Question 1

``` H-1) Up to how many points are assigned to each element of the Revised Trauma​ Score? A. 8 B. 12 C. 15 D. 4 ```

Accepted Answer

D. 4

Question 2

H-2) The Revised Trauma Score rates​ the: A. skin​ condition, color, and temperature. B. Glasgow Coma​ Scale, systolic blood​ pressure, and respiratory rate. C. diastolic blood​ pressure, systolic blood​ pressure, and respiratory rate. D. heart​ rate, pulse​ rate, and respiratory rate.

Accepted Answer

B. Glasgow Coma​ Scale, systolic blood​ pressure, and respiratory rate. The characteristics rated by the Revised Trauma Score are the diastolic blood​ pressure, systolic blood​ pressure, and respiratory rate.

Question 3

H-3) Which of the following is a transport decision for a multisystem trauma​ patient? A. Deciding on a hospital destination B. Deciding how long to spend on scene C. Deciding what to do when there is disagreement on patient care D. Deciding to manage some injuries en route to the hospital

Accepted Answer

A. Deciding on a hospital destination Deciding where to go and identifying the criticality of the patient are the two components of a transport decision. The other choices are related to timing and communication.

Question 4

``` H-4) With a multisystem trauma​ patient, which of the following should be used to determine when to bypass one hospital for​ another? A. Area familiarity B. Making a shift change on time C. Provider preference D. Protocols ```

Accepted Answer

D. Protocols Follow local protocols when making destination decisions for trauma patients.

Question 5

H-5) Your adult trauma patient has a score of 14 on the Glasgow Coma​ Scale, a systolic blood pressure of 90 mm​ Hg, and a respiratory rate of 10. You​ should: A. package the patient for immediate transport to a trauma center. B. decide whether the mechanism of injury is significant enough to merit transport to a trauma center. C. address whether the patient meets the anatomic criteria for transport to a trauma center. D. reassess blood pressure and respiratory rate.

Accepted Answer

C. address whether the patient meets the anatomic criteria for transport to a trauma center. Each of the criteria for determining trauma transport - physiologic ​criteria, anatomic​ criteria, and mechanism of injury - should be considered separately and in​ sequence, addressing the first of these criteria before the second and addressing the second before the third. For​ example, if you encountered a patient who is physiologically​ unstable, he would be transported to a trauma center.​ However, if your patient were physiologically​ stable, you would move on to consider the anatomic​ criteria, and so on. This patient is barely stable enough to not require transport to a trauma center based on physiological​ criteria, so you would move on to the anatomic criteria.

Question 6

``` H-6) Your patient was involved in a motor vehicle collision. You have decided to transport him to a trauma center because another occupant in the same vehicle died. Your decision is based​ on: A. mechanism of injury. B. anatomical findings. C. physiological findings. D. pathophysiological findings. ```

Accepted Answer

A. mechanism of injury. A patient with no anatomical or physiological abnormalities may be classified as a​ high-priority patient on the basis of the mechanism of injury. If someone in the same compartment died, it heightens the suspicion of MOI

Question 7

H-7) According to CDC trauma triage​ guidelines, special patient or system considerations include​ age, burns,​ pregnancy, and: A. clinical depression. B. anticoagulants and bleeding disorders. C. belligerent behavior. D. medication use.

Accepted Answer

B. anticoagulants and bleeding disorders. According to CDC trauma triage​ guidelines, anticoagulants and bleeding disorders are a special patient or system consideration.

Question 8

H-8) You are caring for an elderly trauma patient. The mechanism of injury is not​ remarkable, but your instincts tell you that something is wrong. You​ should: A. delay your transport decision and further evaluate the patient. B. wait for ALS personnel to arrive. C. ignore your instincts until you have evidence. D. trust your judgment.

Accepted Answer

D. trust your judgment. When in​ doubt, trust your instincts and err on behalf of the​ patient's best interests. A special consideration according to the CDC trauma triage guidelines is EMS provider judgment.

Question 9

H-9) Which of the following is the highest priority for your multisystem trauma​ patient? A. Determining the exact extent of injuries B. Rapid transport C. Management of all secondary injuries D. Thorough documentation

Accepted Answer

B. Rapid transport Of the​ choices, rapid transport is the highest priority for a multisystem trauma patient.

Question 10

H-10) What is your overall goal in caring for a multisystem trauma​ patient? A. To treat immediate threats to life B. To manage all injuries discovered C. To provide definitive care D. To manage the patient until ALS personnel arrive

Accepted Answer

A. To treat immediate threats to life The priority for a multisystem trauma patient is to manage life threats and provide rapid transport to the appropriate facility. Depending on the severity of the​ patient's condition, you may not be able to manage all injuries that are discovered.

Question 11

H-11) What is a less immediate benefit of trauma scores that does not involve determining whether a patient should go to a trauma​ center? A. Trauma scores are useful for medical billing and insurance coding. B. They provide proof of care in case of malpractice lawsuits. C. A trauma score helps evaluate an​ EMT's standard of care. D. Trauma centers may use the scores to compare outcomes of trauma patients with similar injuries.

Accepted Answer

D. Trauma centers may use the scores to compare outcomes of trauma patients with similar injuries. After helping determine whether the patient should go to a trauma​ center, the second major function of a trauma scoring system is to allow trauma centers to evaluate themselves in comparing the outcomes of trauma patients who have similar severity of injuries. In this​ way, they can improve the quality of care their trauma patients​ receive, and can conduct research on trauma care.

Question 12

H-12) Your patient has a Revised Trauma Score of 3. This means​ that: A. the​ patient's condition is critical. B. the​ patient's condition is moderate. C. the patient has the lowest score possible. D. the patient has the highest score possible.

Accepted Answer

A. the​ patient's condition is critical. This is a low​ score, and indicates a critical patient. The RTS ranges from 0 to​ 12, with as many as 4 points and as few as 0 possible to assign to each of the three elements that the RTS scores. The lower the​ score, the more seriously injured the patient​ is, and the less likely he will survive.

Question 13

PT-1) If your trauma patient had an initial GCS score of 13 and now has a score of​ 10, this implies​ that: A. the patient is still stable. B. the patient is improving. C. the patient is deteriorating. D. someone miscalculated the first GCS​ score, as the maximum score is 10.

Accepted Answer

C. the patient is deteriorating.

Question 14

