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COPR - Canadian Organization of Paramedic Regulators Examination Trauma Assessment and Management Questions and Answers Flashcards

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  1. Which assessment finding most strongly indicates cardiac tamponade in a trauma patient?

    Answer: Beck's Triad: hypotension, muffled heart sounds, JVD

    Beck's Triad (hypotension, muffled heart sounds, jugular venous distension) is the classic presentation of cardiac tamponade caused by pericardial blood accumulation.

  2. When applying a tourniquet for extremity hemorrhage, where should it be positioned?

    Answer: 2–3 inches proximal to the wound

    A tourniquet should be placed 2–3 inches proximal to the wound to effectively occlude arterial flow without being positioned over a joint.

  3. What is the significance of a 'seat belt sign' (bruising across the abdomen) in trauma assessment?

    Answer: It suggests possible intra-abdominal injury requiring surgical evaluation

    A seat belt sign raises strong suspicion for hollow organ injury or mesenteric tears, which may not produce immediate symptoms but require urgent evaluation.

  4. In trauma triage using START (Simple Triage and Rapid Treatment), a patient with a respiratory rate of 8/min would be categorized as:

    Answer: Red (Immediate)

    In START triage, a respiratory rate less than 10/min is classified as Red (Immediate) because it indicates inadequate ventilation requiring immediate intervention.

  5. What is the recommended approach to spinal motion restriction in a responsive trauma patient with no distracting injuries who denies neck pain?

    Answer: Apply selective spinal precautions based on clinical criteria

    Evidence-based guidelines support selective spinal motion restriction using validated clinical criteria (e.g., NEXUS or Canadian C-Spine Rule) rather than universal immobilization.

  6. A burn patient has circumferential burns to one entire leg. Using the Rule of Nines, what percentage of TBSA is involved?

    Answer: 18%

    Each entire lower extremity represents 18% of total body surface area (TBSA) according to the Rule of Nines in adult burn assessment.