PHTLS Review V2 with complete solution for 2022/2023 Trauma is the leading cause of death for which age group? {{Correct Ans- Ages 1-44
The mortality rate for young men is _______ that of women. {{Correct Ans- 2x
Reference 506 in LA County determines what? {{Correct Ans- Trauma Criteria/Trauma Triage Decision
What established trauma as a major problem in America? {{Correct Ans- Highway Traffic Safety Act of 1966 "White Papers - Accidental Death & Disability"
How many levels of trauma centers are there? {{Correct Ans- 4
Level 1 Trauma Center {{Correct Ans- - Regional Trauma Center
- Tertiary Care
- All types of specialty surgeons 24/7
- Blood Bank
- CT scan & X-ray all in house and staffed
- Multisystem trauma's
- Injuries that will kill you w/in an hour
Level 2 Trauma Center {{Correct Ans- - Area Trauma Center
- Most common trauma emergencies
- Surgical capabilities 24/7
- Isolated injuries
Level 3 Trauma Center {{Correct Ans- - Community Trauma Center
- Specialized ED
- Only some surgical capability
Level 4 Trauma Center {{Correct Ans- - Community hospital
- Stabilizes and transfers
What different considerations fall under trauma decisions? {{Correct Ans- Physiological Anatomical Mechanical
What are guidelines and special considerations? {{Correct Ans- Considerations to transport to a trauma center via consulting with base hospital
What is the Golden Hour? {{Correct Ans- Best survivability from incident to surgery
What is the Platinum 10? {{Correct Ans- The 10 minutes allowed on scene to stabilize, package, and begin transporting patient
When is air transportation recommended? {{Correct Ans- When it is faster or a higher skill level is required
What are the types of injury prevention? {{Correct Ans- - Engineering
- Enforcement
- Education
- Economics
Engineering Injury Prevention {{Correct Ans- Structural Design (ex. pool alarms, air bags, OnStar, lane change detection, etc.)
Enforcement Injury Prevention {{Correct Ans- Laws (ex. helmet, seatbelt, smoke detectors, etc.)
Education Injury Prevention {{Correct Ans- Information, training classes (ex. PSA's, safety fairs, school visits, car seat checks, etc.)
Economic Injury Prevention {{Correct Ans- How to pay for programs (ex. grants, awards, taxes, etc.)
What falls under quality management? {{Correct Ans- Quality Improvement Quality Assurance
***ACCURATE DOCUMENTATION IS NEEDED FOR BOTH***
What is quality improvement? {{Correct Ans- Examining and improving
What is quality assurance? {{Correct Ans- Evaluate calls to determine if standards were met
Which categories must go to a trauma center per Reference 506.1? {{Correct Ans- Categories 1, 2, or 3
Which categories should go to a trauma center, but won't be in trouble if you don't per Reference 506.1? {{Correct Ans- Categories 4 & 5
What percentage of injuries can be predicted accurately if kinematics are evaluated? {{Correct Ans- 95%
What are the three phases of a crash? {{Correct Ans- Pre-Crash (PMH, drugs, alcohol) Crash (kinematics) Post-Crash (MOI, IOS, assessment, management)
Three impacts during the crash phase? {{Correct Ans- Object Occupant Organs
Newton's First Law of Motion {{Correct Ans- A body at rest will remain at rest and a body in motion will remain in motion until acted upon by an outside force
Law of Conservation of Energy {{Correct Ans- Energy can neither be created nor destroyed, but can change forms (ex. braking)
What plays the biggest role/factor for kinetic energy? {{Correct Ans- Speed
What are the different types of injury patterns and their potential injuries? {{Correct Ans- - Up/Over (face, airway, tracheal fracture, diaphragmatic rupture)
- Down/Under (femur and pelvic fracture)
- Lateral (clavicle, humerus, ribs, pelvis, femur)
- Rear (whiplash, cervical hyperextension)
- Rotational (shearing of heart, liver, lungs)
- Rollover (ejection, crush)
What are three signs of a tracheal fracture? {{Correct Ans- Subcutaneous Emphysema Stridor