secondary assessment on a trauma patient? - ANSWER>>When time
and situation allows.
What are some pre-arrival factors you should be considering upon arrival to your designated
call? - ANSWER>>Time of day / Weather / Location / Hazards Involved / Possible additional
needs
What is the main reason for a primary assessment on a trauma patient? - ANSWER>>To identify
and treat immediate life threats.
What is the most common type of shock and what is the main cause of shock? -
ANSWER>>Hemorrhagic Shock due to either uncontrolled internal / external hemorrhage
When wanting to get a patient off scene quickly what is a piece of equipment that is best suited
for this situation? - ANSWER>>Scoop Stretcher
What is the first thing that should be treated on a trauma patient? And once that is treated
what should you focus on next? - ANSWER>>First treat the ABC's then any other immediate life
threats
, What is one of the earliest signs you may see on a patient who is starting to go into shock? -
ANSWER>>Increased Ventilatory Rate
When you show up on scene and find your patient bleeding out, what are the two steps you
should take to take care of that bleeding situation? - ANSWER>>Step 1 = direct pressure / step
2 = apply tourniquet
What do you want your Blood Pressure to be at if you have a trauma patient? -
ANSWER>>Systolic Blood Pressure of 80
What do you want your blood pressure to be for neurogenic patients? - ANSWER>>Systolic
Blood Pressure of 90
1. Which of the following requires you to develop a plan of action, initiate the plan, reassess the
plan as care for the patient moves forward, and adjust the plan as the patient's condition or
circumstances change?
A. Principles of PHTLS
B. The Golden Period
C. The XABCDE assessment
D. Critical thinking process - ANSWER>>Question 1: D
To help achieve the PHTLS goals, you will apply your critical thinking skills in the field. Critical
thinking in medicine is a process in which the healthcare practitioner assesses the situation, the
patient, and the resources available and uses the information to decide on and provide the best
care for the patient.
2. When using the XABCDE assessment, which of the following takes precedence over all other
actions?
A. Controlling severe bleeding from a limb or other compressible site
B. Airway stabilization and assessing circulatory status
C. Exposing the body to allow a thorough evaluation
D. Ensuring adequate breathing - ANSWER>>Question 2: A
The "X" placed before "ABCDE" in the primary survey refers to the need to address
exsanguinating hemorrhage immediately after establishing scene safety and before addressing
airway. Severe exsanguinating hemorrhage, particularly arterial bleeding, has the potential to
lead to loss of total or near total blood volume in a relatively short period of time.
