PHTLS - Prehospital Trauma Life Support Musculoskeletal Trauma 2

Question 1

What is the primary goal of splinting extremity fractures in the prehospital setting?

Accepted Answer

To prevent further injury, reduce pain, and minimize hemorrhage

Answer

Splinting prevents further soft tissue and neurovascular injury, reduces pain by limiting movement, and helps control hemorrhage.

Question 2

A patient has a closed femur fracture. How much blood can be lost internally from this single injury?

Accepted Answer

1,000-1,500 mL

Answer

A closed femur fracture can result in 1,000-1,500 mL or more of blood loss into the thigh compartment.

Question 3

When is a traction splint indicated in prehospital trauma care?

Accepted Answer

For isolated midshaft femur fractures without hip or knee involvement

Answer

Traction splints are specifically indicated for isolated midshaft femur fractures, applying longitudinal traction to reduce muscle spasm and realign bone fragments.

Question 4

What neurovascular assessment should be performed before and after splinting an extremity fracture?

Accepted Answer

Assessment of pulse, sensation, and motor function distal to the injury

Answer

Distal pulse, sensation, and motor function must be assessed before and after splinting to detect any neurovascular compromise.

Question 5

How should an open fracture with exposed bone be managed in the prehospital setting?

Accepted Answer

Control hemorrhage, apply moist sterile dressing over the wound, and splint

Answer

Open fractures require hemorrhage control, covering with a moist sterile dressing to prevent further contamination and drying, and immobilization with a splint.

PHTLS - Prehospital Trauma Life Support Practice Test

PHTLS - Prehospital Trauma Life Support Practice Test

PHTLS - Prehospital Trauma Life Support Musculoskeletal Trauma 2