Question 1

What is the definition of "mechanism of injury"?

Accepted Answer

The mechanism of injury refers to the method by which damage to skin, muscles, organs, and bones happens, and it involves understanding the forces and the nature of the injury. This is crucial in medical and emergency contexts to assess injuries and plan treatment.

Question 2

Why is it important to evaluate a mechanism of injury?

Accepted Answer

Evaluating a mechanism of injury is crucial because it allows healthcare professionals to often predict the types of injuries that may have occurred, which is essential for accurate diagnosis and effective treatment planning.

Question 3

On-scene time with a trauma patient should be no more than

Accepted Answer

The recommended on-scene time for a trauma patient is no more than 10 minutes, often referred to as the "platinum 10 minutes," emphasizing the importance of quickly transporting the patient to a facility where they can receive definitive care.

Question 4

You will be on-scene for more than 10 minutes because you must wait for an extrication team. You should report the delay to the

Accepted Answer

When there is a delay in patient transport due to waiting for an extrication team, it is important to inform the receiving hospital so they can prepare for the patient's arrival and adjust their resources accordingly.

Question 5

Which of the following injuries should be treated at a trauma center?

Accepted Answer

A penetrating injury to the thigh may involve damage to major blood vessels or nerves and could require the specialized services available at a trauma center.

Question 6

Which mechanism of injury would most likely require treatment at a trauma center?

Accepted Answer

Vehicle rollovers are considered significant mechanisms of injury due to the high potential for severe harm or fatality. They often involve multiple impacts and can result in a wide range of injuries, making treatment at a trauma center necessary.

Question 7

Which of the following is part of a primary survey?

Accepted Answer

The answer of Which of the following is part of...

Question 8

What is a rapid trauma assessment?

Accepted Answer

A rapid trauma assessment is a head-to-toe examination performed to identify any injuries that may not be immediately apparent, ensuring that all potential injuries are identified and addressed.

Question 9

In which case should you perform a rapid trauma assessment?

Accepted Answer

A rapid trauma assessment is indicated for a man who fell through a glass window because this scenario involves a high-risk mechanism of injury that could result in multiple and potentially severe injuries.

Question 10

What is the first step in performing a rapid trauma assessment?

Accepted Answer

The answer of What is the first step in performing...

Question 11

What components make up the revised trauma scale?

Accepted Answer

The revised trauma score is a physiological scoring system, with the purpose of assessing the severity of a traumatic injury. It consists of the Glasgow Coma Scale (assessing neurological status), systolic blood pressure (assessing circulatory status), and respiratory rate (assessing respiratory status).

Question 12

On the Glasgow Coma Scale, which of these motor responses is considered best?

Accepted Answer

The Glasgow Coma Scale (GCS) is used to assess a person's level of consciousness after a head injury. The scale evaluates three aspects: eye opening, verbal response, and motor response. Within the motor response category, a "purposeful response to pain" is considered the best response, indicating a higher level of brain function and consciousness compared to the other options listed. Abnormal extension (decerebrate response) and abnormal flexion (decorticate response) indicate severe brain damage, and withdrawing from pain, while better than the former two, is not as indicative of high-level brain function as a purposeful response.

Question 13

You are dispatched to a multiple-vehicle collision. When arriving on the scene, you should

Accepted Answer

Upon arriving at the scene of a multiple-vehicle collision, the first step is to size-up the scene to ensure safety, assess the situation, and determine the resources needed.

Question 14

When transporting a priority trauma patient, you should

Accepted Answer

Notifying the receiving hospital of the patient's condition, treatment received, and estimated time of arrival is crucial for ensuring that the hospital is prepared to provide immediate and appropriate care upon the patient's arrival. This allows the hospital staff to prepare necessary equipment and personnel in advance.

Question 15

A focused trauma assessment on a patient with an apparent ankle injury would include

Accepted Answer

A focused trauma assessment for an ankle injury would specifically include measuring sensation around the injured area to assess for nerve damage or other complications related to the injury.

Question 16

Which of the following would score the most points on the revised trauma score?

Accepted Answer

The Revised Trauma Score (RTS) is a physiological scoring system, with its components being Glasgow Coma Scale (GCS), systolic blood pressure, and respiratory rate. A systolic blood pressure of 110 would score the highest among the options given, as it is within the normal range, indicating better physiological status compared to the other options which suggest more severe injury or impairment.

Question 17

A victim of a car accident appears to have broken his humerus and has sustained minor burns across his chest. You should have the patient

Accepted Answer

Given the severity of the injuries described (a broken humerus and burns), the patient requires immediate, specialized care that a trauma center is equipped to provide, rather than a standard hospital or primary physician care.

Question 18

A snowmobile rider was thrown 15 feet from his vehicle. During your assessment you note that his finger is deformed and a bruise is forming on his sternum. He says that he "feels fine." You should

Accepted Answer

Given the mechanism of injury (being thrown 15 feet from a snowmobile) and the visible signs of trauma (deformed finger and bruising on the sternum), it is prudent to transport the patient to a trauma center where a full range of specialized medical services is available. The 30-minute transport time is acceptable in this scenario to ensure the patient receives the appropriate level of care for potential underlying injuries that may not be immediately apparent.

Question 19

At the scene of a car crash, the vehicle's steering wheel is broken. Your patient is the driver who complains of mild abdominal pain, but the primary assessment and rapid trauma exam yield no other significant findings. You should

Accepted Answer

Given the mechanism of injury (steering wheel impact) and the complaint of abdominal pain, there is a potential for serious internal injuries that may not be immediately apparent. Transporting the patient to a trauma center ensures access to specialized care that can address such injuries.

Question 20

"Definitive care" for a severely injured trauma patient is

Accepted Answer

Definitive care for a severely injured trauma patient often involves surgery to address the underlying cause of the trauma, such as repairing damaged tissues or organs.

Quiz 33: Trauma Overview