Lesson 1

Question 0

Three parts to the Golden Hour

Answer 0

To Be in and operating room within 60 minutes

Major trauma patients cannot be stabilized in the field

Efficient use of time requiring the use of priority action approach

Question 1

Role of the attendant (4)

Answer 1

Provide care

Positively affect outcome

Record and report

Decision-RTW or medical aid

Question 2

Four parts to the priority action approach

Answer 2

Scene assessment

Primary Survey

Critical interventions and transport decision

Secondary survey

Question 3

6 parts scene Assessment

Answer 3

What happened? (Mechanism of injury)

Is the area safe? (hazards)

Number of injured?

what do I see?

Is patient responsive?

Do I need C-spine control?

Question 4

RTC

Answer 4

Rapid transport category

Question 5

8 RTC mechanisms

Answer 5

Freefall from 20 feet or 6.5 m

Severe deceleration in an MVA (if anyone was killed or ejected, where the airbags deployed)

Pedestrian or cyclist struck at a speed higher than 20 mph or 30 km/h

Severe crush injuries (pinned more than 40 minutes)

Smoke or toxic gas inhalation, or carbon monoxide poisoning

Decompression illness

Near-drowning

Electrical injury

Question 6

Define Primary Survey

Answer 6

Rapid examination of the patient to discover any immediate life- or limb threatening injuries

Based on the ABC’s

Question 7

Describe Primary Survey ABC’s

Answer 7

Airway assessment with C-spine control

Breathing assessment

Circulation assessment

Question 8

The initial part of the primary survey is to determine what

Answer 8

If the patient is in cardiac arrest

Question 9

Cardiac arrest determined by three parts

Answer 9

Not responsive and

Not breathing or having only occasional gasps and

No carotid pulse

• basically no ABC’s

Question 10

If cardiac arrest is determined

Answer 10

Chest compressions or AED immediately

Question 11

Determining cardiac arrest in four steps (ABC’s)

Answer 11

Attempt to communicate with patient-any response?

No response-open airway and check for breathing

No breathing or only occasional gasps-check for carotid pulse

Assess breathing and pulse for 10 seconds

Question 12

Checking for breathing

Trauma and non-trauma methods

Answer 12

Trauma-using C-spine control and a jaw thrust

No trauma-head-tilt chin-lift

Question 13

Airway assessment

Answer 13

Airway must be opened

Look, listen and feel for breathing

Question 14

Aligning the head six parts

Answer 14

Take C-spine control with elbows braced

Explain what is going to be done

Tell patient to report any pain or resistance

Apply a gentle pull in line with the head

Gently realigned to anatomical then neutral

Stop if it resistance is met

Question 15

breathing Assessment 3 parts

Answer 15

Rate

Quality

Need for interventions

Question 16

Shortness of breath aka

Answer 16

Dyspnea

Question 17

Circulatory assessment 4 parts

Answer 17

Determine if the heart is beating

Check for shock

Check for-
Massive external bleeding
Obvious fractures

Determine need for critical interventions

Question 18

What is blood pressure

Answer 18

The pressure of blood against the walls of the arteries

Question 19

What are the ABC reassessments

Answer 19

Clear airway

Rate and quality of breathing

I radial pulse, obvious signs of shock

Question 20

ABC reassessments occur

Answer 20

Every 5 minutes on an RTC patient

Every 10 minutes on a non-RTC patient

Question 21

Time to complete the primary survey

Answer 21

Not longer than two minutes

• however can only be interrupted or extended for critical interventions

Question 22

Three parts to a secondary survey

Answer 22

Vital signs

History taking

Head to toe examination

Question 23

Time to complete as secondary survey

Answer 23

Not longer than 10 minutes

• for an RTC patient, secondary survey will be done enroute to the hospital

Question 24

Vital signs

Answer 24

In-depth measurement of the body functions to help determine the overall condition of the patient

Question 25

Vital signs not required when

Answer 25

If the patient will be returning to work

Question 26

Vital sign reassessments occur

Answer 26

Every 10 minutes for RTC patients

Every 30 minutes for non-RTC patients

Question 27

Vital signs: list of six

Answer 27

Time
Respiration
Pulse
Level of consciousness
Pupils
Skin

Question 28

What is normal respiration

Answer 28

Between 12 and 20 per minute

Question 29

What is normal pulse

Answer 29

Between 60 to 80 per minute

Question 30

Glasgow coma score 3 parts

Answer 30

Eye opening 4

Verbal response 5

Motor response 6

       Total of 15

Question 31

History taking 4 parts

Answer 31

Chief complaint

Allergies

Medications

Past medical history

Question 32

PPQRRST mnemonic for investigating pain

Answer 32

P pain
P provoke
Q Quality of pain
R radiating
R relieve the pain
S severity 1 to 10
T timing

Question 33

Medication questions five parts

Answer 33

Name of drug
Dose
Frequency
Purpose
Compliance

Question 34

Head to toe examination three parts

Answer 34

Physical examination

Neurological examination
Motor and sensory

Record all findings

Question 35

Physical examination investigates two parts

Answer 35

All injuries

Limbs circulation

Question 36

First rule of first aid

Answer 36

Protect yourself first! (ensure that the scene is safe)

Question 37

You are allowed to let go of C-spine under what condition

Answer 37

In cardiac arrest for chest compressions or AED (said Earl Lowe)

Question 38

Define agonal respiration

Answer 38

They appear to be breathing but not breathing effectively

Question 39

In determining cardiac arrest, assessment of breathing and pulse should not exceed how many seconds

Answer 39

10 seconds

Question 40

In 90% of unconscious airway blockages, the blockages are caused by what

Answer 40

The tongue

Question 41

A carotid pulse only means the blood pressure is in what range

Answer 41

Between 60 and 90

Question 42

Purpose of the rapid body survey (RBS)

Answer 42

To look for major bleeding or other gross deformity