PHTLS Block Exam Already Rated A+
Level 1 Trauma Center Ans- Regional Trauma Center, All types of specialty surgical care 24/7, (Surgical
suites, Surgeons, Blood, CT, X-Ray ... all in house), Tertiary - all levels of care
Ex... County USC, Cedars, UCLA- Ronald Regan, UCLA- Harbor General
Level...
PHTLS Block Exam Already Rated A+
Level 1 Trauma Center Ans- Regional Trauma Center, All types of specialty surgical care 24/7, (Surgical
suites, Surgeons, Blood, CT, X-Ray ... all in house), Tertiary - all levels of care
Ex... County USC, Cedars, UCLA- Ronald Regan, UCLA- Harbor General
Level 2 Trauma Center Ans- Area Trauma Center,
Most common trauma emergencies with surgical capabilities 24/7, (can handle most common types of
trauma)
Ex.... St. Francis
Level 3 Trauma Center Ans- Community Trauma Center,
Specialized ED and some surgical capability
(the speciality staff is on call and has 30 mins to get to hospital)
Level 4 Trauma Center Ans- small community hospitals, (they have to stabilize and transfer)
Have ER DR but no surgeon
What are run sheets used for? Ans- QI, Research, Trauma Registry,
What are the 4 E's? Ans- Engineering -(roads, airbags, pool alarms)
Enforcement -(laws)
Education -(safety classes)
Economics -(government grants)
What is an injury? Ans- being hurt or killed
, What is trauma? Ans- inflicted wounds or injury
What is an accident? Ans- an event that is unforeseen or without apparent cause
What is a disease? Ans- an unhealthy condition, illness, or disorder
Why is the Highway Safety Act of 1966 important? Ans- lead to development of EMS
"White Paper" - Accidental Death & Disability, The Neglected Disease of a Modern Society
Why is the American College of Surgeons important? Ans- 1990: trauma care systems planning and
development act
(established guidelines, funding and state-level leadership for the development of trauma systems)
What are the leading causes of death in adults & children? Ans- Adults - MVC
Children - Falls
In trauma how many die in 1st hr? Ans- 50%
Fix = Injury Prevention
In trauma how many die in 4 hrs? Ans- 30%
Fix = good prehospital and hospital care
In trauma how many die days or weeks later? Ans- 20% (due to hypoxia, hypotension, end organ failure)
Fix = aggressive shock management
What is Precrash? Ans- Age, medical hx, drugs, alcohol
What are the 3 phases of a Crash? Ans- 1. car into tree
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