PHTLS 9th Edition Self-test Questions and Answers (2022) (Verified Answers)

PHTLS 9th Edition Self-test Questions and Answers (2022) (Verified Answers) PHTLS 9th Edition Self-test Questions and Answers (2022) (Verified Answers)

PHTLS 9th Edition Self-Test

A 30 year old male is injured in a terror bombing. He experiences traumatic amputation

of his left leg at knee level. An improvised tourniquet was put in place by bystanders.

The victim is conscious and in severe pain. You first action should be to do which of the

following? - ✅✔️Confirm the tourniquet was properly applied.

Which of the following information is assessed during the secondary survey? - ✅✔️vitals

When caring for a trauma patient a principle is what is necessary for patient

improvement or survival. A preference is how the principle is achieved and depends

upon four factors. The factors used to accomplish the preference in treating the patient

include all except:

a. Condition of the patient

b. Equipment available

c. Situation that exists

d. Research information - ✅✔️When caring for a trauma patient a principle is what is

necessary for patient improvement or survival. A preference is how the principle is

achieved and depends upon four factors. The factors used to accomplish the preference

in treating the patient include all except:

a. Condition of the patient

b. Equipment available

c. Situation that exists

*d. Research information*

Approximately 20% of all child abuse is the result of intentional burning. The majority of

the children intentionally burned are of what age?

a. 0 to 12 years of age

b. 5 to 6 years of age

c. 1 to 2 years of age

d. Less than 1 year of age - ✅✔️Approximately 20% of all child abuse is the result of

intentional burning. The majority of the children intentionally burned are of what age?

a. 0 to 12 years of age

b. 5 to 6 years of age

*c. 1 to 2 years of age*

d. Less than 1 year of age

In addition to glucose, what is required to maintain the metabolic processes of life and

energy production?

a. Carbon monoxide

b. Krebs cells

c. Lymphocytes

d. Oxygen - ✅✔️In addition to glucose, what is required to maintain the metabolic

processes of life and energy production?

a. Carbon monoxide

b. Krebs cells

c. Lymphocytes

*d. Oxygen*

You respond to a patient who has sustained a stab wound to the left upper thorax. She

is barely responsive, pale and diaphoretic. Which of the following is the most

appropriate for transport?

a. Stair chair

b. Long board with full spine immobilization

c. Scoop stretcher

d. Short immobilization device - ✅✔️You respond to a patient who has sustained a stab

wound to the left upper thorax. She is barely responsive, pale and diaphoretic. Which of

the following is the most appropriate for transport?

a. Stair chair

b. Long board with full spine immobilization

*c. Scoop stretcher*

d. Short immobilization device

Units responding to a motor vehicle accident on the highway should consider which of

the following as part of their pre-arrival assessment?

a. Calling for more units to respond

b. Weather conditions

c. The need for immediate transport

d. Post-exposure prophylaxis - ✅✔️Units responding to a motor vehicle accident on the

highway should consider which of the following as part of their pre-arrival assessment?

a. Calling for more units to respond

*b. Weather conditions*

c. The need for immediate transport

d. Post-exposure prophylaxis

The most appropriate airway maneuver in the initial management of a trauma patient is

which of the following?

a. Head tilt, chin lift

b. Supraglottic airway

c. Trauma jaw thrust

d. Oropharyngeal airway - ✅✔️The most appropriate airway maneuver in the initial

management of a trauma patient is which of the following?

a. Head tilt, chin lift

b. Supraglottic airway

*c. Trauma jaw thrust*

d. Oropharyngeal airway

When verifying ET tube placement on a perfusing patient, the "gold standard" of

monitoring is considered to be?

a. Colorimetric carbon dioxide detector

b. Pulse oximetry

c. Listening to lung sounds

d. EtCO2 - ✅✔️When verifying ET tube placement on a perfusing patient, the "gold

standard" of monitoring is considered to be?

a. Colorimetric carbon dioxide detector

b. Pulse oximetry

c. Listening to lung sounds

*d. EtCO2*

A patient presents with a blunt trauma injury 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 the patient has a tension pneumothorax?

a. Distended neck veins

b. Muffled heart sounds

c. Narrowed pulse pressure

d. Tracheal deviation towards the side of injury - ✅✔️A patient presents with a blunt

trauma injury 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 the patient has

a tension pneumothorax?

