Trauma

Question 1

Scenario: Spurting arterial bleed from thigh. Immediate control?

Answer 1

Direct pressure then proximal tourniquet.

Question 2

Scenario: Impaled object in abdomen. Remove?

Answer 2

No—stabilize in place.

Question 3

Scenario: Fall from 15 ft, neck pain, numb hands. What do you do?

Answer 3

Perform FSA if trained; immobilize if fails.

Question 4

Scenario: Open skull fracture with CSF leak. Priorities?

Answer 4

Protect airway, avoid pressure, evacuate.

Question 5

Scenario: Adult tooth avulsion. Preserve how?

Answer 5

Handle crown, rinse, store in milk/saline.

Question 6

Scenario: Suspected pelvic fracture + hypotension. Action?

Answer 6

Pelvic binder, treat shock, evacuate.

Question 7

Scenario: Open femur fracture with pulses. Splint?

Answer 7

Traction or padded splint; monitor distal status.

Question 8

Scenario: Broken nose with bleeding. Management?

Answer 8

Lean forward, pinch nose, pack if needed.

Question 9

Scenario: Facial trauma + vomiting. Airway plan?

Answer 9

Suction, protect airway, spine precautions.

Question 10

Scenario: Blunt chest trauma + severe distress. Suspect tension pneumothorax?

Answer 10

Decompress per training; evacuate.

Question 11

Scenario: Child loses primary tooth. Reimplant?

Answer 11

No—do not reimplant primary teeth.

Question 12

Scenario: Contaminated wound with soil. Care?

Answer 12

Irrigate, dress, tetanus, evacuate.

Question 13

Scenario: Suspected spinal cord injury. Priorities?

Answer 13

Immobilize, oxygenate, treat neurogenic shock.

Question 14

Scenario: Finger dislocation. Action?

Answer 14

Splint in position found.

Question 15

Scenario: Open globe injury. Care?

Answer 15

Shield eye, avoid pressure, evacuate.

Question 16

Scenario: Rockfall with multiple victims. Triage?

Answer 16

Airway/bleeding first; consider crush syndrome.

Question 17

Scenario: Suspected compartment syndrome. Signs?

Answer 17

Pain out of proportion; evacuate urgently.

Question 18

Scenario: Posterior shoulder dislocation. Clues?

Answer 18

Arm adducted, internally rotated; immobilize.

Question 19

Scenario: Sucking chest wound. Steps?

Answer 19

Vented occlusive dressing; monitor.

Question 20

Scenario: Tooth avulsion with bone fragment. Care?

Answer 20

Store moist; evacuate.

Question 21

Scenario: Pelvic fracture with perineal bruising. Concern?

Answer 21

Urethral injury.

Question 22

Scenario: Open fracture with bone protruding. Action?

Answer 22

Cover, splint, evacuate.

Question 23

Scenario: Nosebleed on anticoagulants. Action?

Answer 23

Pressure, pack, evacuate.

Question 24

Scenario: Basilar skull fracture signs. Precautions?

Answer 24

No nasal airway; immobilize; evacuate.

Question 25

Scenario: Crush injury after entrapment. Concern?

Answer 25

Crush syndrome; fluids if trained; evacuate.

Question 26

Scenario: Simple clavicle fracture. Splint?

Answer 26

Sling + swathe.

Question 27

Scenario: Penetrating chest trauma + hypotension. Suspect?

Answer 27

Cardiac tamponade; evacuate.

Question 28

Scenario: Open pelvic fracture + vaginal bleeding. Action?

Answer 28

Stabilize pelvis, treat shock, evacuate.

Question 29

Scenario: Femur fracture + no distal pulses. Concern?

Answer 29

Vascular injury; urgent evacuation.

Question 30

Scenario: Flail chest. Management?

Answer 30

Oxygen, stabilize segment, monitor.

Question 31

Scenario: Facial avulsion + airway risk. Action?

Answer 31

Pack bleeding, protect airway, evacuate.

Question 32

Scenario: Vehicle rollover, entrapped, hypotensive. Priorities?

Answer 32

Control bleeding, spine stabilize, extricate carefully.