FACEM FACEM Trauma Management 1 — Questions and Answers
Question 1: In the primary survey of a trauma patient, what does the 'C' in the ABCDE approach stand for?
- Circulation with hemorrhage control (Correct answer)
- Cervical spine
- Consciousness
- Chest assessment
Correct answer: Circulation with hemorrhage control
In the primary survey, 'C' stands for Circulation with hemorrhage control, addressing life-threatening bleeding and hemodynamic status.
Question 2: Which mechanism is the leading cause of preventable death in trauma patients that emergency physicians must rapidly identify?
- Airway obstruction
- Uncontrolled hemorrhage (Correct answer)
- Tension pneumothorax
- Traumatic brain injury
Correct answer: Uncontrolled hemorrhage
Uncontrolled hemorrhage is the most common cause of preventable trauma death, making rapid identification and control critical in emergency management.
Question 3: What is the target systolic blood pressure for permissive hypotension in penetrating torso trauma without TBI?
- 60–70 mmHg
- 80–90 mmHg (Correct answer)
- 100–110 mmHg
- 120–130 mmHg
Correct answer: 80–90 mmHg
Permissive hypotension targets a systolic BP of 80–90 mmHg in penetrating torso trauma without TBI to limit further hemorrhage while maintaining organ perfusion.
Question 4: Which score is most commonly used to predict mortality in major trauma patients presenting to the emergency department?
- Glasgow Coma Scale
- Revised Trauma Score
- Injury Severity Score (Correct answer)
- APACHE II
Correct answer: Injury Severity Score
The Injury Severity Score (ISS) is the most widely used anatomical scoring system for predicting mortality and severity in major trauma.
Question 5: In a trauma patient with suspected pelvic fracture and hemodynamic instability, what is the first-line intervention?
- CT pelvis with contrast
- Pelvic binder application (Correct answer)
- External fixation in theater
- Angiographic embolization
Correct answer: Pelvic binder application
Applying a pelvic binder is the immediate first-line intervention to reduce pelvic volume, tamponade venous bleeding, and stabilize the fracture.
Question 6: What does the 'FAST' exam stand for in the context of trauma assessment?
- Focused Abdominal Sonography for Trauma
- Focused Assessment with Sonography for Trauma (Correct answer)
- Full Abdominal Screening Test
- Functional Assessment Sonography in Trauma
Correct answer: Focused Assessment with Sonography for Trauma
FAST stands for Focused Assessment with Sonography for Trauma, a bedside ultrasound protocol detecting free fluid in the pericardium, peritoneum, and pleural spaces.
FACEM FACEM Trauma Management 1
In the primary survey of a trauma patient, what does the 'C' in the ABCDE approach stand for?