Trauma Assessment & Prehospital Interventions Flashcards
7 cards from real CEP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Trauma Assessment & Prehospital Interventions flashcards as text
When applying a tourniquet for extremity hemorrhage control, it should be placed:
Answer: 2–3 inches proximal to the wound
Tourniquets are placed 2–3 inches proximal to the wound over long bone, avoiding joints, to effectively compress the artery.
A 45-year-old restrained driver has an airbag deployment and complains of chest pain and dyspnea. Vitals: BP 100/70, HR 110, SpO2 93%. Lung sounds are equal. The MOST likely diagnosis is:
Answer: Pulmonary contusion
Blunt anterior chest trauma from airbag/steering wheel impact with hypoxia and equal lung sounds is classic for pulmonary contusion.
In a pediatric trauma patient, which vital sign abnormality is MOST concerning for decompensated shock?
Answer: Systolic BP below 70 mmHg + (2 × age in years)
Hypotension by pediatric formula (70 + 2×age) indicates decompensated shock, as children maintain BP until losing 25–30% of blood volume.
Which mechanism of injury MOST warrants spinal motion restriction in a trauma patient?
Answer: Fall from greater than 3 times the patient's height
High-energy mechanisms such as falls from significant heights are associated with spinal injuries requiring motion restriction.
A patient with a suspected pelvic fracture is hypotensive. Which prehospital intervention is MOST appropriate?
Answer: Application of a commercial pelvic binder or sheet wrap
A pelvic binder reduces pelvic volume and tamponades venous bleeding, making it the priority intervention before fluid administration.
You respond to a motorcycle crash. The patient has road rash covering 30% BSA with minimal bleeding, a GCS of 15, and stable vitals. Transport priority is:
Answer: Non-urgent with BLS transport
Stable vitals, intact mentation, and superficial injuries without significant hemorrhage classify this patient as non-urgent.
Beck's triad (hypotension, JVD, muffled heart sounds) is associated with which traumatic condition?
Answer: Cardiac tamponade
Beck's triad is the classic presentation of cardiac tamponade caused by fluid accumulation in the pericardial sac compressing the heart.