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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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,st
Volume 4: Trauma Emergencies st st st
Chapter 1: st s t Trauma and Trauma Systems st st st
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 s t
Diff: 2 st Page Ref: 9-10
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Standard: Trauma (Trauma Overview) s t st st
Objective: 7 s t
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 s t
Diff: 2 stPage Ref: 3
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Standard: Trauma (Trauma Overview) s t st st
Objective: 2 s t
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 st
Diff: 2 stPage Ref: 4
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Standard: Trauma (Trauma Overview) s t st st
Objective: 8 s t
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? st st st st st
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 s t
Diff: 2 st Page Ref: 7-8
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Standard: Trauma (Trauma Overview) s t st st
Objective: 4 s t
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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 st
Diff: 2 Page Ref: 13
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Standard: Trauma (Trauma Overview) s t st st
Objective: 7 s t
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 s t
Diff: 2 Page Ref: 11-12
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Standard: Trauma (Trauma Overview) s t st st
Objective: 7 s t
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 s t
Diff: 2 Page Ref: 12
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Standard: Trauma (Trauma Overview) s t st st
Objective: 7 s t
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.
st st st st st st
Answer: D s t
Diff: 2 Page Ref: 3
st s t st st
Standard: Trauma (Trauma Overview) s t st st
Objective: 3 s t
, Volume 4: Trauma Emergencies
st st st
Table of Contents
st st
Chapter 1: Trauma and Trauma Systems
st st st st st
Chapter 2: Mechanism of Injury
st st st st
Chapter 3: Hemorrhage and Shock
st st st st
Chapter 4: Soft-Tissue Trauma
st st st
Chapter 5: Burns
st st
Chapter 6: Head, Neck, and Spinal Trauma
st st st st st st
Chapter 7: Chest Trauma
st st st
Chapter 8: Abdominal and Pelvic Trauma
st st st st st
Chapter 9: Orthopedic Trauma
st st st
Chapter 10: Environmental Trauma
st st st
Chapter 11: Special Considerations in Trauma
st st st st st
,st
Volume 4: Trauma Emergencies st st st
Chapter 1: st s t Trauma and Trauma Systems st st st
1) The purpose of determining the mechanism of injury and the index of suspicion for the trauma
st st st st st st st st st st st st st st st st
patient at the same time is to allow you to:
st st st st st st st st st
A) decide whether to transport the patient.
st st st st st st
B) identify comorbid factors.
st st st
C) document a complete scene size-up.
st st st st st
D) anticipate your patient's injuries.
st st st st
Answer: D s t
Diff: 2 st Page Ref: 9-10
s t st st
Standard: Trauma (Trauma Overview) s t st st
Objective: 7 s t
2) Which of the following accounts for the highest number of trauma deaths in the United States
st st st st st st st st st st st st st st st st
of America?
st
A) Motor vehicle crashes
st st st
B) Falls
st
C) Assaults
st
D) Firearms injuries
st st
Answer: A s t
Diff: 2 stPage Ref: 3
s t st st
Standard: Trauma (Trauma Overview) s t st st
Objective: 2 s t
3) Which of the following acts resulted in the development of modern EMS systems?
st st st st st st st st st st st st st
A) Ryan White Act
st st st
B) Highway Safety Act of 1966
st st st st st
C) Good Samaritan Act
st st st
D) The Trauma Care Systems Planning and Development Act of 1990
st st st st st st st st st st
Answer: B st
Diff: 2 stPage Ref: 4
s t st st
Standard: Trauma (Trauma Overview) s t st st
Objective: 8 s t
4) In addition to handling all types of specialty trauma, which level of trauma center provides
st st st st st st st st st st st st st st st
continuing medical and public education programs? st st st st st
A) IV
st
B) III
st
C) I
st
D) II
st
Answer: C s t
Diff: 2 st Page Ref: 7-8
s t st st
Standard: Trauma (Trauma Overview) s t st st
Objective: 4 s t
,st
5) Upon arriving on a scene where the mechanism of injury indicates a potentially life-
st st st st st st st st st st st st st st
threatening injury, you should employ which of the following interventions to best help deliver
st st st st st st st st st st st st st
the care that is needed?
st st st st
A) Reevaluate the scene size-up.
st st st st
B) Initiate transport immediately, delaying more extensive care until you are en route.
st st st st st st st st st st st st
C) Ask a surgeon to respond to the scene.
st st st st st st st st
D) Call immediately for air medical transport to reduce the "Golden Period."
st st st st st st st st st st st
Answer: B st
Diff: 2 Page Ref: 13
st s t st st
Standard: Trauma (Trauma Overview) s t st st
Objective: 7 s t
6) Which of the following physical findings indicates the need for immediate transport?
st st st st st st st st st st st st
A) Vital signs: systolic blood pressure 80, respiratory rate 8
st st st st st st st st st
B) Glasgow Coma Scale score of 15
st st st st st st
C) Second-degree burns involving 9 percent of total body surface area in an adult patient
st st st st st st st st st st st st st st
D) Fractured right femur
st st st
Answer: A s t
Diff: 2 Page Ref: 11-12
st s t st st
Standard: Trauma (Trauma Overview) s t st st
Objective: 7 s t
7) Which of the following requires immediate transport to a trauma center?
st st st st st st st st st st st
A) A 40-year-old who fell 12 feet from a garage roof with a radius fracture
st st st st st st st st st st st st st st
B) A 36-year-old woman in a motor vehicle crash who has a blood pressure of 100/60
st st st st st st st st st st st st st st st
C) A 22-year-old soccer player with lower leg pain
st st st st st st st st
D) A 47-year-old involved in a motor vehicle crash that resulted in the death of his passenger
st st st st st st st st st st st st st st st st
Answer: D s t
Diff: 2 Page Ref: 12
st s t st st
Standard: Trauma (Trauma Overview) s t st st
Objective: 7 s t
8) As a paramedic, your role in trauma care consists of all of the following, EXCEPT:
st st st st st st st st st st st st st st st
A) providing rapid transport to appropriate facilities.
st st st st st st
B) promoting injury prevention.
st st st
C) providing care to seriously injured trauma patients.
st st st st st st st
D) providing surgical interventions to stop hemorrhage.
st st st st st st
Answer: D s t
Diff: 2 Page Ref: 3
st s t st st
Standard: Trauma (Trauma Overview) s t st st
Objective: 3 s t
