(EMT) Multisystem Trauma Chapter 30
Exam UPDATED QUESTIONS AND
CORRECT ANSWERS
What is the definition of multiple trauma? - CORRECT ANSWER A trauma in which the
patient has more than one serious injury.
What is the definition of multisystem trauma? - CORRECT ANSWER Multiple injuries that
affect more than one body system.
Multiple trauma and multisystem trauma patients are situations in which the EMT is expected to
perform which of the following? - CORRECT ANSWER Anticipate and treat problems with a
greater level of complexity than usual.
What are three elements of successful trauma care that field practitioners can use which will
ultimately translate into greater rates of survival? - CORRECT ANSWER Teamwork, timing,
and transport
What are some of the most important critical decisions an EMT can make on the scene of a serious
trauma? - CORRECT ANSWER Determining patient priority, amount of time on-scene, and
hospital transport decision
You are dispatched to a motor vehicle crash on a rural mountain highway. You have a patient who was
unconscious on arrival, had a seizure, and is currently awake but combative. You suspect he may have
a head injury. What is considered the BEST approach regarding transport of this patient? - CORRECT
ANSWER Dispatch and await the medical helicopter, which is 20 minutes away.
What trauma triage guidelines did the Centers for Disease Control and Prevention release in order to
guide the most injured patients into trauma centers? - CORRECT ANSWER Physiological
determinants, anatomic criteria, and mechanism of injury
What is the Glasgow Coma Score (GCS) measurement of altered mental status, which according to
CDC guidelines necessitates transport to a trauma center? - CORRECT ANSWER 13
, According to CDC guidelines, a systolic blood pressure of less than _______ indicates a patient
should be transported to a trauma center. - CORRECT ANSWER 90
A respiratory rate of less than _______ in infants is a significant finding and indicates a critical
patient, who should be immediately transported to a trauma center if secondary to trauma. -
CORRECT ANSWER 20
A respiratory rate of less than _______ and greater than _______ in cases of trauma are criteria for
immediate transportation to a trauma center according to the CDC physiologic guidelines. -
CORRECT ANSWER 10; 29
What criteria based on the CDC guidelines allows a discretionary approach to trauma triage? For
example, a patient not meeting ordinary trauma triage criteria may be transported to a trauma center
based on what consideration? - CORRECT ANSWER EMS provider judgment
Which of the following trauma triage criteria would justify transportation to a trauma center based on
mechanism of injury alone? - CORRECT ANSWER Auto versus pedestrian
Which one of the following patients would justify the need to directly transport to a trauma center
based on special patient considerations? - CORRECT ANSWER A pregnant female in the third
trimester who is spotting (showing small amounts of vaginal bleeding) following a low mechanism of
injury MVC
Based on the following presentations of patient injuries, which one would be considered MOST
severe, justifying immediate transportation to a trauma center? - CORRECT ANSWER Flail
chest
You are dispatched to a motorcycle crash with one patient involved. What is the most important
intervention to perform first? - CORRECT ANSWER Manually stabilize the cervical spine
Which of the following choices is NOT a justifiable reason for delaying transport of a critical trauma
patient? - CORRECT ANSWER Awaiting arrival of the patient's parents on-scene
What is the BEST option an EMT has when encountering poor BVM compliance when attempting to
ventilate a patient? - CORRECT ANSWER Involve two people in the procedure.
Exam UPDATED QUESTIONS AND
CORRECT ANSWERS
What is the definition of multiple trauma? - CORRECT ANSWER A trauma in which the
patient has more than one serious injury.
What is the definition of multisystem trauma? - CORRECT ANSWER Multiple injuries that
affect more than one body system.
Multiple trauma and multisystem trauma patients are situations in which the EMT is expected to
perform which of the following? - CORRECT ANSWER Anticipate and treat problems with a
greater level of complexity than usual.
What are three elements of successful trauma care that field practitioners can use which will
ultimately translate into greater rates of survival? - CORRECT ANSWER Teamwork, timing,
and transport
What are some of the most important critical decisions an EMT can make on the scene of a serious
trauma? - CORRECT ANSWER Determining patient priority, amount of time on-scene, and
hospital transport decision
You are dispatched to a motor vehicle crash on a rural mountain highway. You have a patient who was
unconscious on arrival, had a seizure, and is currently awake but combative. You suspect he may have
a head injury. What is considered the BEST approach regarding transport of this patient? - CORRECT
ANSWER Dispatch and await the medical helicopter, which is 20 minutes away.
What trauma triage guidelines did the Centers for Disease Control and Prevention release in order to
guide the most injured patients into trauma centers? - CORRECT ANSWER Physiological
determinants, anatomic criteria, and mechanism of injury
What is the Glasgow Coma Score (GCS) measurement of altered mental status, which according to
CDC guidelines necessitates transport to a trauma center? - CORRECT ANSWER 13
, According to CDC guidelines, a systolic blood pressure of less than _______ indicates a patient
should be transported to a trauma center. - CORRECT ANSWER 90
A respiratory rate of less than _______ in infants is a significant finding and indicates a critical
patient, who should be immediately transported to a trauma center if secondary to trauma. -
CORRECT ANSWER 20
A respiratory rate of less than _______ and greater than _______ in cases of trauma are criteria for
immediate transportation to a trauma center according to the CDC physiologic guidelines. -
CORRECT ANSWER 10; 29
What criteria based on the CDC guidelines allows a discretionary approach to trauma triage? For
example, a patient not meeting ordinary trauma triage criteria may be transported to a trauma center
based on what consideration? - CORRECT ANSWER EMS provider judgment
Which of the following trauma triage criteria would justify transportation to a trauma center based on
mechanism of injury alone? - CORRECT ANSWER Auto versus pedestrian
Which one of the following patients would justify the need to directly transport to a trauma center
based on special patient considerations? - CORRECT ANSWER A pregnant female in the third
trimester who is spotting (showing small amounts of vaginal bleeding) following a low mechanism of
injury MVC
Based on the following presentations of patient injuries, which one would be considered MOST
severe, justifying immediate transportation to a trauma center? - CORRECT ANSWER Flail
chest
You are dispatched to a motorcycle crash with one patient involved. What is the most important
intervention to perform first? - CORRECT ANSWER Manually stabilize the cervical spine
Which of the following choices is NOT a justifiable reason for delaying transport of a critical trauma
patient? - CORRECT ANSWER Awaiting arrival of the patient's parents on-scene
What is the BEST option an EMT has when encountering poor BVM compliance when attempting to
ventilate a patient? - CORRECT ANSWER Involve two people in the procedure.