*a. Distended neck veins*

b. Muffled heart sounds

c. Narrowed pulse pressure

d. Tracheal deviation away from the side of injury

Hemostatic agents should be used for excessive bleeding when direct pressure alone

does not work. The proper way to use most hemostatic agents is which of the following?

a. Placing the agent around the edges of the wound

b. Placing the agent properly into the wound and holding direct pressure

c. Only using it after a tourniquet has been applied for 10 minutes

d. Hemostatic agents should never be used unless you have a fall in blood pressure -

✅✔️Hemostatic agents should be used for excessive bleeding when direct pressure

alone does not work. The proper way to use most hemostatic agents is which of the

following?

a. Placing the agent around the edges of the wound

*b. Placing the agent properly into the wound and holding direct pressure*

c. Only using it after a tourniquet has been applied for 10 minutes

d. Hemostatic agents should never be used unless you have a fall in blood pressure

Of the following, which is a preventable cause of secondary brain injury?

a. Cerebral edema

b. Systemic hypoxia

c. Intracranial hematomas

d. Herniation syndromes - ✅✔️Of the following, which is a preventable cause of

secondary brain injury?

a. Cerebral edema

*b. Systemic hypoxia*

c. Intracranial hematomas

d. Herniation syndromes

You are called to treat a patient who was knocked unconscious when he slipped and fell

on a wet floor, striking his head. It is now several hours later. He is awake but confused,

does not recall the incident and is vomiting with a headache. Which of the following

injuries is most likely?

a. Brain herniation

b. Intracranial hemorrhage

c. Diffuse axonal injury

d. Concussion - ✅✔️You are called to treat a patient who was knocked unconscious

when he slipped and fell on a wet floor, striking his head. It is now several hours later.

He is awake but confused, does not recall the incident and is vomiting with a headache.

Which of the following injuries is most likely?

a. Brain herniation

b. Intracranial hemorrhage

c. Diffuse axonal injury

*d. Concussion*

When using a selective spinal immobilization protocol, which of the following findings

indicate the need for immobilization?

a. Past history of spinal injury

b. Being an unrestrained passenger in a motor vehicle crash

c. Being ambulatory at the scene

d. An associated femoral shaft fracture with severe pain - ✅✔️When using a selective

spinal immobilization protocol, which of the following findings indicate the need for

immobilization?

a. Past history of spinal injury

b. Being an unrestrained passenger in a motor vehicle crash

c. Being ambulatory at the scene

*d. An associated femoral shaft fracture with severe pain*

In a blast-related multiple patient situation, which of the following patients should be

treated first?

a. A 33-year-old female with altered level of consciousness and decreased capillary

refill

b. A 28-year-old male with an arm amputation who has bleeding controlled with a

tourniquet

c. A 14-year-old pulseless female with grey matter visible from a head wound

d. A 78-year-old male awake and unable to hear - ✅✔️In a blast-related multiple patient

situation, which of the following patients should be treated first?

*a. A 33-year-old female with altered level of consciousness and decreased capillary

refill*

b. A 28-year-old male with an arm amputation who has bleeding controlled with a

tourniquet

c. A 14-year-old pulseless female with grey matter visible from a head wound

d. A 78-year-old male awake and unable to hear

Excessive fluid resuscitation of the trauma patient can result in which of the following?

a. Increased blood loss

b. Decreased mortality

c. Earlier discharge from the hospital

d. A higher incidence of sepsis in the ICU - ✅✔️Excessive fluid resuscitation of the

trauma patient can result in which of the following?

*a. Increased blood loss*

b. Decreased mortality

c. Earlier discharge from the hospital

d. A higher incidence of sepsis in the ICU

The secondary survey should be accomplished:

a. Never on a critical patient

b. Before transport

c. When time and Situation allow

d. Before moving the patient - ✅✔️The secondary survey should be accomplished:

a. Never on a critical patient

b. Before transport

*c. When time and Situation allow*

d. Before moving the patient

When approaching a trauma patient, what is the first assessment that must be made?

a. Circulation

b. Scene safety

c. Airway

d. Breathing - ✅✔️When approaching a trauma patient, what is the first assessment that

must be made?

a. Circulation

*b. Scene safety*

c. Airway

d. Breathing

The most common type of shock resulting from trauma is?

a. Neurogenic

b. Septic

c. Spinal

d. Hemorrhagic - ✅✔️The most common type of shock resulting from trauma is?

a. Neurogenic

b. Septic

c. Spinal

*d. Hemorrhagic*

18. Which of the following best guides the decision to provide spinal immobilization?

a. History and complaint

b. Obvious signs of associated injury

c. Avoid due to possible pressure sores

d. Mechanism alone - ✅✔️Which of the following best guides the decision to provide

spinal immobilization?

