PHTLS Study Guide
Inadequate perfusion/energy production at the cellular level. (correct answer) Shock
Why are case studies important in the hospital? (correct answer) It gives us evidence based practice.
What is the definition of anaerobic metabolism? (correct answer) Without oxygen
When does hemorrhage control start in the trauma assessment? (correct answer) Right away.
Why do we needle decompress somebody? (correct answer) 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? (correct answer) Jaw thrust
What is the problem with intubation? (correct answer) 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? (correct answer) Until the airway is clear from blood. Ten seconds
What is the best way to confirm you have the ET tube in place? (correct answer) End tidal
When should you start the secondary assessment on a trauma patient? (correct answer) When time
and situation allows
What are some pre-arrival factors you should be considering upon arrival to your designated call?
(correct answer) Time of day, weather, location, hazards and possible additional needs
, What is the main reason for a primary assessment on a trauma patient? (correct answer) To identify
and treat immediate life threats
What is the most common type of shock and what is the main cause of shock? (correct answer)
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? (correct answer) Scoop stretcher
What is the first thing that should be treated on a trauma patient? (correct answer) XABCDE
What is one of the earliest signs you may see on a patient who is starting to go into shock? (correct
answer) 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? (correct answer) Direct pressure and tourniquet
What do you want your blood pressure to be at if you have a trauma patient? (correct answer) 80
What do you want your blood pressure to be at for neurogenic patients? (correct answer) 90
What is the goal as prehospital providers that we want to establish for our patients? (correct answer)
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. (correct answer) Airway and pulmonary
Refers to the process by which oxygen concentration increases within a tissue (correct answer)
Oxygenation
Inadequate perfusion/energy production at the cellular level. (correct answer) Shock
Why are case studies important in the hospital? (correct answer) It gives us evidence based practice.
What is the definition of anaerobic metabolism? (correct answer) Without oxygen
When does hemorrhage control start in the trauma assessment? (correct answer) Right away.
Why do we needle decompress somebody? (correct answer) 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? (correct answer) Jaw thrust
What is the problem with intubation? (correct answer) 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? (correct answer) Until the airway is clear from blood. Ten seconds
What is the best way to confirm you have the ET tube in place? (correct answer) End tidal
When should you start the secondary assessment on a trauma patient? (correct answer) When time
and situation allows
What are some pre-arrival factors you should be considering upon arrival to your designated call?
(correct answer) Time of day, weather, location, hazards and possible additional needs
, What is the main reason for a primary assessment on a trauma patient? (correct answer) To identify
and treat immediate life threats
What is the most common type of shock and what is the main cause of shock? (correct answer)
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? (correct answer) Scoop stretcher
What is the first thing that should be treated on a trauma patient? (correct answer) XABCDE
What is one of the earliest signs you may see on a patient who is starting to go into shock? (correct
answer) 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? (correct answer) Direct pressure and tourniquet
What do you want your blood pressure to be at if you have a trauma patient? (correct answer) 80
What do you want your blood pressure to be at for neurogenic patients? (correct answer) 90
What is the goal as prehospital providers that we want to establish for our patients? (correct answer)
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. (correct answer) Airway and pulmonary
Refers to the process by which oxygen concentration increases within a tissue (correct answer)
Oxygenation
