MICN EXAM TRAUMA QUESTIONS AND 100%
CORRECT ANSWERS
What type of head trauma would constitute trauma?
-head/depressed skull fracture or penetrating or open
LOC, neuro deficit, asymmetrical pupils, or vomiting/head blunt or penetrating
blunt head injury and bruising in area of injury and on blood thinners(except for aspirin)
or known to have hemophilia or dialysis patient
What are the extremity injuries that are considered trauma criteria? -Answer-Extremity
injury with poor circulation or absent pulse
-Paralysis or paresthesia arm or leg due to injury
-Fracture of 2 or more long bones
-Amputation partial or complete above wrist or ankle
-Crushed, degloved, or mangled Extremity
what type of chest/abdominal injuries are trauma criteria? -Answer-penetrating injury to
neck, chest, abdomen, back, groin, or above elbow or knee( that penetrates all layers of
skin)
-blunt chest injury w/ abnormal respirations
-seat belt bruising/abrasion to neck/chest/abdomen
-blunt abdominal injury w/ palpable tenderness
-pelvic rim pain or deformity on palpation
-pregnant females w/ blunt or penetrating abdominal injury
When does a fall constitute trauma? In adults? Children? What is another special
circumstance fall that constitutes trauma? -Answer Adult/Adolescent: > 15 feet
, Children: > 10 feet or 2-3 times the height of the child
Special circumstance: anyone that falls from a galloping horse
When does an auto crash constitute trauma? -Answer -passenger space intrusion of >
12 inches where pt was sitting
-intrusion of greater than 18 inches
-ejection (partial or complete) from car
-passenger in same vehicle as another pt that died
-Auto vs. Ped/Bike who is thrown any distance, run over, or has greater than 20 mph
impact
-motorcycle crash going greater than 20 mph and includes "laying bike down"
what is another possible trauma that happens at the beach?
- Answer Diving and shore break injuries with suspected spinal cord injury
Who else can recommend a pt meets trauma criteria? -Answer EMS!
Overall what is considered a pt to meet traum triage criteria? -Answer when they have
blunt or penetrating injury AND
decreased ability to follow commands or
decreased respirations or
decreased BP
How do you position a woman >20 weeks pregnant -Answer left lateral side to decrease
pressure on vena cava
what do you consider if airbags deploy? - Answer eye irritation due to the powder
-brush off powder
-irrigate with water
-take out contacts
CORRECT ANSWERS
What type of head trauma would constitute trauma?
-head/depressed skull fracture or penetrating or open
LOC, neuro deficit, asymmetrical pupils, or vomiting/head blunt or penetrating
blunt head injury and bruising in area of injury and on blood thinners(except for aspirin)
or known to have hemophilia or dialysis patient
What are the extremity injuries that are considered trauma criteria? -Answer-Extremity
injury with poor circulation or absent pulse
-Paralysis or paresthesia arm or leg due to injury
-Fracture of 2 or more long bones
-Amputation partial or complete above wrist or ankle
-Crushed, degloved, or mangled Extremity
what type of chest/abdominal injuries are trauma criteria? -Answer-penetrating injury to
neck, chest, abdomen, back, groin, or above elbow or knee( that penetrates all layers of
skin)
-blunt chest injury w/ abnormal respirations
-seat belt bruising/abrasion to neck/chest/abdomen
-blunt abdominal injury w/ palpable tenderness
-pelvic rim pain or deformity on palpation
-pregnant females w/ blunt or penetrating abdominal injury
When does a fall constitute trauma? In adults? Children? What is another special
circumstance fall that constitutes trauma? -Answer Adult/Adolescent: > 15 feet
, Children: > 10 feet or 2-3 times the height of the child
Special circumstance: anyone that falls from a galloping horse
When does an auto crash constitute trauma? -Answer -passenger space intrusion of >
12 inches where pt was sitting
-intrusion of greater than 18 inches
-ejection (partial or complete) from car
-passenger in same vehicle as another pt that died
-Auto vs. Ped/Bike who is thrown any distance, run over, or has greater than 20 mph
impact
-motorcycle crash going greater than 20 mph and includes "laying bike down"
what is another possible trauma that happens at the beach?
- Answer Diving and shore break injuries with suspected spinal cord injury
Who else can recommend a pt meets trauma criteria? -Answer EMS!
Overall what is considered a pt to meet traum triage criteria? -Answer when they have
blunt or penetrating injury AND
decreased ability to follow commands or
decreased respirations or
decreased BP
How do you position a woman >20 weeks pregnant -Answer left lateral side to decrease
pressure on vena cava
what do you consider if airbags deploy? - Answer eye irritation due to the powder
-brush off powder
-irrigate with water
-take out contacts