``` PT-2) Which of the following would most likely be used to determine whether a patient would be transported to a trauma​ center? A. Patient preference B. EMT experience C. Pupillary response D. Trauma score ```

Accepted Answer

D. Trauma score

Question 15

PT-3) You and your partner disagree on the best destination for a trauma patient. In this​ situation, you​ should: A. wait for ALS personnel to arrive. B. determine the​ patient's preference. C. go to the closest hospital. D. consult your protocols or medical direction.

Accepted Answer

D. consult your protocols or medical direction.

Question 16

``` PT-4) A GCS of 8​ indicates: A. a stable patient. B. a multisystem trauma patient. C. a significant likelihood of head injury. D. a hypotensive patient. ```

Accepted Answer

C. a significant likelihood of head injury.

Question 17

PT-5) You arrive on scene to a patient with an arterial bleed from his right lower leg. The patient is​ lethargic, and has many other injuries. What should you do​ first? A. Call for air medical evacuation B. Administer​ 100% high-flow oxygen via nonrebreather mask C. Open the​ patient's airway and ensure that it is patent D. Stop the hemorrhage with direct pressure

Accepted Answer

D. Stop the hemorrhage with direct pressure

Question 18

``` PT-6) Which pregnant trauma patient is the highest priority for transport to a trauma​ center? A. Pregnant 16 weeks B. Pregnant 24 weeks C. Pregnant 20 weeks D. Pregnant 8 weeks ```

Accepted Answer

B. Pregnant 24 weeks

Question 19

PT-7) Which of the following patients is the most​ critical, based on trauma triage​ guidelines? A. ​16-year-old male driver with neck and back pain following a motor vehicle collision B. ​26-year-old assault victim with multiple​ self-controlled lacerations across the face and​ neck, with a systolic blood pressure of 110 C. ​46-year-old car crash victim with possible right ankle fracture D. ​31-year-old male​ construction-site fall victim who fell approximately two stories and who demonstrates signs and symptoms of shock

Accepted Answer

D. ​31-year-old male​ construction-site fall victim who fell approximately two stories and who demonstrates signs and symptoms of shock Falls of >20' for adults is a trauma indicator

Question 20

``` PT-8) When caring for the victim of a motor vehicle​ collision, the EMT should suspect critical injuries​ if: A. the collision occurred at 10 mph. B. there was only a solo occupant. C. another occupant was killed. D. more than one person was injured. ```

Accepted Answer

C. another occupant was killed. Trauma criteria is looked at when another person is killed in same compartment as injured victim

Question 21

``` PT-9) Which of the following components is not used during the evaluation of the Revised Trauma​ Score? A. Glasgow Coma Scale B. Systolic blood pressure C. Respiratory rate D. Heart rate ```

Accepted Answer

D. Heart rate

Question 22

``` PT-10) Knowing what you will do on scene and how that relates to what your partner will do is part​ of: A. trauma. B. timing. C. teamwork. D. transport. ```

Accepted Answer

C. teamwork.

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CH 34 Multisystem Trauma Flashcards

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