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DecisivePiccoloTrumpet

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emergency_medical_treatment trauma prehospital_care multisystem_trauma

Summary

This handout contains a quiz and review questions about multisystem trauma. The questions cover various aspects of prehospital emergency care for trauma patients, including injuries, treatment, and patient assessments. The quiz is part of a larger book on prehospital emergency care.

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Handout 36-1 Student’s Name CHAPTER 36 QUIZ Write the letter of the best answer in the space provided. 1. Definitive care for the victim of multisystem trauma A. re...

Handout 36-1 Student’s Name CHAPTER 36 QUIZ Write the letter of the best answer in the space provided. 1. Definitive care for the victim of multisystem trauma A. requires administration of whole blood. B. is not available to 95 percent of the U.S. population. C. is the goal of prehospital care. D. is most often provided in the surgery suite. 2. Why are premature uterine contractions of concern in the pregnant trauma victim? A. Contractions can cause an artificially high blood pressure reading. B. Premature contractions can cause the release of oxytocin, which can start labor. C. Premature contractions may result in supine hypotensive syndrome. D. Adequate pain medication is not available in the prehospital setting. 3. What percentage of minor trauma involving pregnant patients results in fetal loss? A. Less than 1 percent C. 6–12 percent B. 1–3 percent D. 10–20 percent 4. Geriatric patients are most commonly injured by A. snow removal. C. auto accidents. B. falls. D. abuse. 5. When dealing with multisystem trauma, spine motion restriction A. should be initiated as soon as possible if warranted. B. should be initiated only after all injuries have been identified. C. should be initiated only after you determine the patient has an altered level of consciousness. D. does not need to be initiated with critical patients. 6. Blood pressure readings in children are unreliable due to their ability to compensate. A. less than 6 months old C. less than 3 years old B. less than 1 year old D. less than 10 years old 7. A 36-year-old pregnant woman was the driver of a car that struck a tree while traveling at a slow speed. The patient is complaining of severe tearing abdominal pain and vaginal bleeding. The most likely injury to this patient is A. placenta previa. C. abruptio placentae. B. lacerated placenta. D. lacerated liver. 8. In an unstable multitrauma patient, when should minor musculoskeletal injuries be splinted? A. Prior to leaving the scene B. En route to the hospital if time permits C. They do not need to be splinted due to the severity of the patient’s condition. D. Only at the request of the advanced life support provider if on scene or met en route ©2018 by Pearson Education, Inc. C H A P T E R 3 6 Multisystem trauma and Trauma in Special Patient Populations Prehospital Emergency Care, 11th Ed. Handout 36-1 (continued) 9. Patients are considered to have multisystem trauma when more than major system(s) is (are) involved. A. one C. three B. two D. four 10. All of the following are signs of child abuse except A. bruises or burns in unusual shapes and locations. B. more injuries than usual for a child that same age. C. children with scrapes to the elbows and knees. D. an injury that does not correlate with the cause provided. ©2018 by Pearson Education, Inc. C H A P T E R 3 6 Multisystem trauma and Trauma in Special Patient Populations Prehospital Emergency Care, 11th Ed. Handout 36-2 Student’s Name CHAPTER 36 REVIEW Write the word or words that best complete each sentence in the space provided. 1. Typically a patient is considered to have when more than one major system is involved. 2. Rapid extrication and rapid of the multisystem trauma patient is essential. 3. Trauma is the leading cause of death for pregnant women. They are especially susceptible to abuse and ______________________________. 4. When placing a patient in her third trimester in the supine position, the EMT must elevate the right hip 4 to 6 inches to prevent. 5. Half of all traumatic deaths in children age 1–14 are the result of _____________ ________. 6. During spine motion restriction, the EMT must pad from the shoulders to the hip in patients younger than years old to assure proper spinal alignment. 7. are considered the most common cause of injury in the elderly. 8. When performing the primary assessment of a trauma patient, the EMT should suspect _________________________________ ___________________________ injury if there is significant head/neck trauma and the patient is unresponsive. 9. In the unstable multisystem trauma patient, vital signs should be assessed every _____________________ minutes. 10. When establishing an airway in the trauma patient, the EMT must use the __________________________ ________________________________ ________________________________________ while maintaining spine motion restriction. ©2018 by Pearson Education, Inc. C H A P T E R 3 6 Multisystem trauma and Trauma in Special Patient Populations Prehospital Emergency Care, 11th Ed. Handout 36-3 Student’s Name MULTISYSTEM TRAUMA: LISTING 1. List eight of the golden principles for prehospital multisystem trauma care. 2. List the emergency medical treatments for trauma patients. ©2018 by Pearson Education, Inc. C H A P T E R 3 6 Multisystem trauma and Trauma in Special Patient Populations Prehospital Emergency Care, 11th Ed. CHAPTER 36 ANSWER KEY HANDOUT 36-1: Chapter 36 Quiz HANDOUT 36-3: Multisystem Trauma: Listing 1. D 4. B 7. C 9. A 1. Any eight: Ensure the safety of the rescue personnel 2. B 5. A 8. B 10. C and the patient; determine additional resources needed; 3. B 6. C understand kinematics; identify and manage any life threats; manage the airway while maintaining spine HANDOUT 36-2: Chapter 36 Review motion restriction; support ventilation and oxygenation; control external hemorrhage and treat for 1. multisystem trauma shock; perform a secondary assessment and obtain a 2. transport medical history; splint musculoskeletal injuries and 3. falls maintain spine motion restriction when required; make 4. supine hypotensive syndrome transport decisions. 5. motor vehicle collisions 2. Take Standard Precautions; establish and maintain 6. 8 spine motion restriction; maintain a patent airway, adequate breathing, and oxygenation; monitor the 7. Falls airway, breathing, pulse, and mental status for 8. cervical spine deterioration; control bleeding; treat for shock; identify 9. 5 any other injuries and treat them appropriately; 10. jaw-thrust method transport immediately. ©2018 by Pearson Education, Inc. C H A P T E R 3 6 Multisystem trauma and Trauma in Special Patient Populations Prehospital Emergency Care, 11th Ed.

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