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

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  1. In the primary survey using the MARCH algorithm for hemorrhage control, what does 'M' stand for?

    Answer: Massive hemorrhage

    In the MARCH algorithm (used in tactical and civilian trauma), 'M' stands for Massive hemorrhage control, which is addressed before airway.

  2. A patient arrives with a penetrating chest wound on the right side with absent breath sounds. After sealing the wound, the patient deteriorates rapidly. What should you suspect?

    Answer: Tension pneumothorax

    Rapid deterioration after sealing a chest wound suggests tension pneumothorax, where air under pressure compresses mediastinal structures.

  3. Which mechanism of injury is MOST associated with a high index of suspicion for aortic injury?

    Answer: High-speed deceleration (e.g., MVC at highway speed)

    High-speed deceleration forces cause shear stress at the aortic isthmus, making aortic injury a critical concern in these mechanisms.

  4. What is the primary goal of the permissive hypotension strategy in penetrating trauma management?

    Answer: Maintain MAP around 50–65 mmHg to limit re-bleeding while preserving perfusion

    Permissive hypotension maintains a lower target MAP to avoid dislodging clots and worsening hemorrhage while ensuring minimal organ perfusion.

  5. During a trauma assessment, a GCS score is calculated. Which component assesses verbal response?

    Answer: Verbal response

    The Glasgow Coma Scale has three components: eye opening (E), verbal response (V), and motor response (M), with verbal scored 1–5.

  6. A patient has a femur fracture. What estimated blood volume loss should be anticipated?

    Answer: 1000–1500 mL

    A closed femur fracture can result in 1000–1500 mL of blood loss due to the large surrounding muscle compartment and vascular supply.