Deck 41: Multisystem Trauma

Question 1

What should you assume when approaching this scene?

A) Bystanders will be responsible for keeping themselves out of harm's way and avoiding the scene.
B) Emergency responders at the scene have already performed a scene size up so you can focus on the patient.
C) The patient has most likely suffered from multi system trauma and you need to call for additional resources.
D) One crew member should treat the patient immediately while others assess the need for additional resources.

Answer 1

The patient has most likely suffered from multi system trauma and you need to call for additional resources.

Question 2

What is the level of oxygen saturation that must be maintained in trauma patients?

A) 95% and above
B) at least 82%
C) at least 90%
D) 88% and above

Answer 2

95% and above

Question 3

You have arrived on scene where a patient has multiple wounds from flying debris that were released with the blast. What type of blast injury is this patient suffering from?

A) Quaternary
B) Primary
C) Tertiary
D) Secondary

Answer 3

Secondary

Question 4

Which of the following statements regarding blast injuries is correct?

A) Primary blast injuries can include damage to the ears.
B) Tertiary blast injuries are rarely accompanied by secondary injuries.
C) Blast injuries are divided into four distinct categories.
D) Most deaths in an explosion are due to quaternary blast injuries.

Question 5

Which of the following statements is NOT true regarding multi trauma care?

A) Avoid the use of tourniquets and instead use direct pressure to control severe extremity bleeding.
B) Determine the patient's level of consciousness using the Glasgow Coma Scale and the AVPU scale.
C) A detailed head to toe examination should be performed before you leave for the attending facility.
D) Notify the receiving facility of the patient's impending arrival while you are en route to the facility.

Question 6

A quaternary blast injury may include

A) extremity fractures.
B) impaled objects.
C) respiratory illness.
D) exposure to bacteria.

Question 7

Any patient who has been subjected to significant forces is at risk for

A) ditrauma.
B) teratrauma.
C) quartrauma.
D) polytrauma.

Question 8

You have arrived at a scene where six patients have been injured in a motor vehicle collision (MVC). As you approach the scene, two patients are screaming for help while the other four are lying quietly on the ground. In this scenario, what should you avoid?

A) Tunnel vision
B) Secondary survey
C) Bystander control
D) Mechanism assessment

Question 9

Your 37 year old female patient has suffered multisystem trauma from a motor vehicle collision. What should you do first?

A) Call for advanced life support.
B) Perform a primary survey.
C) Suction the airway.
D) Stabilize the patient.

Question 10

You are at a scene where a 20 year old male has suffered a facial trauma. His breathing is adequate, but he is confused and has increased blood pressure. What type of oxygen administration is PREFERRED for this patient?

A) 6 L/min through a nasal cannula
B) 4 L/min through a nasal cannula
C) 10L/min through a non-rebreather mask
D) 15 L/min through a non-rebreather mask

Question 11

Which of the following statements regarding patient trauma care is correct?

A) Patients with suspected internal bleeding should be cooled to slow blood loss.
B) A head-to-toe physical exam must be performed before transport.
C) Protruding organs should be covered with moistened sterile dressings.
D) Oxygen saturation must be maintained between 85% to 90%.

Question 12

Most blast deaths caused by an explosion are due to __________ blast injuries.

A) quaternary
B) secondary
C) quinary
D) tertiary

Question 13

Blast injuries which occur when a victim is thrown to the ground or through the air are

A) quaternary blast injuries.
B) primary blast injuries.
C) tertiary blast injuries.
D) secondary blast injuries.

Question 14

A victim in a blast who develops a respiratory illness as a result of inhaling debris from a blast has what type of blast injury?

A) Tertiary blast injury
B) Secondary blast injury
C) Quarternary blast injury
D) Quinary blast injury

Question 15

A victim who absorbs radiation as the result of a blast may suffer from what type of blast injury?

A) Secondary blast injury
B) Quinary blast injury
C) Quarternary blast injury
D) Tertiary blast injury

Question 16

If a victim of a multi system trauma must be transported immediately, you should

A) determine the appropriate destination based on your knowledge of the local trauma system.
B) consult with EMS transporters on the best place to transport the patient for treatment.
C) call the nearest emergency hospital to see if they have the capabilities to handle the patient's injuries.
D) All of these may be correct

Question 17

Patients who have multiple system injuries should be treated with the principles of

A) immediate response.
B) emergency patient stabilization.
C) prehospital trauma care.
D) transport care.