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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.

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  1. During a rapid trauma assessment, you find a 28-year-old male with a gunshot wound to the right chest showing decreased breath sounds and JVD. Which intervention takes priority?

    Answer: Needle decompression of the right chest

    JVD with decreased unilateral breath sounds following penetrating chest trauma indicates tension pneumothorax requiring immediate needle decompression.

  2. A patient involved in a high-speed MVC has a GCS of 10, BP 88/60, HR 128, and an obviously deformed femur. What is the PRIMARY cause of hypotension in this patient?

    Answer: Hemorrhagic shock from femur fracture

    A femur fracture can cause 1–2 liters of blood loss into the thigh, making hemorrhagic shock the most likely cause of hypotension in this mechanism.

  3. You are assessing an unconscious trauma patient. After opening the airway, you note absent breathing. What is your NEXT action?

    Answer: Begin 2 rescue breaths

    Per PHTLS/AHA trauma protocols, after opening the airway in an apneic patient, provide 2 rescue breaths before moving to circulation assessment.

  4. Which of the following BEST describes the 'platinum ten minutes' concept in trauma care?

    Answer: Total prehospital time goal before transport for critical trauma patients

    The platinum ten minutes refers to limiting total on-scene time to under 10 minutes for critical trauma patients to minimize time to definitive surgical care.

  5. A patient has an impaled object in the left eye. The correct prehospital management is to:

    Answer: Stabilize the object in place and cover both eyes

    Impaled objects should be stabilized in place; covering both eyes prevents consensual movement, and removal risks vitreous extrusion.

  6. A trauma patient in hemorrhagic shock has no IV access after two attempts. What is the NEXT preferred vascular access route?

    Answer: Intraosseous access at the proximal tibia or humerus

    Intraosseous access is the preferred alternative to failed peripheral IV in critically injured patients due to speed and reliability.

  7. Which finding during a secondary assessment MOST suggests a diaphragmatic rupture?

    Answer: Bowel sounds auscultated in the chest

    Auscultation of bowel sounds in the thoracic cavity indicates herniation of abdominal organs through a diaphragmatic tear.