Air methods Critical Care Test and
Scenarios Master Deck Questions and
Answers
1.1. Preparation and Triage
2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G)
3. Reevaluation (consideration of transfer)
4. Secondary Survey (HI) with reevaluation adjuncts
5. Reevaluation and post resuscitation care
6. Definitive care of transfer to an appropriate trauma nurse
Answer Initial Assessment (TNCC)
2.(primary)
X- Assess for and control massive hemorrhage
A- Across the room survey, AVPU w/ cervical spine
immobilization, airway
B- Breathing and ventilation
C- Circulation
D- Disability
E- Exposure
(interventions/ resus adjuncts)
F- Full set of vitals and family presence
G- Get adjuncts (LMNO)
,L- labs
M- monitor cardiac rhythm
N- Naso/ orogastric tube (if intubated/ indicated by injury)
O- oxygenation ventilation analysis; SpO2,
ETCO2 (secondary, complete after fixing
problems of primary) H- History and head to
toe
I- Inspect posterior service while maintaining cervical
immobilization J- Just keep evaluating (VIPP)
V- VS
I- Identified injuries
P- Primary
assessment P- Pain
Answer
XABCDEFGHI
3.Primary survey
X- Assess for and control massive hemorrhage
(see also "A) A- AAA
Across the room survey checking for massive hemorrhage (re-
prioritize to C-ABC; pressure, elevate, tourniquet)
Alertness (AVPU) with simultaneous cervical spinal stabilization
Airway (check patency and intervene w/ suction or insert airway
adjunct)
B- Breathing and Ventilation
,Spontaneous breathing, symmetrical rise and fall of chest,
depth, pattern,
rate of respiration, signs of respiratory difficulty, skin color
(cyanotic or pale), wounds, contusions, abrasions, or deformities
Auscultate for breath sounds and heart sounds
Palpate bony structures of chest looking for any deformities,
subcutaneous emphysema, or soft tissue injury (bruises or seat
belt marks)
If adequate breathing/ ventilation present; 15L NRB and
assess ETCO2 If adequate breathing/ ventilation not
present
Open the airway, jaw thrust with second person, Insert
Answer ABCDEFGHI (in- depth)
4.reorganize care to C-ABC
Answer If uncontrolled hemorrhage ..
5.Used at the beginning of the initial assessment
1. A Alert. If the pt is alert he or she will be able to maintain his
or her airway once it is clear.
2. V responds to verbal stimuli responds to pain. If the patient
needs verbal stimulation to respond, an airway adjunct may be
needed to keep the tongue from obstructing the airway.
, 3. P responds to pain. If the pt. responds only to pain, he or she
may not be able to maintain his or her airway adjunct may need
to be placed while further assessment is made to determine the
need for intubation.
4. U Unresponsive. If the pt. is unresponsive, announce it loudly
to the team and direct someone to chk in the pt is pulseless
while assessing if the cause of the problem is the airway.
Answer Airway and AVPU
6.ask pt to open his or her mouth
Answer While assessing airway the patient is alert and responds to
verbal stimuli you should..
7.jaw thrust maneuver to open airway and assess for
obstruction. If pt has a suspected CSI, the jaw thrust
procedure should be done by two providers. One provider can
maintain c-spine and the other can perform the jaw thrust
maneuver.
Answer While assessing airway pt is unable to open mouth, responds
only to pain, or is unresponsive you should..
8.1. The tongue obstructing the airway
2. loose or missing teeth
3. foreign objects
4. blood, vomit, or secretions'
5. edema
Scenarios Master Deck Questions and
Answers
1.1. Preparation and Triage
2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G)
3. Reevaluation (consideration of transfer)
4. Secondary Survey (HI) with reevaluation adjuncts
5. Reevaluation and post resuscitation care
6. Definitive care of transfer to an appropriate trauma nurse
Answer Initial Assessment (TNCC)
2.(primary)
X- Assess for and control massive hemorrhage
A- Across the room survey, AVPU w/ cervical spine
immobilization, airway
B- Breathing and ventilation
C- Circulation
D- Disability
E- Exposure
(interventions/ resus adjuncts)
F- Full set of vitals and family presence
G- Get adjuncts (LMNO)
,L- labs
M- monitor cardiac rhythm
N- Naso/ orogastric tube (if intubated/ indicated by injury)
O- oxygenation ventilation analysis; SpO2,
ETCO2 (secondary, complete after fixing
problems of primary) H- History and head to
toe
I- Inspect posterior service while maintaining cervical
immobilization J- Just keep evaluating (VIPP)
V- VS
I- Identified injuries
P- Primary
assessment P- Pain
Answer
XABCDEFGHI
3.Primary survey
X- Assess for and control massive hemorrhage
(see also "A) A- AAA
Across the room survey checking for massive hemorrhage (re-
prioritize to C-ABC; pressure, elevate, tourniquet)
Alertness (AVPU) with simultaneous cervical spinal stabilization
Airway (check patency and intervene w/ suction or insert airway
adjunct)
B- Breathing and Ventilation
,Spontaneous breathing, symmetrical rise and fall of chest,
depth, pattern,
rate of respiration, signs of respiratory difficulty, skin color
(cyanotic or pale), wounds, contusions, abrasions, or deformities
Auscultate for breath sounds and heart sounds
Palpate bony structures of chest looking for any deformities,
subcutaneous emphysema, or soft tissue injury (bruises or seat
belt marks)
If adequate breathing/ ventilation present; 15L NRB and
assess ETCO2 If adequate breathing/ ventilation not
present
Open the airway, jaw thrust with second person, Insert
Answer ABCDEFGHI (in- depth)
4.reorganize care to C-ABC
Answer If uncontrolled hemorrhage ..
5.Used at the beginning of the initial assessment
1. A Alert. If the pt is alert he or she will be able to maintain his
or her airway once it is clear.
2. V responds to verbal stimuli responds to pain. If the patient
needs verbal stimulation to respond, an airway adjunct may be
needed to keep the tongue from obstructing the airway.
, 3. P responds to pain. If the pt. responds only to pain, he or she
may not be able to maintain his or her airway adjunct may need
to be placed while further assessment is made to determine the
need for intubation.
4. U Unresponsive. If the pt. is unresponsive, announce it loudly
to the team and direct someone to chk in the pt is pulseless
while assessing if the cause of the problem is the airway.
Answer Airway and AVPU
6.ask pt to open his or her mouth
Answer While assessing airway the patient is alert and responds to
verbal stimuli you should..
7.jaw thrust maneuver to open airway and assess for
obstruction. If pt has a suspected CSI, the jaw thrust
procedure should be done by two providers. One provider can
maintain c-spine and the other can perform the jaw thrust
maneuver.
Answer While assessing airway pt is unable to open mouth, responds
only to pain, or is unresponsive you should..
8.1. The tongue obstructing the airway
2. loose or missing teeth
3. foreign objects
4. blood, vomit, or secretions'
5. edema
