ENPC Question and answer 2023
Preparation and traige - correct answer 1.State need for activation of trauma team
2. Prepare for trauma : ped equpment, length-based resuscitation tape and dosing
guidelines
3. State the need to don PPE
Across-the-room Observation - correct answer Assess for uncontrolled hemorrhage
(C), if non go to ABC
State the three components of pediatric assessment triangle (Appeance/Airway, WOB,
and Circulation
AND categorizes them as sick, sicker or sickest
Airway and Alertness - correct answer **APVU
If trauma is suspected state need for manual c-spine until collar is placed, AND
demonstrate manual jaw-thrust. If isn't you can do it normally
** Determine patency of airway (four): tongue obstruction, loose or missing teeth,
foreign objects, blood or other secretions, edem, snoring, gurgling or stridor and is there
any bony deformity
Interventions: suction, folded towel, OPA or NPA, indicate need for intubation
4. Across the room observation and then - correct answer Assess for uncontrolled
external hemorrhage and the need to re prioritize C over ABC
Breathing and Ventilation. - correct answer ** Assess breathing: sponatenous,
symmetrical chest, skin color, open wounds, breath sounds? Subq empysema, JVD or
trach deviation or increased WOB (which would include, grunting, retractions, head
bobbing, nasal flaring)
Interventions: oxygen, ventilation, intubation, chest tube or needle thoracentesis
Circulation and hemorrhage - correct answer All of these: inspects of uncontrolled
hemorrhage, palpates central and peripheral pulses, inspect and palpates skins for
color, temp and moisture and assess cap refill
Interventions: control of hemorrhage, initiation chest compression, IV get two, cardiac
monitor if it is a dysrhythmia, fluid bolus 20mlkg - 10 mlkg for neonate or cardiogenic
shock
Disability - correct answer GCS : verbal, eye and motor
Four score for unresponsive or intubated: eye, motor, brainstem and respiration status
PERRL
Interventions: glucose and if not need fo rintubation
Exposure and Environment - correct answer Remove all clothing AND inspect for
hemorrhage or other signs of illness or injuries
Interventions: warming lights. warm fluid, warmed oxygen, blankets
Preparation and traige - correct answer 1.State need for activation of trauma team
2. Prepare for trauma : ped equpment, length-based resuscitation tape and dosing
guidelines
3. State the need to don PPE
Across-the-room Observation - correct answer Assess for uncontrolled hemorrhage
(C), if non go to ABC
State the three components of pediatric assessment triangle (Appeance/Airway, WOB,
and Circulation
AND categorizes them as sick, sicker or sickest
Airway and Alertness - correct answer **APVU
If trauma is suspected state need for manual c-spine until collar is placed, AND
demonstrate manual jaw-thrust. If isn't you can do it normally
** Determine patency of airway (four): tongue obstruction, loose or missing teeth,
foreign objects, blood or other secretions, edem, snoring, gurgling or stridor and is there
any bony deformity
Interventions: suction, folded towel, OPA or NPA, indicate need for intubation
4. Across the room observation and then - correct answer Assess for uncontrolled
external hemorrhage and the need to re prioritize C over ABC
Breathing and Ventilation. - correct answer ** Assess breathing: sponatenous,
symmetrical chest, skin color, open wounds, breath sounds? Subq empysema, JVD or
trach deviation or increased WOB (which would include, grunting, retractions, head
bobbing, nasal flaring)
Interventions: oxygen, ventilation, intubation, chest tube or needle thoracentesis
Circulation and hemorrhage - correct answer All of these: inspects of uncontrolled
hemorrhage, palpates central and peripheral pulses, inspect and palpates skins for
color, temp and moisture and assess cap refill
Interventions: control of hemorrhage, initiation chest compression, IV get two, cardiac
monitor if it is a dysrhythmia, fluid bolus 20mlkg - 10 mlkg for neonate or cardiogenic
shock
Disability - correct answer GCS : verbal, eye and motor
Four score for unresponsive or intubated: eye, motor, brainstem and respiration status
PERRL
Interventions: glucose and if not need fo rintubation
Exposure and Environment - correct answer Remove all clothing AND inspect for
hemorrhage or other signs of illness or injuries
Interventions: warming lights. warm fluid, warmed oxygen, blankets
