PHTLS

Scared for my life.

100

Your EMS unit is en route to the scene of an assault. Dispatch information indicates law enforcement has not yet arrived on the scene. This is the safest approach to this situation.

What is staging at a safe location away from the scene until law enforcement advises the scene is safe.

200

This is the most immediate life-threatening condition resulting from injury to solid abdominal organs:

What is Hemorrhaging.

300

One of these is the most important indicator of a serious injury in a victim of a shotgun wound. A) The position of the victim when shot with the gun B) The total weight of the projectile shot from the gun C) Distance between the victim and the gun when shot D) Velocity of the projectile leaving the gun when shot

What is C) Distance between the victim and the gun when shot.

400

This is the most common cause of injury in pediatric patients less than 10 years of age: Daily Double! Daily Double! Daily Double! Daily Double!

What are Falls.

500

This best explains the mechanism by which gas exchange is impaired in pulmonary contusion. A) Blood in the alveoli B) Collapse of the alveoli C) Compression of the lung tissue D) Partial occlusion of the bronchi

What is A) Blood in the alveoli.

I can't breath!

100

This is a sign of ventilatory inadequacy in a trauma patient? A) Equal breath sounds B) Ventilatory rate of 12 C) Speaking in short bursts D) Sp02 of 95% on room air

What is C) Speaking in short bursts.

200

This is the most common cause of upper airway obstruction in the trauma patient? A) Teeth B) Blood C) Tongue D) Vomitus

What is C) Tongue.

300

This is the most significant complication of prolonged suctioning of trauma patients? A) Hypoxia B) Bradypnea C) Bradycardia D) Hypercarbia

What is A) Hypoxia.

400

Of these choices this is the most important reason to maintain an open airway in the trauma patient? A) To prevent snoring respirations B) To prevent aspiration and pneumonia C) To prevent hypoxemia and hypercarbia D) To prevent the tongue from blocking the pharynx

What is C) To prevent hypoxemia and hypercarbia.

500

This is a specific signs of inhalation injury: A) Burns B) Wheezing C) Tachycardia D) Hypotension

What is B) Wheezing.

The Suspect, Assessment, & Treatment

100

During the primary survey of a trauma patient, you note that the patient is agitated and confused and appears to have multiple injuries from an altercation. Of the following choices, this should be your first treatment priority: A) Controlling bleeding B) Establishing an intravenous line C) Possible hypoxia correction D)backboard immobilization

What is C) Correction of possible hypoxia.

200

Your patient is a middle-aged male who crashed his motorcycle. He is unresponsive. After opening the airway using a modified jaw thrust, you note the patient has snoring respirations at a rate of 6. Auscultation reveals breath sounds are absent on the left side. This is the next intervention: A) Insert an endotracheal tube B) Apply nonrebreather C) Begin BVM ventilation D) Perform needle decompression

What is C) Begin ventilation with a BVM.

300

This finding, by itself, does not mandate immobilization of the cervical spine in this patient: An 18-year-old female was struck by a car and has sustained an apparent left femur fracture. Communication with her is hampered because she only speaks a foreign language. A) Mechanism of injury B) Fracture of the femur C) Communicate barrier D) A tender cervical spine

What is A) Mechanism of injury.

400

Severe injuries should be suspected when a patient falls from a height of this many times his or her height or greater. A) two B) three C) four D) five

What is B) three.

500

This is the preferred adjunct device for verifying placement of an endotracheal tube in a patient with a perfusing rhythm. A) Stethoscope B) Pulse oximeter C) Esophageal detector device D) End-tidal CO2 monitoring (capnography)

What is D) End-tidal CO2 monitoring (capnography).

Cause and effect.

100

Hypotension of unknown etiology in a trauma patient should be assumed to result from one of these: A) Blood loss B) Spinal injury C) Cardiac tamponade D) Tension pneumothorax

What is A) Blood loss.

200

Bilateral femur fractures are most often associated with this type of motorcycle crash?

What is a Head-on impact.

300

_____Medication used by trauma patients for preexisting conditions may _____? A) Herbal preparations may enhance blood clotting. B) Anti-inflammatory agents may enhance blood clotting. C) Beta blockers may prevent tachycardia with blood loss. D) Calcium channel blockers may slow the onset of shock.

What is C) Beta blockers may prevent tachycardia with blood loss.

400

You arrive at the scene of a motor vehicle collision in which a vehicle struck a tree. This is the best indicator of potential injury? A) Height of the tree B) Mass of the vehicle C) Speed of the vehicle D) Circumference of the tree

What is C) Speed of the vehicle.

500

This best describes an injury caused by shearing forces. A) Liver damage due to a gunshot wound B) Aortic tear due to sudden deceleration C) Bilateral leg amputation due to pedestrian/train collision D) Pelvic fracture due to posterior displacement of the femur

What is B) Aortic tear due to sudden deceleration.

By the numbers

100

In the healthy adult Hypotension initially occurs with this percent of blood loss?

What is 31% to 40%.

200

This is the best ventilation rate in BPM to use when managing this patient: a 20-year-old male football player not wearing a helmet who struck his head on a teammate’s knee while diving to catch a football; demonstrates decerebrate posturing and has a GCS score of 4, heart rate of 58, blood pressure of 180/102, and left pupil is dilated. A)10, B)20, C)30, D)35

What is B.) 20 breaths per minute.

300

The Parkland formula, states that this percent of the calculated IV volume should be administered in the first 8 hours following the injury?

What is 50%.

400

The use of this is the preferred prehospital wound management for a patient with a 36% body surface area flame burn.

What is the use os Dry sterile dressings

500

This is the target blood pressure for a trauma patient with suspected intraabdominal hemorrhage: A) 60 – 70 mm Hg B) 80 – 90 mm Hg C) 100 – 110 mm Hg D) 120 – 130 mm Hg

What is B) 80 – 90 mm Hg.