a. History and complaint

b. Obvious signs of associated injury

c. Avoid due to possible pressure sores

*d. Mechanism alone*

A 38-year-old male sustains a large wound to his right thigh while at work. Which of the

following actions is the most important initial step?

a. Obtain IV access and infuse crystalloid

b. Administer supplemental oxygen

c. Hemorrhage control

d. Rapid transport - ✅✔️A 38-year-old male sustains a large wound to his right thigh

while at work. Which of the following actions is the most important initial step?

a. Obtain IV access and infuse crystalloid

b. Administer supplemental oxygen

*c. Hemorrhage control*

d. Rapid transport

You respond to a local bar for an unconscious person. On arrival, you are met by a

police officer who reports that one of their "regular alcoholics" was found in the alley

behind the bar. On exam, you note the smell of an alcoholic beverage as well as the

following: Patient flexes his arms to painful stimuli, has bilateral fixed and dilated pupils,

irregular respirations at 12 breaths per minute and a BP of 210/100. What condition do

you suspect?

a. Subarachnoid hemorrhage

b. Alcohol poisoning

c. Epidural hematoma

d. Subdural hematoma - ✅✔️You respond to a local bar for an unconscious person. On

arrival, you are met by a police officer who reports that one of their "regular alcoholics"

was found in the alley behind the bar. On exam, you note the smell of an alcoholic

beverage as well as the following: Patient flexes his arms to painful stimuli, has bilateral

fixed and dilated pupils, irregular respirations at 12 breaths per minute and a BP of

210/100. What condition do you suspect?

a. Subarachnoid hemorrhage

b. Alcohol poisoning

c. Epidural hematoma

*d. Subdural hematoma*

The pre-hospital assessment of the trauma patient begins with which of the following?

a. Assessment of scene safety and situation

b. Information provided by the dispatcher

c. The initial assessment

d. The primary survey - ✅✔️The pre-hospital assessment of the trauma patient begins

with which of the following?

a. Assessment of scene safety and situation

*b. Information provided by the dispatcher*

c. The initial assessment

d. The primary survey

EMS responds for a patient involved in a motorcycle vs. car collision. The patient is

unresponsive with no movement of lower extremities and loss of temperature control

below the T10. Which type of shock is the patient experiencing?

a. Cardiogenic

b. Hypovolemic

c. Neurogenic

d. Obstructive - ✅✔️EMS responds for a patient involved in a motorcycle vs. car

collision. The patient is unresponsive with no movement of lower extremities and loss of

temperature control below the T10. Which type of shock is the patient experiencing?

a. Cardiogenic

b. Hypovolemic

*c. Neurogenic*

d. Obstructive

Which of the following is the best indicator of shock?

a. Depressed level of cognition

b. Heart rate of 80

c. Respirations of 18

d. GCS of 15 - ✅✔️Which of the following is the best indicator of shock?

*a. Depressed level of cognition*

b. Heart rate of 80

c. Respirations of 18

d. GCS of 15

Which best describes the goal of airway management in a trauma patient?

a. Perform complex airway maneuvers

b. Perform a surgical Cricothyrotomy

c. Provide for adequate exchange of oxygen and C02

d. Perform RSI - ✅✔️Which best describes the goal of airway management in a trauma

patient?

a. Perform complex airway maneuvers

b. Perform a surgical Cricothyrotomy

*c. Provide for adequate exchange of oxygen and C02*

d. Perform RSI

What is the most common cause of airway obstruction in the unresponsive trauma

patient?

a. Blood

b. Teeth

c. Tongue

d. Vomitus - ✅✔️What is the most common cause of airway obstruction in the

unresponsive trauma patient?

a. Blood

b. Teeth

*c. Tongue*

d. Vomitus

While caring for a patient who was involved in an altercation, he vomits and his airway

is totally obstructed with vomitus and blood. What is the most important action?

a. Performing an RSI

b. Performing a head-tilt chin lift

c. Intubating

d. Suctioning the airway - ✅✔️While caring for a patient who was involved in an

altercation, he vomits and his airway is totally obstructed with vomitus and blood. What

is the most important action?

a. Performing an RSI

b. Performing a head-tilt chin lift

c. Intubating

*d. Suctioning the airway*

When energy produced by the cells occurs during a state of adequate oxygenation, it is

referred to as which of the following conditions?

a. Aerobic metabolism

b. Anaerobic metabolism

c. Lactic acidosis

d. Lactic alkalosis - ✅✔️When energy produced by the cells occurs during a state of

adequate oxygenation, it is referred to as which of the following conditions?

