CEP Trauma Assessment & Prehospital Interventions 5

Question 1

A trauma patient has a GCS of 6 (E1V2M3) with unequal pupils. The MOST appropriate airway management is:

Accepted Answer

Rapid sequence intubation with inline spinal stabilization

Answer

GCS ≤8 with signs of herniation (unequal pupils) requires definitive airway management via RSI while maintaining spinal precautions.

Question 2

Which of the following BEST describes 'damage control resuscitation' in prehospital trauma care?

Accepted Answer

Limiting crystalloids, targeting permissive hypotension, and preferring blood products

Answer

Damage control resuscitation minimizes crystalloids, accepts lower-than-normal BP, and when available, uses blood products to restore coagulation capacity.

Question 3

A 22-year-old is shot in the neck (Zone II). He is anxious, hoarse, and has expanding subcutaneous emphysema. Which airway intervention is MOST appropriate?

Accepted Answer

Early orotracheal intubation before progressive airway edema occludes the airway

Answer

Expanding hematoma and emphysema signal impending airway loss; early orotracheal intubation is preferred before anatomy is distorted.

Question 4

During transport of a head-injured patient with suspected elevated ICP, you should position the patient:

Accepted Answer

Head elevated 30 degrees with the spine inline

Answer

30-degree head-of-bed elevation promotes cerebral venous drainage and reduces ICP while maintaining spinal precautions with the spine kept neutral.

Question 5

Which finding on scene size-up MOST suggests a patient involved in a blast injury may have a primary blast injury?

Accepted Answer

Perforated tympanic membranes and respiratory distress

Answer

Tympanic membrane rupture and pulmonary blast injury are classic primary blast injuries caused directly by the overpressure wave.

(CEP) Certified Emergency Paramedic Practice Test

(CEP) Certified Emergency Paramedic Practice Test

CEP Trauma Assessment & Prehospital Interventions 5