Trauma Systems

Question 0

_______ occurs when an object enters the body and exchanges energy with human tissue, thereby causing injury.

Answer 0

Penetrating trauma

Question 1

What is the leading cause of death of persons under age 44?

Answer 1

Trauma

Question 2

Which type of trauma occurs as injury that occurs as the energy and forces of collision with an object -not the object itself- enter the body and damage tissue?

Answer 2

Blunt trauma

Question 3

Serious and life threatening injury occurs in fewer than ____ precent of trauma patients.

Answer 3

10%

Question 4

What is the best care a paramedic can offer a trauma patient?

Answer 4

Immobilize Cspine
Secure airway
Ensure adequate respirations
Control any significant external hemorrhage 
Rapid transport

Question 5

What is involved in the trauma triage criteria?

Answer 5

Consideration of mechanisms by which patients are injured

Physical or clinical findings indicating internal injury

Question 6

How did the Trauma Care Systems Planning and Development Act of 1990 help EMS?

Answer 6

Established guidelines, funding, and state-level leadership and support for the development of trauma systems

Question 7

The trauma system is predicated on the principal that serious trauma is a?

Answer 7

Surgical disease

Question 8

What is the criteria for a level 1 trauma center?

Answer 8

Commits resources to address all types of specialty trauma 24 hours a day, 7 days a week

Question 9

What is the criteria for a level 2 trauma center?

Answer 9

Commits the resources to address the most common trauma emergencies with surgical capability available 24 hours a day, 7 days a week

Question 10

Which level trauma center will stabilize and transport specialty cases to the regional trauma center?

Answer 10

Level 2

Question 11

What is the criteria for a level 3 trauma center?

Answer 11

Commits to special emergency department training and has some surgical capacity

Question 12

Which level trauma center will usually stabilize and transfer seriously injured trauma patients to a higher-level trauma center as needed?

Answer 12

Level 3

Question 13

A regional trauma center is also known as which level?

Answer 13

1

Question 14

An area trauma center is also known as which level?

Answer 14

2

Question 15

A community trauma center is also known as which level?

Answer 15

3

Question 16

What is the criteria for a level 4 trauma center?

Answer 16

A small community hospital or medical care facility may be designated a trauma receiving facility

Question 17

What level trauma center will stabilize and prepare trauma patients with moderate to serious injuries for transport to a higher facility?

Answer 17

Level 4

Question 18

A trauma facility is also known as which level?

Answer 18

4

Question 19

In rural regions, a level _____ center may act as the regional trauma center because the incidence of serious trauma does not support any greater commitment.

Answer 19

3

Question 20

What specialty service is important in the treatment of carbon monoxide poisoning and problems related to scuba diving?

Answer 20

Hyperbaric Oxygenation

Question 21

What types of centers are more likely to provide a higher level of intensive care and state-of-the-art injury management than other facilities?

Answer 21

Specialty centers

Question 22

The ________ are guidelines established to help the paramedic determine which patients require the services of a trauma center or if they do not.

Answer 22

Trauma triage criteria

Question 23

What should be considered in the mechanism of injury analysis?

Answer 23

Forces involved in the incident
Direction from which patient came
Areas most affected by these forces

Question 24

What are the possible mechanisms of injury in an MVC?

Answer 24

Energy exchange process between the auto and what it struck, between the patient and the auto interior, and various tissues and organs as the collide within the patient

Question 25

When should mechanism of injury be considered?

Answer 25

During scene size-up

Question 26

What should be reconsidered as the first step of the focused history and physical exam for trauma patients?

Answer 26

Mechanism of injury

Question 27

What is the index of suspicion?

Answer 27

The anticipation of injury to a body region, organ, or structure based on analysis of the mechanism of injury

Question 28

The probability of internal injury at lower speeds is ____ than higher speeds.

Answer 28

Less

Question 29

What are the physical signs suggesting trauma?

Answer 29

Signs and symptoms of shock and those of internal head injury

Question 30

What is important to note about the bodies compensatory mechanisms for internal blood loss?

Answer 30

Body compensates well for internal blood loss and hides serious signs of injury until late in the shock process

Question 31

What is the golden hour?

Answer 31

The 60 minute period after a severe injury and the maximum acceptable time between injury and surgery

Question 32

How much time is ideally given for primary and rapid secondary assessments, emergency stabilization, patient packaging, and initiation of transport for the severe trauma patient?

Answer 32

10 mins

Question 33

What does the "lets not mean by accident" program do for ems?

Answer 33

Increases societies awareness of trauma systems as well as an appreciation for safety oriented behaviors

Question 34

What is the trauma registry?

Answer 34

It is a uniform and standard set of data collected by regional trauma centers which are analyzed to determine how well the system is working

Question 35

What occurs in the QI process?

Answer 35

Committees look at selected care modalities to determine if designated standards of care are being met

Question 36

What is the term used for the selected care modalities in the QI process?

Answer 36

Indicators

Question 37

What is done by QI committees if system standards are not being met?

Answer 37

Continuing education programs | Modification of protocols

Question 38

When will you begin your consideration of the mechanism of injury?

Answer 38

During scene size up