Trauma Evaluation & Management

Question 1

What level trauma center has no dedicated on call trauma surgeon?

Answer 1

Level III

Question 2

What level trauma centers have a dedicated on call trauma surgeon required to respond within 15 minutes?

Answer 2

Levels I & II

Question 3

What level of trauma center has 24-hour cardiothoracic surgery avaialble?

Answer 3

Level I

Question 4

In level II & III trauma centers, the critical care physician must respond in what amount of time?

Answer 4

Level II - 15 min
Level III - 30 min

Question 5

This level of trauma facility requires the respiratory therapist be available and on call 24-H a day?

Answer 5

Level III (level I & II must be in hospital all 24H)

Question 6

This is the highest level of trauma facility & must have most everything open and available 24H/ 365 days?

Answer 6

Level I

Question 7

This level of trauma facility has the ability to provide prompt assessment, resuscitation, surgery, intensive care and stabilization of injured patients and emergency operations?

Answer 7

Level III

Question 8

This act guides patient transfer rules so that private hospitals cannot transfer PT just because they cant afford services, and the only indication for transfer is to provide a higher level of care?

Answer 8

the Emergency Medical Treatment and Labor Act (EMTALA)

Question 9

What part of the ABC’s is described in this assessment: skin color, pulse, loss of consciousness?

Answer 9

c-circulation

Question 10

What part of the ABC’s is described in this assessment: can the PT speak; are there foreign bodies; is stridor present?

Answer 10

airway

Question 11

What part of the ABC’s is described in this assessment: deviated trachea; crackles when pressure is applied to chest; flail chest; absent breath sounds; chest exposure is required for this assessment?

Answer 11

breathing

Question 12

What are the five parts of the initial survey?

Answer 12

Airway, breathing, circulation, disability, and environment

Question 13

How are disability and environment assessed in the initial survey?

Answer 13

Disability: neuro exam, Glasgow coma scale
Environment: rectal temp; log roll to check back side; provide warming blankets

Question 14

The head to toe assessment is part of what survey?

Answer 14

The secondary survey

Question 15

This type of injury classification results form a fall, MVA, flying/thrown object?

Answer 15

blunt injury

Question 16

This type of injury classification occurs due to a GSW, stabbing, or explosion involving material?

Answer 16

penetrating

Question 17

What are the two most concerning areas to look for damage when a patient sustains a blast injury?

Answer 17

intracranial and intrathoracic damage (bleeding)

Question 18

What are the 6 common labs drawn in an trauma situation?

Answer 18

CBC
CMP
INR
PTT
Toxic substance with ETOH
VBG

Question 19

What does INR measure?

Answer 19

How long blood takes to clot (indicated when pt is on blood thinner)
Normal level is 1.0
Elevated INR means blood takes longer to clot