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. Critica...
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 - Question 1: D
To help achieve the PHTLS goals, you will apply your critical thinking skills in the field.
Critical thinking in medicine is a process in which the healthcare practitioner assesses
the situation, the patient, and the resources available and uses the information to decide
on and provide the best care for the patient.
2. When using the XABCDE assessment, which of the following takes precedence over
all other actions?
A. Controlling severe bleeding from a limb or other compressible site
B. Airway stabilization and assessing circulatory status
C. Exposing the body to allow a thorough evaluation
D. Ensuring adequate breathing - Question 2: A
The "X" placed before "ABCDE" in the primary survey refers to the need to address
exsanguinating hemorrhage immediately after establishing scene safety and before
addressing airway. Severe exsanguinating hemorrhage, particularly arterial bleeding,
has the potential to lead to loss of total or near total blood volume in a relatively short
period of time.
3. Which of the following is the basis on which a patient's chance of survival is
maximized?
A. Preferences
B. Phases
C. Principles
D. Transport - Question 3: C
The science of medicine provides the principles of medical care. Simply stated,
principles define the duties required of the prehospital care practitioner in optimizing
patient survival and outcome.
4. Which of the following is a goal of the Golden Period?
A. Provide written documentation from field care to receiving hospital.
B. Expedite the field care and transport of the patient.
C. Use a team approach for optimal patient care.
, D. Use the XABCDE approach to patient assessment. - Question 4: B
One of your most importantresponsibilities as a prehospital carepractitioner is to spend
as little time onthe scene as possible and expedite yourfield care and transport of the
patient.Studies show that the time from injuryto arrival at the appropriate site
fordefinitive care is critical to survival.
1. You are called to the scene of a possible mass casualty motor vehicle collision on the
highway. Once you arrive on scene, what is your first priority?
A. Immediately begin triaging patients.
B. Treat the patient with the most visible blood loss.
C. Determine the need for additional resources.
D. Assess the scene and ensure it is safe. - Question 1: D
Ensure safety for responders, bystanders, and patient(s). The first consideration when
approaching any scene is the safety of all emergency responders. When EMS
personnel become victims, they not only can no longer assist others, but also add to the
number of patients.
2. A trauma patient from the highway incident is holding her right arm, and you note a
significant amount of blood steadily flowing from a long gash. This is an example of
what type of hemorrhage?
A. Capillary bleeding
B. Venous bleeding
C. Arterial bleeding
D. Road rash - Question 2: B
Venous bleeding typically results in a steady flow of dark red blood.
3. What is the best way to control the bleeding?
A. Direct pressure
B. Elevation of the arm above the heart
C. Tourniquet
D. Occlusive dressing - Question 3: A
With venous bleeds, direct pressure isusually sufficient to stop the flow.
4. The patient is wearing long sleeves, and you are having trouble visualizing the
wound. What should you do?
A. Cut the cloth away from the site until the entire wound site is visible.
B. Leave the clothing in place. Put gauze over the wound.
C. Remove the patient's shirt.
D. Cut through the slash on the sleeve, and use the material as a makeshift tourniquet. -
Question 4: A
Clothing can be quickly removed by cutting. You cannot treat what you cannot see.
1. You are called to the scene of an explosion and fire at a chemical plant where you
find multiple casualties.Triage has begun. Your first patient is a 40-year-old man who
was near the source of the explosion. He is unconscious and has extensive injuries.
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