Questions and CORRECT Answers
when do most trauma patients die? - CORRECT ANSWER - immediately at the scene
[within 1st hour]
what is the primary way to prevent trauma deaths? - CORRECT ANSWER - educate
patients with anticipatory guidance
in trauma, what is considered the golden hour? - CORRECT ANSWER - from the time the
patient gets injured until definitive care at the trauma center [1st hour]
30% of trauma patients die within the first few hour because of what? - CORRECT
ANSWER - neurological injury
T or F: 60% of trauma patient preventable deaths occur during the golden hour - CORRECT
ANSWER - true
what is the MIST mneomonic for team leaders overseeing EMS and hands off to trauma: -
CORRECT ANSWER - MOI injures found/suspected signs/symptoms treatment
the time you have left when the patient hits the ED door, that includes resuscitation and ends
with definitive care - CORRECT ANSWER - platinum half hour
ABCDE mnemonic for the PRIMARY survey for trauma pts - CORRECT ANSWER -
airway breathing circulation disability (neuro status) exposure/environment
when in the ABCDE do you do C-spine restriction of motion? - CORRECT ANSWER -
airway
, do you apply traction with C spine restriction of motion? - CORRECT ANSWER - no
which part of ABCDE involves checking mental status via AVPU or GCS? - CORRECT
ANSWER - disability
intubation of choice for airway: - CORRECT ANSWER - endotracheal
what size chest tube is inserted for flail chest/sucking chest wound or tension pneumothorax? -
CORRECT ANSWER - 28-32 french
what is the DEPT mnemonic for circulation and hemorrhage control in trauma pts? - CORRECT
ANSWER - direct pressure elevation pressure point tourniquet
in shock management, what IV do you start? - CORRECT ANSWER - 2 large bore above
and below the site
how much fluids are given to an adult vs kids in hypovolemic shock? - CORRECT
ANSWER - 1L (10cc/kg) = adults 20 cc/kg = kids
what is the ratio of lactated ringers given for amount of fluids lost ? - CORRECT
ANSWER - 3:1 ratio crystalloid replacement per unit of blood loss ex: if 1 L fluids lost,
give 3 L LR
when are lactated ringers C.I? - CORRECT ANSWER - closed head injury
why do you give Preg. females in shock O negative blood? - CORRECT ANSWER - to
prevent erythroblastosis fetalis from ABO incompatability
T or F: in shock, you should use blood products early - CORRECT ANSWER - true