PHTLS Guides d'étude, Notes de cours & Résumés

QUESTIONS AND ANSWERS

PHTLS 10th Edition Exam Questions And Answers 1. Which of the following requires you to develop a plan of action, initiate the plan, reassess the plan as care for the patient moves forward, and adjust the plan as the patient's condition or circumstances change? A. Principles of PHTLS B. The Golden Period C. The XABCDE assessment D. Critical thinking process - ANS Question 1: D To help achieve the PHTLS goals, you will apply your critical thinking skills in the field. Critical thin...

What is the by-product produced by oxygen and glucose when they are metabolized? Carbon Dioxide What is required for glycolysis to occur O2 and ATP Aerobic Metabolism is dependent upon Adequate and continuous supply of oxygen Patent Airway Functioning Lungs (pulmonary system) Functional Heart -Pumps blood to the cells Adequate supply of RBSs -Carry and tx O2 -Remove waste What is the most efficient method of energy production in the human body? Aerobic Metabolism You are treating a patient o...

Inadequate Perfusion / Energy production at the cellular level. Shock Why are case studies important in the Hospital? It gives us evidence based practice. What is the definition of anaerobic metabolism? Without Oxygen When does hemorrhage control start in the trauma assessment? Right away, first thing to be done. Why do we needle decompress somebody? If there is an increase work of breathing / Absent lung sounds / Inadequate perfusion What is the easiest way to open the airway of a trauma p...

Kinematicsthe branch of mechanics that deals with the motion of objects without reference to the forces that cause the motion Pre-eventincludes all of the events that preceded the incident Eventbegins at the time of impact between one moving object and a second object Posteventinformation gathered about the crash and pre-event phase is used to assess and manage the patient Newtons 1st law of motionstates that a body at rest will remain at rest, and a body in motion will remain in motion unle...

When the application of kinetic energy to the body from either a blunt or penetrating mechanism displaces tissue, this is known as CAVITATION Which of the following is an example of the tertiary phase blast injury? CRUSHING INJURY DUE TO STRUCTURAL COLLAPSE. The most common threat to life among trauma patients is? INTERNAL HEMORRHAGE Your patient is an injured construction worker bleeding profusely from a large laceration to the left thigh. He is confused and has pale, moist skin. Direct pres...

When does the assessment begin before arrival at the scene What are the steps in an assessment scene survey, general impression, intial assessment, priority decision, rapid trauma assessment or focused assessment Clothes should come off when intial primary assessment What are considerations for priority of transport age, confounding factors such as health, age, meds How long do you wait to terminate a trauma resuscitation witnessed arrest after 15 minutes of interventions and unsuccessful ef...

In general, what is the leading cause of death in the United States? Unintentional injury Actions taken during the event phase of trauma care are designed to: Minimize the injury Which of the following does PHTLS not provide? Specific care protocols for different classes of trauma patients Which of the following is a key change in the PHTLS recommendation for the assessment and treatment of trauma patients? XABCDE You are called to the scene of a possible domestic violence situation and are ...

The majority of children intentionally burned are of what age? 1-2 years old In addition to glucose, what is required to maintain the process of life and energy production? Oxygen When verifying ET tube placement on a perfusing patient, the "gold standard" of monitoring is considered to be? Waveform capnography A patient presents with blunt trauma to the chest. On exam, he has absent breath sounds on one side of his chest and respiratory distress. Which additional sign would indicate that t...

How many people die from trauma annually? Over 5 million What is the leading cause of trauma deaths? MVA Where do over 90% of trauma deaths occur? Low-Middle income countries. What is the leading cause of death in people aged 1-44? Trauma What are the goals of PHTLS? Reduce morbidity and mortality from trauma, and provide appropriate care to the patient in the field. What is the PHTLS philosophy? Deliver the patient to the right facility, utilizing the right mode of transportation, in the r...

You arrive at the scene of a motor vehicle collision in which a vehicle struck a tree. Which is the best indicator of potential injury? A) Circumference of the vehicle B) Diameter of the tree C) Mass of the vehicle D) Speed of the vehicle D) Speed of the vehicle The potential for death or serious injury is greatest in which of the following motor vehicle collisions? A) Down and under B) Ejection from vehicle C) Lateral Compression D) Up and over? B) Ejection from vehicle Bilateral femur frac...

The displacement of tissue away from the path of a projectile, both temporarily and permanently, is known as: A. Conization B. Cavitation C. Crepitation D. Contusion B. Cavitation The single most important factor in determining the potential for injury due to energy exchange is: A. Mass of the bodies involved B. Velocity of the bodies involved C. Density of the tissues involved D. Surface area of the impact involved B. Velocity of the bodies involved In the management of shock, isotonic crys...