*a. Aerobic metabolism*

b. Anaerobic metabolism

c. Lactic acidosis

d. Lactic alkalosis

Which of the following signs of shock is found during the secondary survey?

a. Absent radial pulse

b. Decreased LOC

c. Increased respiratory rate

d. Low blood pressure measurement - ✅✔️Which of the following signs of shock is

found during the secondary survey?

a. Absent radial pulse

b. Decreased LOC

c. Increased respiratory rate

*d. Low blood pressure measurement*

EMS responds for a patient who has sustained a blunt injury to the head. She had a

period of unconsciousness followed by a brief period of consciousness and then

became unresponsive just as EMS arrived. Based solely on this information, when did

the injury occur?

a. Primary blast injury

b. Secondary blast injury

c. Tertiary blast injury

d. Quaternary blast injury - ✅✔️EMS responds for a patient who has sustained a blunt

injury to the head. She had a period of unconsciousness followed by a brief period of

consciousness and then became unresponsive just as EMS arrived. Based solely on

this information, when did the injury occur?

a. Primary blast injury

b. Secondary blast injury

c. Tertiary blast injury

*d. Quaternary blast injury*

Hyperventilation of a patient with suspected traumatic brain injury should occur when?

a. At time of injury

b. When signs of impending brain herniation are present

c. During a concussion

d. Whenever the patient complains of headache - ✅✔️Hyperventilation of a patient with

suspected traumatic brain injury should occur when?

a. At time of injury

*b. When signs of impending brain herniation are present*

c. During a concussion

d. Whenever the patient complains of headache

Patients with suspected traumatic brain injuries (TBI) are susceptible to secondary

injuries that are typically preventable. In addition to hypoxia and hypotension, which of

the following can also decrease cerebral perfusion?

a. Hypothermia

b. Cerebral vasodilation

c. Increased cardiac output

d. Inadvertent or excess hyperventilation - ✅✔️Patients with suspected traumatic brain

injuries (TBI) are susceptible to secondary injuries that are typically preventable. In

addition to hypoxia and hypotension, which of the following can also decrease cerebral

perfusion?

a. Hypothermia

b. Cerebral vasodilation

c. Increased cardiac output

*d. Inadvertent or excess hyperventilation*

Hypotension due to a spinal cord injury is a result of what physiologic mechanism?

a. Loss of sympathetic tone causing vasodilation

b. Increased capillary permeability

c. Increased sympathetic tone causing vasoconstriction

d. Increased Intrathoracic pressure - ✅✔️Hypotension due to a spinal cord injury is a

result of what physiologic mechanism?

*a. Loss of sympathetic tone causing vasodilation*

b. Increased capillary permeability

c. Increased sympathetic tone causing vasoconstriction

d. Increased Intrathoracic pressure

Which of the following patients will compensate for blood loss the longest?

a. 24-year-old male

b. 82-year-old female

c. 45-year-old female

d. 6-year-old male - ✅✔️Which of the following patients will compensate for blood loss

the longest?

a. 24-year-old male

b. 82-year-old female

c. 45-year-old female

*d. 6-year-old male*

You respond to a reported assault at a local bar. On arrival, you find a 46-year-old male

on the bathroom floor with snoring respirations at 4 times per minute and obvious facial

injuries. Pupils reveal the R pupil is 4mm and the L pupil is 7mm and non-reactive. What

is the most appropriate first step?

a. Jaw-thrust maneuver

b. Pharmacologically assisted intubation

c. Perform nasotracheal intubation

d. Perform a surgical Cricothyrotomy - ✅✔️You respond to a reported assault at a local

bar. On arrival, you find a 46-year-old male on the bathroom floor with snoring

respirations at 4 times per minute and obvious facial injuries. Pupils reveal the R pupil is

4mm and the L pupil is 7mm and non-reactive. What is the most appropriate first step?

