PHTLS Study Guide-with 100% verified solutions-2024- 2025.docx, Exams of Nursing

Download PHTLS Study Guide-with 100% verified solutions-2024- 2025.docx and more Exams Nursing in PDF only on Docsity! PHTLS Study Guide-with 100% verified solutions-2024- 2025 Inadequate perfusion/energy production at the cellular level. Shock Why are case studies important in the hospital? It gives us evidence based practice. What is the definition of anaerobic metabolism? Without oxygen When does hemorrhage control start in the trauma assessment? Right away. Why do we needle decompress somebody? If there is an increase work of breathing/absent lung sounds/ inadequate perfusion What is the easiest way to open the airway of a trauma patient? Jaw thrust What is the problem with intubation? It requires a lot of practice. When you arrive on scene and find your patient with their airway full of blood, how long should you suction for? Until the airway is clear from blood. Ten seconds What is the best way to confirm you have the ET tube in place? End tidal When should you start the secondary assessment on a trauma patient? When time and situation allows What are some pre-arrival factors you should be considering upon arrival to your designated call? Time of day, weather, location, hazards and possible additional needs What is the main reason for a primary assessment on a trauma patient? To identify and treat immediate life threats What is the most common type of shock and what is the main cause of shock? Hemorrhagic shock due to either uncontrolled internal/external hemorrhage When wanting to get a patient off scene quickly what is a piece of equipment that is best suited for this situation? Scoop stretcher What is the first thing that should be treated on a trauma patient? XABCDE What is one of the earliest signs you may see on a patient who is starting to go into shock? Increased ventilatory rate When you show up on scene and find your patient bleeding out, what are the two steps you should take to care of that bleed? Direct pressure and tourniquet What do you want your blood pressure to be at if you have a trauma patient? 80 What do you want your blood pressure to be at for neurogenic patients? 90 What is the goal as prehospital providers that we want to establish for our patients? Restore and maintain airway, ventilation, oxygenation, circulation, and quick transport time for trauma patients. Two of the most important prehospital maneuvers are those that provide and maintain patency and ventilation. EMS responds for a patient involved in a motorcycle vs. motor vehicle collision. The patient is poorly responsive with no movement of lower extremities and loss of temperature sensation below the T10. Which of the following types of shock is the patient most likely experiencing? Neurogenic A 38 year old male sustains a large would to his right thigh while at work. Which of the following actions is most important initial step? Hemorrhage control Which of the following is the best indicator of shock in a trauma patient? Depressed level of cognition In a blast-related multiple patient situation, which of the following patients should be treated first? A 33 year old female wit altered level of consciousness and decreased capillary refill. A patient presents with a blunt trauma injury to the chest. On exam, he has absent breath sounds on one side of his chest and respiratory distress. Which additional sign would indicate that the patient has a tension pneumothorax? Distended neck veins Which best describes the goal of airway management in a trauma patient? Provide for adequate exchange of oxygen and CO2 The secondary survey should be accomplished? When time and situation allow EMS is treating a 24 year old soccer player who was kicked in the chest. Prehospital providers note paradoxical movement of a portion of the patient's chest wall. The patient's respiratory is 16 and O2 sat is 94%. What is the most appropriate action? Provide supplemental oxygen and transport to a trauma center. Which of the following information is assessed during the secondary survey? Vital signs Which of the following patients will compensate for blood loss the longest? 6 year old male Units responding to a motor vehicle accident on the highway should consider which of the following as part of their pre-arrival assessment? Calling for more units to respond Prehospital providers have treated a sucking chest wound with an occlusive dressing. During transport to the hospital, the patient develops increasing respiratory distress with in ...