PHTLS 10th Edition Q&A
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 - =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 - =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.
3. Which of the following is the basis on which a patient's chance of survival is maximized?
A. Preferences
B. Phases
C. Principles
, D. Transport - =Question 3: C
The science of medicine provides the principles of medical care. Simply stated, principles define
the duties required of the prehospital care practitioner in optimizing patient survival and
outcome.
4. Which of the following is a goal of the Golden Period?
A. Provide written documentation from field care to receiving hospital.
B. Expedite the field care and transport of the patient.
C. Use a team approach for optimal patient care.
D. Use the XABCDE approach to patient assessment. - =Question 4: B
One of your most importantresponsibilities as a prehospital carepractitioner is to spend as little
time onthe scene as possible and expedite yourfield care and transport of the patient.Studies
show that the time from injuryto arrival at the appropriate site fordefinitive care is critical to
survival.
1. You are called to the scene of a possible mass casualty motor vehicle collision on the
highway. Once you arrive on scene, what is your first priority?
A. Immediately begin triaging patients.
B. Treat the patient with the most visible blood loss.
C. Determine the need for additional resources.
D. Assess the scene and ensure it is safe. - =Question 1: D
Ensure safety for responders, bystanders, and patient(s). The first consideration when
approaching any scene is the safety of all emergency responders. When EMS personnel become
victims, they not only can no longer assist others, but also add to the number of patients.
2. A trauma patient from the highway incident is holding her right arm, and you note a
significant amount of blood steadily flowing from a long gash. This is an example of what type
of hemorrhage?
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 - =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 - =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.
3. Which of the following is the basis on which a patient's chance of survival is maximized?
A. Preferences
B. Phases
C. Principles
, D. Transport - =Question 3: C
The science of medicine provides the principles of medical care. Simply stated, principles define
the duties required of the prehospital care practitioner in optimizing patient survival and
outcome.
4. Which of the following is a goal of the Golden Period?
A. Provide written documentation from field care to receiving hospital.
B. Expedite the field care and transport of the patient.
C. Use a team approach for optimal patient care.
D. Use the XABCDE approach to patient assessment. - =Question 4: B
One of your most importantresponsibilities as a prehospital carepractitioner is to spend as little
time onthe scene as possible and expedite yourfield care and transport of the patient.Studies
show that the time from injuryto arrival at the appropriate site fordefinitive care is critical to
survival.
1. You are called to the scene of a possible mass casualty motor vehicle collision on the
highway. Once you arrive on scene, what is your first priority?
A. Immediately begin triaging patients.
B. Treat the patient with the most visible blood loss.
C. Determine the need for additional resources.
D. Assess the scene and ensure it is safe. - =Question 1: D
Ensure safety for responders, bystanders, and patient(s). The first consideration when
approaching any scene is the safety of all emergency responders. When EMS personnel become
victims, they not only can no longer assist others, but also add to the number of patients.
2. A trauma patient from the highway incident is holding her right arm, and you note a
significant amount of blood steadily flowing from a long gash. This is an example of what type
of hemorrhage?
