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, 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
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Chapter 4: Soft-Tissue Trauma
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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 zl zl zl
Chapter 1: zl z l Trauma and Trauma Systems zl zl zl
1) The purpose of determining the mechanism of injury and the index of suspicion for the trauma
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patient at the same time is to allow you to:
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A) decide whether to transport the patient.
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B) identify comorbid factors.
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C) document a complete scene size-up.
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D) anticipate your patient's injuries.
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Answer: D z l
Diff: 2 zl Page Ref: 9-10
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Standard: Trauma (Trauma Overview) z l zl zl
Objective: 7 z l
2) Which of the following accounts for the highest number of trauma deaths in the United States
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of America?
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A) Motor vehicle crashes
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B) Falls
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C) Assaults
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D) Firearms injuries
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Answer: A z l
Diff: 2 zlPage Ref: 3
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Standard: Trauma (Trauma Overview) z l zl zl
Objective: 2 z l
3) Which of the following acts resulted in the development of modern EMS systems?
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A) Ryan White Act
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B) Highway Safety Act of 1966
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C) Good Samaritan Act
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D) The Trauma Care Systems Planning and Development Act of 1990
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Answer: B zl
Diff: 2 zlPage Ref: 4
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Standard: Trauma (Trauma Overview) z l zl zl
Objective: 8 z l
4) In addition to handling all types of specialty trauma, which level of trauma center provides
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continuing medical and public education programs? zl zl zl zl zl
A) IV
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B) III
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C) I
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D) II
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Answer: C z l
Diff: 2 zl Page Ref: 7-8
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Standard: Trauma (Trauma Overview) z l zl zl
Objective: 4 z l
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5) Upon arriving on a scene where the mechanism of injury indicates a potentially life-
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threatening injury, you should employ which of the following interventions to best help deliver
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the care that is needed?
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A) Reevaluate the scene size-up.
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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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Answer: B zl
Diff: 2 Page Ref: 13
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Standard: Trauma (Trauma Overview) z l zl zl
Objective: 7 z l
6) Which of the following physical findings indicates the need for immediate transport?
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A) Vital signs: systolic blood pressure 80, respiratory rate 8
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B) Glasgow Coma Scale score of 15
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C) Second-degree burns involving 9 percent of total body surface area in an adult patient
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D) Fractured right femur
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Answer: A z l
Diff: 2 Page Ref: 11-12
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Standard: Trauma (Trauma Overview) z l zl zl
Objective: 7 z l
7) Which of the following requires immediate transport to a trauma center?
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A) 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-old involved in a motor vehicle crash that resulted in the death of his passenger
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Answer: D z l
Diff: 2 Page Ref: 12
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Standard: Trauma (Trauma Overview) z l zl zl
Objective: 7 z l
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.
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B) promoting injury prevention.
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C) providing care to seriously injured trauma patients.
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D) providing surgical interventions to stop hemorrhage.
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Answer: D z l
Diff: 2 Page Ref: 3
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Standard: Trauma (Trauma Overview) z l zl zl
Objective: 3 z l
, 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
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Chapter 4: Soft-Tissue Trauma
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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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,zl
Volume 4: Trauma Emergencies zl zl zl
Chapter 1: zl z l Trauma and Trauma Systems zl zl zl
1) The purpose of determining the mechanism of injury and the index of suspicion for the trauma
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patient at the same time is to allow you to:
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A) decide whether to transport the patient.
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B) identify comorbid factors.
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C) document a complete scene size-up.
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D) anticipate your patient's injuries.
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Answer: D z l
Diff: 2 zl Page Ref: 9-10
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Standard: Trauma (Trauma Overview) z l zl zl
Objective: 7 z l
2) Which of the following accounts for the highest number of trauma deaths in the United States
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of America?
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A) Motor vehicle crashes
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B) Falls
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C) Assaults
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D) Firearms injuries
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Answer: A z l
Diff: 2 zlPage Ref: 3
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Standard: Trauma (Trauma Overview) z l zl zl
Objective: 2 z l
3) Which of the following acts resulted in the development of modern EMS systems?
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A) Ryan White Act
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B) Highway Safety Act of 1966
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C) Good Samaritan Act
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D) The Trauma Care Systems Planning and Development Act of 1990
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Answer: B zl
Diff: 2 zlPage Ref: 4
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Standard: Trauma (Trauma Overview) z l zl zl
Objective: 8 z l
4) In addition to handling all types of specialty trauma, which level of trauma center provides
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continuing medical and public education programs? zl zl zl zl zl
A) IV
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B) III
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C) I
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D) II
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Answer: C z l
Diff: 2 zl Page Ref: 7-8
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Standard: Trauma (Trauma Overview) z l zl zl
Objective: 4 z l
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5) Upon arriving on a scene where the mechanism of injury indicates a potentially life-
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threatening injury, you should employ which of the following interventions to best help deliver
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the care that is needed?
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A) Reevaluate the scene size-up.
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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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Answer: B zl
Diff: 2 Page Ref: 13
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Standard: Trauma (Trauma Overview) z l zl zl
Objective: 7 z l
6) Which of the following physical findings indicates the need for immediate transport?
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A) Vital signs: systolic blood pressure 80, respiratory rate 8
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B) Glasgow Coma Scale score of 15
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C) Second-degree burns involving 9 percent of total body surface area in an adult patient
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D) Fractured right femur
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Answer: A z l
Diff: 2 Page Ref: 11-12
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Standard: Trauma (Trauma Overview) z l zl zl
Objective: 7 z l
7) Which of the following requires immediate transport to a trauma center?
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A) 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-old involved in a motor vehicle crash that resulted in the death of his passenger
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Answer: D z l
Diff: 2 Page Ref: 12
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Standard: Trauma (Trauma Overview) z l zl zl
Objective: 7 z l
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.
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B) promoting injury prevention.
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C) providing care to seriously injured trauma patients.
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D) providing surgical interventions to stop hemorrhage.
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Answer: D z l
Diff: 2 Page Ref: 3
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Standard: Trauma (Trauma Overview) z l zl zl
Objective: 3 z l