*a. Jaw-thrust maneuver*

b. Pharmacologically assisted intubation

c. Perform nasotracheal intubation

d. Perform a surgical Cricothyrotomy

In a multi-system trauma patient, what is considered the best method for confirming

proper placement of an endotracheal tube?

a. Auscultation of the left upper abdominal quadrant

b. Waveform capnography

c. Presence of bilateral breath sounds

d. Pulse oximetry - ✅✔️In a multi-system trauma patient, what is considered the best

method for confirming proper placement of an endotracheal tube?

a. Auscultation of the left upper abdominal quadrant

*b. Waveform capnography*

c. Presence of bilateral breath sounds

d. Pulse oximetry

What is the most likely source of bleeding in a patient with signs of shock and no

obvious injury?

a. Femur fracture

b. Intra-abdominal injury

c. Severe traumatic brain injury

d. Pelvic fracture - ✅✔️What is the most likely source of bleeding in a patient with signs

of shock and no obvious injury?

a. Femur fracture

*b. Intra-abdominal injury*

c. Severe traumatic brain injury

d. Pelvic fracture

Hypoperfusion will affect which of the following organs first?

a. Kidney

b. Gl tract

c. Brain

d. Liver - ✅✔️Hypoperfusion will affect which of the following organs first?

a. Kidney

b. Gl tract

*c. Brain*

d. Liver

A 23-year-old male construction worker fell approximately 30 feet from a roof. The

patient is unresponsive to all stimuli; his R pupil is 7mm and non-reactive and his l pupil

is 3mm. He has irregular respirations at 8 breaths per min. You do not have waveform

capnography, so what is the most appropriate rate of ventilations?

a. 30 BPM

b. 25 BPM

c. 20 BPM

d. 12 BPM - ✅✔️A 23-year-old male construction worker fell approximately 30 feet from

a roof. The patient is unresponsive to all stimuli; his R pupil is 7mm and non-reactive

and his l pupil is 3mm. He has irregular respirations at 8 breaths per min. You do not

have waveform capnography, so what is the most appropriate rate of ventilations?

a. 30 BPM

b. 25 BPM

*c. 20 BPM*

d. 12 BPM

A 30-year-old male is thrown from his horse, landing on the top rail of a pipe fence and

now has a loss of sensation from the nipples down. What level of the spine do you

suspect he injured?

a. C3

b. T4

c. T10

d. T12 - ✅✔️A 30-year-old male is thrown from his horse, landing on the top rail of a

pipe fence and now has a loss of sensation from the nipples down. What level of the

spine do you suspect he injured?

a. C3

*b. T4*

c. T10

d. T12

In a patient with a suspected traumatic brain injury, what is the most concerning

physical finding?

a. BP 140/90

b. Heart rate of 58

c. Respiratory rate of 30

d. Altered level of consciousness - ✅✔️In a patient with a suspected traumatic brain

injury, what is the most concerning physical finding?

a. BP 140/90

b. Heart rate of 58

c. Respiratory rate of 30

*d. Altered level of consciousness*

You have a patient who is 35 weeks pregnant who was assaulted by her boyfriend.

Patient is having severe abdominal pain described as "tearing" and on exam you note

her abdomen is asymmetrical and believe you can feel the fetus through the abdominal

wall. What condition do you suspect?

a. Placenta previa

b. Abruptio placenta

c. Ruptured uterus

d. Abdominal aortic aneurysm - ✅✔️You have a patient who is 35 weeks pregnant who

was assaulted by her boyfriend. Patient is having severe abdominal pain described as

"tearing" and on exam you note her abdomen is asymmetrical and believe you can feel

the fetus through the abdominal wall. What condition do you suspect?

a. Placenta previa

b. Abruptio placenta

*c. Ruptured uterus*

d. Abdominal aortic aneurysm

EMS responds to an adult barista who spilled a cup of hot coffee and sustained partialthickness burns to the abdomen and right leg. Initial treatment of this injury would

include:

a. Apply antibiotic ointment

b. Run copious amounts of room temperature water over the burn

c. Cover burned area with dry sterile dressings

d. Cover burned area with moist sterile dressings - ✅✔️EMS responds to an adult

barista who spilled a cup of hot coffee and sustained partial-thickness burns to the

abdomen and right leg. Initial treatment of this injury would include:

a. Apply antibiotic ointment

*b. Run copious amounts of room temperature water over the burn*

c. Cover burned area with dry sterile dressings

d. Cover burned area with moist sterile dressings

Prehospital providers have treated a sucking chest wound with an occlusive dressing.

During transport to the hospital the patient develops increasing respiratory distress with

increased respirations and absent lung sounds are noted on repeat auscultation. What

is the most appropriate next intervention?

a. Release the occlusive dressing

b. Perform needle decompression

c. Provide positive-pressure ventilation

d. Perform endotracheal intubation - ✅✔️Prehospital providers have treated a sucking

chest wound with an occlusive dressing. During transport to the hospital the patient

develops increasing respiratory distress with increased respirations and absent lung

sounds are noted on repeat auscultation. What is the most appropriate next

intervention?

