Chapter 30 Post test emt

Which of the following would MOST likely be used to determine whether a patient will be transported to a trauma​ center? A. Trauma score .B. EMT experience C. Pupillary response D. Patient preference

(A) The trauma score can help to identify which patients should go to a trauma center. The trauma score is a system of evaluating trauma patients according to a numerical rating system in order to determine the severity of the​ patient's trauma. It is based on objective data obtained from the scene. While experience is​ valuable, it can introduce bias into any​ decision-making process.

When caring for the victim of a motor vehicle​ collision, the EMT should suspect critical injuries​ if: A. more than one person was injured. B. another occupant was killed. C. there was only a solo occupant. D. another passenger was ejected.

(B) A force that was severe enough to kill one passenger could certainly cause severe injuries to all other passengers in the same collision. In some​ agencies, this is considered a flight criterion for the patient to be evacuated via air medical resources.

If your trauma patient had an initial GCS score of 13 and now has a score of​ 10, this implies​ that: A. the patient is improving. B. the patient is deteriorating. C. someone miscalculated the first GCS​ score, as the maximum score is 10. D. the patient is still stable.

(B) The GCS is a neurological assessment tool that ranks the​ patient's response numerically. The scores range from 3​ (indicating that the patient has no neurological​ findings) to 15​ (which means that the patient is neurologically​ intact).

Knowing what you will do on scene and how that relates to what your partner will do is part​ of: A. trauma. B. teamwork. C. transport. D. timing.

(B) These decisions are made easier when your crew works well together and each member knows what to expect from another. This is called teamwork.

Blunt trauma​ is: A. generally a matter for police intervention. B. associated with stab wounds and gunshot wounds. C. more common in urban areas. D. more common in rural and suburban areas.

( D) Blunt​ trauma, which is more common in rural and suburban​ areas, can be associated with such dangers as bent power​ poles, leaking​ fuel, sharp glass and metal​ edges, and passing traffic.

Which pregnant trauma patient is the HIGHEST priority for transport to a trauma​ center?

pregnant 24 weeks (According to the CDC trauma triage​ guidelines, a trauma patient with a pregnancy of more than 20 weeks should go to a trauma center)

You are evaluating a​ 45-year-old male car wreck victim. Your evaluation of this patient is based on specific characteristics that will be assigned a specific score. What is this score known​ as? A. A trauma score B. A Cincinnati Prehospital Stroke score C. An APGAR score D. A GCS score

trauma score. (A trauma score can help the EMT to make patient care​ decisions, such as transport priority and transport destination.)

Timing in multisystem trauma management​ involves: A. arriving at a definitive diagnosis of each​ patient's condition in the first five minutes of every call. B. an awareness that time on scene must be efficiently managed in order to expedite transport. C. the amount of time it takes a paramedic team to stabilize a patient on scene. D. taking no more than ten seconds to perform any single task involved in the​ patient's care.

(B) Timing in multisystem trauma management involves an awareness that time on scene must be efficiently managed in order to expedite transport. Crew members also must be aware of the importance of moving a multisystem trauma patient to definitive care as soon as possible because it is rarely possible for EMS providers​ (even Paramedics) to truly stabilize a trauma patient in the field.

You arrive on scene to a patient with an arterial bleed from his right lower leg. The patient is lethargic and has many other injuries. What should you do​ FIRST? A. Open the​ patient's airway, and ensure that it is patent. B. Stop the hemorrhage with direct pressure. .C. Call for air medical evacuation. D. Administer​ 100% high-flow oxygen via nonrebreather mask.

(B) When a patient is bleeding​ heavily, stop the hemorrhage as soon as the scene is safe and you can access the patient. In other​ scenarios, opening the airway and administering oxygen is more appropriate. In this​ situation, however, hemorrhage control should be your first priority. For a multisystem trauma​ patient, your overall goal is to treat immediate threats to life.

Which of the following patients is the MOST critical based on trauma triage​ guidelines? A. ​26-year-old assault victim with multiple​ self-controlled lacerations across the face and neck with a systolic blood pressure of 110 B. ​46-year-old car crash victim with possible right ankle fracture C. ​16-year-old male driver with neck and back pain post motor vehicle collision D. ​31-year-old male construction site fall victim who fell approximately 2 stories and demonstrates signs and symptoms of shock

(D) It is believed that the most valuable findings during an assessment are the​ patient's physiologic conditions. Any time you have a patient with an altered mental​ status, hypotension, or an abnormally slow or rapid respiratory​ rate, you should place this patient at a high priority and transport him promptly to a trauma center when available and following your local protocols.

Which of the following components is NOT used during the evaluation of the Revised Trauma​ Score? A.Heart rate B.Glasgow Coma Scale C.Systolic blood pressure D.Respiratory rate

Heart rate. (In computing the Revised Trauma Score​ (RTS), the​ patient's GCS score​ (eye, motor, and​ verbal), systolic blood​ pressure, and respiratory rate are taken into consideration. The heart rate is not included in the computation.)

For an older trauma​ patient, what is LEAST important to determining the​ patient's priority for triage to a higher level of​ care? A.​Low-impact injuries .B.Medications for chronic conditions C.Risk of injury or death D.Systolic blood pressure

Medications for chronic conditions (In determining an older​ patient's priority for triage to a higher level of​ care, you would consider the​ patient's risk of injury or​ death, systolic blood pressure​ (which could indicate​ shock), and any​ low-impact injuries the patient had​ sustained, but medications to manage chronic conditions would be a less important consideration.)