Exam 27: Trauma Overview: the Trauma Patient and the Trauma System

As part of your service to the community, you are certified as a car seat specialist and provide monthly classes on the safe transport of infants and children. Several cars have pulled into your station and asked you to look at their car seats. Which of the following car seat positions would indicate that the parent is safely transporting his or her infant (less than 1 year old)?

If a car, driven by an unrestrained male, strikes a utility pole at 35 mph, which of the following is true?

Which of the following injuries is most serious, warranting immediate and rapid transport to the hospital?

A patient involved in a motor vehicle collision is complaining of neck pain. Which of the following pieces of information would cause the EMT to have a high index of suspicion that the patient may have suffered more significant injuries beyond isolated neck pain?

A patient, who was constructing a bomb in his basement, has sustained a secondary phase blast injury. Which of the following presentations would the EMT most likely observe?

A 23-year-old roofer has fallen 20 feet from the roof of a house into shrubs below. Aside from superficial abrasions and complaint of soreness, you detect no obvious injuries. Consequently, the patient states that as long as his legs are not broken, he does not see the need to go to the hospital. As a knowledgeable EMT, your best response would be:

You are first on the scene of a two-car motor vehicle collision. In one car there are two patients entrapped in the vehicle, while in the other, there is a male driver complaining of chest pain. At this time, your primary concern is:

A young female wears her lap belt low, over her upper thighs, because the belt is uncomfortable when worn properly. If involved in a head-on "up and over" type collision, to what injury is she most prone, given the position of her lap belt?

You are responding to a call for a 4-year-old child hit by a car. When assessing this child, which of the following injury patterns would you recognize as typical based on the child's age and mechanism of injury?

A teenage female patient has been ejected from a car as it rolled down a hill. She is responsive, but with signs of early shock. She has bruising to her anterior abdomen, a laceration to her left temple, and deformity to her left wrist. At what point should the wrist injury be splinted?

When teaching Emergency Medical Responders about air bags, what point would you emphasize?

Which of the following best describes the goal of a trauma system?

A patient has been critically hurt in a nighttime motor vehicle collision. She was wearing a seat belt and hit a tree at 70 mph. The car she was driving weighed 2 tons and was equipped with air bags that did deploy. Which of the following had the greatest impact on her being injured?

Emergency Medical Responders have removed an intoxicated and confused patient from a car that struck another vehicle at a high rate of speed. The patient was unrestrained and his car did not have air bags. Assessment reveals deformity bilaterally to the hips and femurs and bruising to the knees. Based on this injury pattern, the EMT would recognize what type of injury mechanism?

An 8-year-old boy fell forward off of a swing onto outstretched arms. He did not hit his head or lose consciousness and is complaining of left forearm pain. There is deformity to the left wrist, but no other injuries or life threats. His vital signs are pulse 132, respirations 20, blood pressure 108/62, and SpO₂ 100%. The proper care of this patient would be:

Which of the following statements concerning trauma is true?

After assessing the following patients, which would the EMT identify as suffering from multisystem trauma?

As you pull up to a motor vehicle collision, you quickly scan the scene for clues as to the type and severity of injuries. What observation would best indicate that a patient may have a head injury?

A patient has been stabbed with a knife at the fifth intercostal space on the right side of the chest. Assessment reveals him to be short of breath and coughing. Which of the following questions is it most important for the EMT to ask regarding the weapon?

A "whiplash" type neck injury is most often observed with what type of collision?