*a. Release the occlusive dressing*

b. Perform needle decompression

c. Provide positive-pressure ventilation

d. Perform endotracheal intubation

EMS arrives on a scene and finds that emergency medical responders have attempted

to immobilize a pediatric patient onto a long backboard. They note that the patient's

head is in a flexed position. Which of the following actions is the most appropriate?

a. Adjust the cervical collar

b. Logroll patient into a left lateral recumbent position

c. Place padding under the patient's head and neck

d. Place padding under the patient's torso - ✅✔️EMS arrives on a scene and finds that

emergency medical responders have attempted to immobilize a pediatric patient onto a

long backboard. They note that the patient's head is in a flexed position. Which of the

following actions is the most appropriate?

a. Adjust the cervical collar

b. Logroll patient into a left lateral recumbent position

c. Place padding under the patient's head and neck

*d. Place padding under the patient's torso*

Falls are the most common cause of death in trauma patients over ____ years of age.

a. 65

b. 75

c. 55

d. 69 - ✅✔️Falls are the most common cause of death in trauma patients over ____

years of age.

a. 65

*b. 75*

c. 55

d. 69

What is the earliest sign of deterioration in a patient with a flail chest?

a. Respiratory rate increase

b. Oxygen saturation decrease

c. Pulse rate increase

d. Blood pressure decrease - ✅✔️What is the earliest sign of deterioration in a patient

with a flail chest?

*a. Respiratory rate increase*

b. Oxygen saturation decrease

c. Pulse rate increase

d. Blood pressure decrease

EMS is treating a 24-year-old soccer player who was kicked in the chest. Prehospital

providers note paradoxical movement of a portion of the patient's chest wall. The

patient's respiratory rate is 16 and oxygen saturation is 94%. What is the most

appropriate action?

a. Endotracheal intubation

b. Provide supplemental oxygen and transport to a trauma center

c. Place bulky dressing over the wound and tightly wrap the chest

d. Stabilize the segment with sandbags on the chest - ✅✔️EMS is treating a 24-year-old

soccer player who was kicked in the chest. Prehospital providers note paradoxical

movement of a portion of the patient's chest wall. The patient's respiratory rate is 16 and

oxygen saturation is 94%. What is the most appropriate action?

a. Endotracheal intubation

*b. Provide supplemental oxygen and transport to a trauma center*

c. Place bulky dressing over the wound and tightly wrap the chest

d. Stabilize the segment with sandbags on the chest

Prehospital providers respond to a 17-year-old male who fell through a sliding glass

door and sustained a large laceration to his arm that is bleeding heavily. He is restless

and diaphoretic, with a weak, thready pulse. What is the most appropriate first action?

a. Apply a tourniquet

b. Pack the wound with a hemostatic dressing

c. Initiate intravenous access

d. Apply direct pressure - ✅✔️Prehospital providers respond to a 17-year-old male who

fell through a sliding glass door and sustained a large laceration to his arm that is

bleeding heavily. He is restless and diaphoretic, with a weak, thready pulse. What is the

most appropriate first action?

a. Apply a tourniquet

b. Pack the wound with a hemostatic dressing

c. Initiate intravenous access

*d. Apply direct pressure*

When managing a pediatric patient, pre-hospital providers should do all of the following

EXCEPT:

a. Use appropriately sized equipment

b. Frequently reassess the patient

c. Preserve body heat

d. Exclude the parents from immediate care - ✅✔️When managing a pediatric patient,

pre-hospital providers should do all of the following EXCEPT:

a. Use appropriately sized equipment

b. Frequently reassess the patient

c. Preserve body heat

*d. Exclude the parents from immediate care*

Which of the following is a Golden Principle of trauma care?

a. Ensure adequate airway and ventilation

b. Complete a thorough head-to-toe survey before initiating treatment

c. Rescuer safety is secondary to caring for the patient

d. Use chilled intravenous fluids to promote hypothermia - ✅✔️Which of the following is

a Golden Principle of trauma care?

*a. Ensure adequate airway and ventilation*

b. Complete a thorough head-to-toe survey before initiating treatment

c. Rescuer safety is secondary to caring for the patient

d. Use chilled intravenous fluids to promote hypothermia

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