Trauma and Trauma Systems

A standard set of data is collected by regional trauma centers and analyzed to describe the types of patients and injuries that emergency medical services​ (EMS) responds to. This is used to determine how well the system is performing and to identify factors that may either lessen or increase patient survival. This process is referred to​ as:

Which definition most accurately reflects the meaning of the term​ "Golden Period?"

Which one of the definitions accurately reflects the meaning of​ "index of​ suspicion?"

To qualify as a trauma​ center, regardless of the​ level, a facility must fulfill what​ criterion?

The leading killer of persons between the ages of 1 and 44​ is:

The most common cause of trauma resulting in activation of the emergency medical services​ (EMS) system​ is:

When considering all causes of death across all age​ brackets, what cause of death is exceeded only by cardiovascular disease and cancer in the total number of lives​ lost?

In most of the patients with serious​ life-threatening trauma, the​ life-threatening injury is​ typically:

What is the collection of data to identify the​ existence, significance, and characteristics of a disease​ called?

What is the name of the tool developed to identify risk elements associated with​ trauma?

When applied to​ trauma, what is the term for the creation or modification of programs to reduce both trauma incidence and​ seriousness?

When treating a person who comes to harm through carelessness or disregard for​ safety, emergency medical services​ (EMS) providers can suggest a slight behavior change that can help prevent an event like that from repeating itself. What is this important and effective intervention method​ called?

A hospital that is most likely to attempt nonsurgical stabilization of critical trauma patients prior to transporting them to a hospital with​ higher-level trauma capabilities has a trauma care rating​ of:

What trauma center designation is given to a regional trauma​ center, usually a university teaching​ center, prepared and committed to handle all types of specialty trauma 24 hours a​ day?

A​ community-based trauma center is a general hospital with a commitment to special staff training and resource allocation for trauma patients. This type of trauma center would receive a rating​ of:

Which definition would accurately describe a Level III trauma​ center?

You are called to the scene of a fall down a concrete stairway. On arrival you note that the patient is unconscious and bleeding heavily from the nose and mouth. You note a respiratory rate of 24 and a radial pulse of 100. After​ suctioning, you are still unable to place an endotracheal​ tube, making it difficult to prevent blood from entering the lungs. How would you rate this​ victim's priority​ status?

Based on the​ critical, unstable, potentially​ unstable, or stable​ (CUPS) triage​ scheme, which of these criteria represent the best description of a patient who would receive a​ "critical" designation?

You are called to the scene of a fall from 18 feet. On your arrival you note a​ 40-something year-old male patient lying on the ground next to a fallen extension ladder. Your patient is ashen with abdominal distention and a contusion to the occipital area. He has a palpable radial pulse of 128 and a respiratory rate of 24. He is conscious but unable to follow your commands. How would you rate this patient using the CUPS​ acronym?

You respond to a call at a construction site for an unknown injury. On your arrival you establish that construction activities have stopped and the area is safe to enter. Inside the site you are shown to a male worker lying on the ground. Bystanders tell you that the patient was working at ground level when a concrete block fell from the third story and struck him on his hard hat. The​ patient, who was unconscious prior to your​ arrival, is just regaining consciousness. He has no knowledge of what happened but is otherwise oriented. As you are conducting your rapid​ assessment, you note that the​ patient's respirations are about​ 24, his pulse is 112 and palpable​ radially, and his skin is​ hot, dry, and flushed. While you are taking his​ pulse, he tells you that he​ can't feel or move his arms or legs. How would you rate this patient using the CUPS​ acronym?

Which statement is true regarding the Golden​ Period?

In less than 10 minutes from arrival at the​ scene, what may emergency medical services​ (EMS) not be expected to​ do?

Reducing time from initial injury to surgery is critical for what​ reason?

The use of air transport from the scene of a severe trauma​ incident:

Which of these patients should be immediately transported to a trauma​ center?

Which patient should be immediately transported to a trauma​ center?

At what numeric score of the Glasgow Coma Scale​ (GCS) is transport to a trauma center warrented for a patient involved in a traumatic​ incident?

What respiratory rate would meet criteria for transporting the trauma patient to a trauma​ facility?

The only way to recognize which trauma care practices benefit patients​ is:

What is the health care surveillance process utilized in trauma systems​ called?

Identification of factors that lessen or increase trauma patient survival is a benefit​ of:

What is the most​ cost-effective way to reduce trauma morbidity and​ mortality?

You are called to the scene of a possible injury. Which of the following injuries would necessitate a rapid trauma assessment?

All of the following are examples of significant mechanisms of injury for an adult EXCEPT:

Returning to the station after a call, you witness a child struck by a car. When you reach the child, he is conscious and appears alert. He has no obvious injuries, and denies loss of consciousness but can not tell you his name, date or time. Although, you feel he is with holding information out of fear; which of the following should be a major concern for this patient?

You arrive on the scene of a teenager reported having fallen from a tree. The patient is in obvious distress and holding his left hip. He is crying and pleading for his parents to help but does not appear short of breath or somnolent. The parents state he was holding his head earlier, as well. You cannot visualize the injury due to snow pants and a jacket that the patient is wearing. The parents of the patient state the patient fell from the top of the tree which appears 15 feet high. What is the next best step in the management of this patient?

Which of the following mechanisms of injury would provoke the highest index of suspicion for hemorrhagic shock?

You are dispatched to a MVA where a driver lost control of his car while driving on the highway at 80mph and ran into a tree. Initial assessment reveals a patient who is conscious and responsive to verbal stimuli, BP 90/70; P 120; R 18; skin cool. No visible external hemorrhage or major fractures are identified. Which of the following statements best describes the kinematics of this situation?