Ace Your ScribeAmerica Emergency
Medicine Final Exam 2025| Proven
Study Tips and Strategies to Master
Emergency Medicine Concepts and
Succeed with Confidence
Bystander physicians on scene
A provider must provide proof of license to help
assist
*If they accept medical control, they have to
accompany pt to hospital
Primary survey: ABC
airway, breathing, circulation
Most reliable method to confirm ETT
placement
Direct visualization
Tension pneumothorax on exam:
Trachea deviated
No lung sounds
JVD
Tachycardia
Crepitus
,What is the smallest amount of blood loss
that consistently produces decreased SBP
in adults?
30-40% total blood volume
What femoral SBP reflects adequate
perfusion?
> 70
How to assess circulation in trauma
LOC
Skin color
Pulses
What is the term for failure to make the
correct diagnosis due to fixation on a
specific feature of the presentation too early
in the diagnostic process?
Anchoring bias
5 MC sites of bleeding that cause
hypotension
Abdomen
Chest
Pelvis
Soft tissue around long bones
External
What is the most important intervention for
hemorrhage control?
,Direct manual pressure
A patient does not open their eyes, does not
have any verbal response, and does not
move. What is their GCS?
3
How is GCS scored?
Eye opening (1-4)
Verbal response (1-5)
Motor response (1-6)
AMPLE history
Allergies
Medications
Past illness/Pregnancy,
Last meal
Environment/events related to injury
How many views for FAST scan?
What does it assess
4 views
Assesses free fluid in chest/abd
How to examine exposure in trauma
TAKE OFF CLOTHES
, Examine body from head to toe
When does secondary survey in trauma
begin
-ABCDEs are done
-Vitals are :normal"
Resuscitativve efforts completed
What is the most common abdominal organ
injured in blunt trauma?
Spleen (and liver)
Ongoing efforts in resuscitation includes...
ALWAYS monitoring ABCs....if LOC change,
you must reassess their ABCs
What needs to be in place for resuscitation?
2 large bore IVs (must be working IVs)
After two boluses of saline, what is your
next step if patient is still hypovolemic?
Blood products
Secondary survey should not be performed
if the pt is....
Hemodynamically unstable
Are VS ever misleading
Yes, in elderly, athletes, kids, BB medicated pts
Secondary survey pitfalls in trauma
Medicine Final Exam 2025| Proven
Study Tips and Strategies to Master
Emergency Medicine Concepts and
Succeed with Confidence
Bystander physicians on scene
A provider must provide proof of license to help
assist
*If they accept medical control, they have to
accompany pt to hospital
Primary survey: ABC
airway, breathing, circulation
Most reliable method to confirm ETT
placement
Direct visualization
Tension pneumothorax on exam:
Trachea deviated
No lung sounds
JVD
Tachycardia
Crepitus
,What is the smallest amount of blood loss
that consistently produces decreased SBP
in adults?
30-40% total blood volume
What femoral SBP reflects adequate
perfusion?
> 70
How to assess circulation in trauma
LOC
Skin color
Pulses
What is the term for failure to make the
correct diagnosis due to fixation on a
specific feature of the presentation too early
in the diagnostic process?
Anchoring bias
5 MC sites of bleeding that cause
hypotension
Abdomen
Chest
Pelvis
Soft tissue around long bones
External
What is the most important intervention for
hemorrhage control?
,Direct manual pressure
A patient does not open their eyes, does not
have any verbal response, and does not
move. What is their GCS?
3
How is GCS scored?
Eye opening (1-4)
Verbal response (1-5)
Motor response (1-6)
AMPLE history
Allergies
Medications
Past illness/Pregnancy,
Last meal
Environment/events related to injury
How many views for FAST scan?
What does it assess
4 views
Assesses free fluid in chest/abd
How to examine exposure in trauma
TAKE OFF CLOTHES
, Examine body from head to toe
When does secondary survey in trauma
begin
-ABCDEs are done
-Vitals are :normal"
Resuscitativve efforts completed
What is the most common abdominal organ
injured in blunt trauma?
Spleen (and liver)
Ongoing efforts in resuscitation includes...
ALWAYS monitoring ABCs....if LOC change,
you must reassess their ABCs
What needs to be in place for resuscitation?
2 large bore IVs (must be working IVs)
After two boluses of saline, what is your
next step if patient is still hypovolemic?
Blood products
Secondary survey should not be performed
if the pt is....
Hemodynamically unstable
Are VS ever misleading
Yes, in elderly, athletes, kids, BB medicated pts
Secondary survey pitfalls in trauma
