Deck 1: Trauma Overview

Question 1

____ Trauma Centers provide 24-hour emergency department facilities with the ability to implement Advanced Trauma Life Support protocols and 24-hour laboratory coverage, with transfer protocols and formal transfer agreements for patients requiring a higher level of care.

A) Level I
B) Level II
C) Level III
D) Level IV

Answer 1

Level IV

Question 2

Quaternary blast injuries are described as injuries and illnesses that occur which are not due to the primary, secondary, or tertiary injuries.

Answer 2

True

Question 3

Mechanism of injury alone can be a determinant in the need to transport a patient to a trauma center.

Answer 3

True

Question 4

Trauma is defined as an injury caused by exposure to excessive physical forces.

Question 5

The density of organs does not fluctuate with bodily functions.

Question 6

The environment in which an activity takes place does not contribute to the risk of injury.

Question 7

A(n) ____ system integrates local, regional, and state resources for preventing injury, treating trauma patients, providing rehabilitation services, collecting data on trauma for research, and improving quality.

A) emergency medical
B) trauma
C) triage
D) prehospital care

Question 8

Most tractor overturns occur from the rear.

Question 9

____ is defined as the process of sorting patients to prioritize their need for care when resources are limited.

A) Orientation
B) Triage
C) Involution
D) Ballistics

Question 10

During the triage process, patients are treated in the order determined to be most appropriate based on ____.

A) order of arrival
B) regional characteristics
C) available resources
D) age

Question 11

A safe alternative to using both straps of a seat belt is to only use the shoulder harness as a restraint.

Question 12

____ provide trauma-related data from prehospital care records and hospital trauma data.

A) Trauma centers
B) Triage units
C) Trauma registries
D) Emergency medical systems

Question 13

The ____ Trauma Center criteria includes 24-hour immediate care by trauma surgeons, as well as specialty care in orthopedic surgery, neurosurgery, emergency medicine, radiology, internal medicine, and critical care.

A) Level I
B) Level II
C) Level III
D) Level IV

Question 14

If struck by a motor vehicle when walking, older children are more likely to suffer severe head, pelvis, and upper leg injuries and younger children are more likely to suffer head and lower extremity injuries.

Question 15

____ Trauma Centers must be able to provide 24-hour in-house general surgical intervention as well as specialty care in orthopedic surgery, neurosurgery, emergency medicine, radiology, internal medicine, and critical care. They also must be prepared to handle most specialty trauma including burns and eye injuries.

A) Level I
B) Level II
C) Level III
D) Level IV

Question 16

____ Trauma Centers must have 24-hour coverage by emergency medicine physicians with prompt availability of general surgeons and anesthesiology.

A) Level I
B) Level II
C) Level III
D) Level IV

Question 17

The ____ is establishing standards for EMS data collection to maintain a national EMS dataset collected from all states on a limited number of data elements.

A) American College of Surgeons
B) National Emergency Medical Services Information System
C) Department of Transportation
D) American College of Emergency Physicians

Question 18

The ____ defined the components of a trauma system and designated funding between 1992 and 2005 for the development of trauma systems.

A) Trauma Care Systems Planning and Development Act of 1990
B) Emergency Medical Treatment and Active Labor Act
C) Health Insurance Portability and Accountability Act
D) Trauma Care Portability and Accountability Act

Question 19

In the event of a motor vehicle collision, lateral impact delivers the most energy to the same-side occupant.

Question 20

Hip fractures can occur in elderly patients without significant mechanism of injury due to decreased bone density.

Question 21

_____ is the distance an object travels over time in a specified direction.

A) Deceleration
B) Dissipation
C) Velocity
D) Field of force

Question 22

____ is the study of how specific forms of energy transferred to a patient can create predictable injury patterns.

A) Triage
B) Mechanism of injury
C) Ballistics
D) Fielding

Question 23

____ occur when a vehicle is struck on one of four corners, causing it to spin.

A) Rollovers
B) Rotational collisions
C) Ejections
D) Lateral impacts

Question 24

In ____ trauma, the skin is disrupted with entry of a penetrating object into, or passage through, underlying tissue.

A) triage
B) penetrating
C) blunt
D) passive

Question 25

____ energy is energy stored within a mechanical system.

A) Kinetic
B) Potential
C) Chemical
D) Barometric

Question 26

____ is the study of motion as it affects projectiles, typically ammunition such as bullets, bombs, and rockets.

A) Pathology
B) Forensics
C) Ballistics
D) Geology

Question 27

____ energy is energy stored in the chemical bonds between molecules.

A) Mechanical
B) Thermal
C) Chemical
D) Barometric

Question 28

____ blast injuries, or fragmentation injuries, are caused as the patient is struck by debris propelled by the blast wind, causing lacerations, penetrating wounds, and fractures.

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

Question 29

____ results in an overwhelmed trauma system that becomes depleted of trauma resources, contributing to emergency department overcrowding, and resulting in unnecessary delays in patient care, especially for patients with non-life-threatening wounds.

A) Low-risk triage
B) Undertriage
C) Overtriage
D) Preventative triage

Question 30

____ energy refers to movement.

A) Potential
B) Kinetic
C) Chemical
D) Mechanical

Question 31

____ trauma is defined as an internal injury caused by any force that does not result in penetration through the skin and into the body.

A) Mass
B) Lateral
C) Blunt
D) Blast

Question 32

Gravity is downward acceleration due to the effects of Earth's mass, also referred to as a(n) ____.

A) acceleration
B) velocity
C) field of force
D) deceleration

Question 33

What is the first step in the ACS three-step field triage process?

A) Address special considerations such as age and general health
B) Provide physiologic findings that should be given priority
C) Prevent long-term disability due to injuries that require specialty care
D) Assess one's initial gut instincts

Question 34

The law of _____ states that all objects remain in their state of rest, or in motion in a straight line, unless acted upon by an outside force.

A) reaction
B) inertia
C) force
D) acceleration

Question 35

____ energy results from a change in pressure which can cause high altitude sickness and scuba-diving injuries.

A) Barometric
B) Chemical
C) Mechanical
D) Thermal