EMT Chapter 24
Your patient has a Glasgow Coma Scale (GCS) score of 13, a systolic blood pressure of 80 mm Hg, and a respiratory rate of 8 breaths/min. His Revised Trauma Score (RTS) is:
9
Which of the following destinations is most appropriate for a 41-year-old male patient who was involved in a rollover motor vehicle collision and is unconscious and unresponsive, assuming that travel times to each is equal?
A Level I or Level II trauma center
Which of the following injuries would MOST likely occur as a direct result of the third collision in a motor vehicle crash?
Aortic rupture
Emanation of pressure waves that can damage nearby structures
Cavitation
Which of the following findings would be LEAST suggestive of the presence of high-energy trauma?
Deployment of the air bag
A 12-year-old male jumped approximately 12 feet from a tree and landed on his feet. He complains of pain to his lower back. What injury mechanism is MOST likely responsible for his back pain?
Energy transmission to the spine
According to the American College of Surgeons Committee on Trauma (ACS-COT), an adult trauma patient should be transported to the highest level of trauma center if he or she:
Has a GCS score of less than or equal to 13 with a mechanism attributed to trauma
Following a blunt injury to the head, a 22-year-old female is confused and complains of a severe headache and nausea. On the basis of these signs and symptoms, you should be MOST concerned with the possibility of:
Intracranial bleeding
How trauma occurs
Mechanism of Injury (MOI)
Significant MOI that causes injuries to more than one body system
Multisystem trauma
While en route to a major motor vehicle crash, an on-scene police officer advises you that a 6-year-old male who was riding in the front seat is involved. He further states that the child was only wearing a lap belt and that the air bag deployed. On the basis of this information, you should be MOST suspicious that the child has experienced:
Neck and facial injuries
When assessing an elderly patient who fell, it is important to remember that:
Osteoporosis can cause a fracture as a result of a fall from a standing position
When assessing a patient who experienced a blast injury, it is important to remember that:
Primary blast injuries are the most easily overlooked
When the speed of a motor vehicle doubles, the amount of kinetic energy:
Quadruples
Which of the following interventions is the MOST critical to the outcome of a patient with multisystem trauma?
Rapid transport to a trauma center
Which of the following is considered a type of motor vehicle collision?
Rollover
Which types of motor vehicle collisions present the greatest potential for multiple impacts?
Rotational and rollover
A 15-year-old female was struck by a small car while riding her bicycle. She was wearing a helmet and was thrown to the ground, striking her head. In addition to managing problems associated with airway, breathing, and circulation, it is MOST important for you to:
Stabilize her entire spine
A young boy was riding his bicycle down the street when he hit a parked car. What was the second collision?
The bike rider hitting his bike or the car
According to the Association of Air Medical Services, you should consider air medical transport of a trauma patient if:
Traffic conditions hamper the ability to get the patient to a trauma center by ground within the ideal time frame for the best clinical outcome
The index of suspicion is MOST accurately defined as:
Your awareness and concern for potentially serious underlying injuries
A young male sustained a gunshot wound to the abdomen during an altercation. As your partner is assessing and managing his airway, you should control the obvious bleeding and then:
assess for an exit wound
Result of force to the body that causes injury but does not pierce soft tissue or internal organs and cavities
blunt trauma
A compression injury to the anterior portion of the brain and stretching of the posterior portion is called a(n) ________ brain injury.
coup-contrecoup
Significant clues to the possibility of severe injuries in motor vehicle collisions include:
death of a passenger
Awareness of and concern for potentially serious obvious and underlying injuries is referred to as the:
index of suspicion
Energy of a moving object
kinetic energy
approximately 25% of severe injuries to the aorta occur during?
lateral collisions
Injury caused by objects that pierce the surface of the body and damage internal tissues and organs.
penetrating trauma
The product of mass, gravity, and height
potential energy
patient w/ chest tightness, coughing up blood, subcutaneous emphysema
pulmonary blast injury
true about gunshot wounds
the speed of bullet has the greatest impact on the injury produced
A fall from more than _____ times the patient's height is considered to be significant.
three
Force acting over a distance
work
Force acting over a distance is the definition of:
work
