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Trauma Management Flashcards

7 cards from real FISDAP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Trauma Management flashcards as text

  1. A trauma patient has a GCS score calculated as: Eye opening to voice (3) + Verbal response confused (4) + Motor response withdraws to pain (4). What is the total GCS?

    Answer: 11

    GCS = Eye (3) + Verbal (4) + Motor (4) = 11; this indicates moderate traumatic brain injury.

  2. Which sign is MOST associated with a basilar skull fracture?

    Answer: Battle's sign and raccoon eyes

    Battle's sign (bruising behind the ear over the mastoid) and raccoon eyes (periorbital bruising) are classic delayed signs of basilar skull fracture.

  3. During transport of a hypotensive trauma patient, which IV fluid is preferred for initial resuscitation according to current trauma guidelines?

    Answer: Warmed crystalloid with early blood products when available

    Current TCCC and ATLS guidelines favor warmed crystalloids at controlled volumes combined with early blood products (plasma and packed RBCs) to reduce dilutional coagulopathy.

  4. A 22-year-old restrained driver involved in a frontal collision complains of sternal pain and irregular heartbeats. Which injury should you suspect?

    Answer: Myocardial contusion

    Blunt cardiac injury (myocardial contusion) results from direct chest wall compression against the steering wheel, causing dysrhythmias and chest pain.

  5. Which assessment tool is recommended by FISDAP to document scene size-up elements during a trauma call?

    Answer: Scene safety, MOI, number of patients, additional resources needed, C-spine

    Scene size-up in trauma includes confirming scene safety, identifying the mechanism of injury, counting patients, determining resource needs, and assessing for c-spine precautions.

  6. A trauma patient has diminished breath sounds on the left side, tracheal deviation to the right, JVD, and severe hypotension. What is the MOST likely diagnosis?

    Answer: Left tension pneumothorax

    Left tension pneumothorax causes tracheal deviation away (to the right) from the affected side, JVD, absent breath sounds on the left, and obstructive shock.

  7. A patient sustains a traumatic amputation of the right hand. A bystander has already applied a tourniquet. It is now bleeding through. What is your action?

    Answer: Apply a second tourniquet proximal to the first

    If a tourniquet is not controlling hemorrhage, apply a second tourniquet immediately proximal to the first to achieve complete arterial occlusion.