PHTLS Study Guide Questions and Answers (2023) (Verified Answers)
PHTLS Study Guide Questions and Answers (2023) (Verified Answers)
Inadequate
... [Show More] perfusion/energy production at the cellular level.
Shock
Why are case studies important in the hospital?
It gives us evidence based practice.
What is the definition of anaerobic metabolism?
Without oxygen
When does hemorrhage control start in the trauma assessment?
Right away.
Why do we needle decompress somebody?
If there is an increase work of breathing/absent lung sounds/ inadequate perfusion
What is the easiest way to open the airway of a trauma patient?
Jaw thrust
What is the problem with intubation?
It requires a lot of practice.
When you arrive on scene and find your patient with their airway full of blood, how long should you suction for?
Until the airway is clear from blood. Ten seconds
What is the best way to confirm you have the ET tube in place?
End tidal
When should you start the secondary assessment on a trauma patient?
When time and situation allows
What are some pre-arrival factors you should be considering upon arrival to your designated call?
Time of day, weather, location, hazards and possible additional needs
What is the main reason for a primary assessment on a trauma patient?
To identify and treat immediate life threats
What is the most common type of shock and what is the main cause of shock?
Hemorrhagic shock due to either uncontrolled internal/external hemorrhage
When wanting to get a patient off scene quickly what is a piece of equipment that is best suited for this situation?
Scoop stretcher
What is the first thing that should be treated on a trauma patient?
XABCDE
What is one of the earliest signs you may see on a patient who is starting to go into shock?
Increased ventilatory rate
When you show up on scene and find your patient bleeding out, what are the two steps you should take to care of that bleed?
Direct pressure and tourniquet
What do you want your blood pressure to be at if you have a trauma patient?
80
What do you want your blood pressure to be at for neurogenic patients?
90
What is the goal as prehospital providers that we want to establish for our patients?
Restore and maintain airway, ventilation, oxygenation, circulation, and quick transport time for trauma patients.
Two of the most important prehospital maneuvers are those that provide and maintain________ patency and _________ ventilation.
Airway and pulmonary
Refers to the process by which oxygen concentration increases within a tissue
Oxygenation
Mechanical exchange of air between the outside environment and the alveoli of the lungs
Ventilation
What two functions does the respiratory system serve?
Provide oxygen to red blood cells/remove CO2 from the body
Causes cerebral vasodilation
CO2
Earliest sign and best indicator of increasing ICP is a ?
Decreasing LOC
_______ is the earliest sign of deterioration in a patient with a flail chest.
Respirator rate increase
What is the most common cause of airway obstruction in the unresponsive trauma patient?
Tongue
Which of the following is a golden principle of trauma care?
Ensure adequate airway and ventilation
Hypoperfusion will affect which of the following organs first?
Brain
The most common type of shock resulting from trauma is?
Hemorrhagic
EMS arrives on a scene and finds that emergency medical responders have attempted to immobilize a pediatric patient onto a long backboard. They not that the patient's head is in flexed position. Which of the following actions is the most appropriate?
Place padding under the patient's torso
A 30 year old male is injured in a terror bombing. He experiences traumatic amputation of his left leg at knee level. An improvised tourniquet was put in place by bystanders. The victim is conscious and in severe pain. You first action should be to do which of the following?
Confirm the tourniquet was properly applied.
When managing a pediatric patient, pre-hospital providers should do all of the following except:
Use half the adult dose or medication administration
Hypotension due to a spinal cord injury is a result of what physiological mechanism?
Loss of sympathetic tone causing vasodilation.
What is the most likely source of bleeding in a patient with signs of shock and no obvious injury?
Intra-abdominal injury
In a multi-system trauma patient what is considered the best method for confirming proper placement of an ET tube?
Waveform capnography
Which of the following best guides the decision to provide spinal immobilization>
History and complaint
Excessive fluid resuscitation of the trauma patient can result in which of the following?
Worsening coagulopathy
When approaching a trauma patient, what is the first assessment that must be made?
Scene safety
In a patient with a suspected TBIm what is the most concerning physical finding?
ALOC
Approximately 20% of all child abuse is the result of intentional burning. The majority of children intentionally burned are of what age?
1-2 years
EMS responds for a patient involved in a motorcycle vs. motor vehicle collision. The patient is poorly responsive with no movement of lower extremities and loss of temperature sensation below the T10. Which of the following types of shock is the patient most likely experiencing?
Neurogenic
A 38 year old male sustains a large would to his right thigh while at work. Which of the following actions is most important initial step?
Hemorrhage control
Which of the following is the best indicator of shock in a trauma patient?
Depressed level of cognition
In a blast-related multiple patient situation, which of the following patients should be treated first?
A 33 year old female wit altered level of consciousness and decreased capillary refill.
A patient presents with a blunt trauma injury to the chest. On exam, he has absent breath sounds on one side of his chest and respiratory distress. Which additional sign would indicate that the patient has a tension pneumothorax?
Distended neck veins
Which best describes the goal of airway management in a trauma patient?
Provide for adequate exchange of oxygen and CO2
The secondary survey should be accomplished?
When time and situation allow
EMS is treating a 24 year old soccer player who was kicked in the chest. Prehospital providers note paradoxical movement of a portion of the patient's chest wall. The patient's respiratory is 16 and O2 sat is 94%. What is the most appropriate action?
Provide supplemental oxygen and transport to a trauma center.
Which of the following information is assessed during the secondary survey?
Vital signs
Which of the following patients will compensate for blood loss the longest?
6 year old male
Units responding to a motor vehicle accident on the highway should consider which of the following as part of their pre-arrival assessment?
Calling for more units to respond
Prehospital providers have treated a sucking chest wound with an occlusive dressing. During transport to the hospital, the patient develops increasing respiratory distress with in
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