July 2013 Tqip Educational Experience

5 Questions | Total Attempts: 441

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July 2013 Tqip Educational Experience

Questions and Answers
  • 1. 
    20 yr. old male arrives at your facility via helicopter on July 4, 2013 @ 0230.  The patient was found on the street with a GSW to the head.  He is intubated and unresponsive on arrival.  The flight crew reports that the patient was PEA upon their arrival, they were able to regain a pulse but he coded again enroute.  He has received epi x3 and 2000 cc of NS.  Upon arrival, the crew is performing compressions.  CPR and a thoracotomy are performed in the ED.  His pulse returns and then a short time later he codes again.  The patient was pronounced in the ED @ 0300. Based on the above information, you would submit the null value Not Applicable for Comorbid Conditions for this patient.
    • A. 

      True

    • B. 

      False

  • 2. 
    20 yr. old male arrives at your facility via helicopter on July 4, 2013 @ 0230.  The patient was found on the street with a GSW to the head.  He is intubated and unresponsive on arrival.  The flight crew reports that the patient was PEA upon their arrival, they were able to regain a pulse but he coded again enroute.  He has received epi x3 and 2000 cc of NS.  Upon arrival, the crew is performing compressions.  CPR and a thoracotomy are performed in the ED.  His pulse returns and then a short time later he codes again.  The patient was pronounced in the ED @ 0300. Based on the above information, you would submit the Hospital Complication Cardiac arrest with CPR to NTDB for this patient.
    • A. 

      True

    • B. 

      False

  • 3. 
    A 56 year old female arrives at your facility after a fall.  She arrives from the scene via EMS intubated and her admitting diagnosis is a SDH and a femur fracture.  She is extubated on Post trauma day #2, but within 2 hours she develops respiratory distress and stridor and is re-intubated at the bedside. Based on the above information, you should submit the Hospital Complication Unplanned Intubation to NTDB for this patient.
    • A. 

      True

    • B. 

      False

  • 4. 
    75 yr. old male has fallen from a ladder and has arrived at your facility c/o back pain.  He is AAOx3 and reports that his only medication is multivitamin, baby ASA, and Lipitor.  He denies any alcohol or drug use but does report that he “likes to chew snuff and has done so for years.” Based upon the above information, what NTDS Comorbid Condition(s) would you submit to NTDB for this patient?
    • A. 

      Current Smoker

    • B. 

      Bleeding Disorder

    • C. 

      Current Smoker and Bleeding Disorder

    • D. 

      Not Applicable

  • 5. 
    A 17 y/o female who was involved in an altercation where she sustained a stab wound to her abdomen and was brought from the scene to your ED via helicopter on 2/15 @ 0200. Trauma surgeon noted on a progress note, “pt will be taken to surgery for emergent laparotomy for hemorrhage control.” She was DC’d from the ED to your OR on 2/15 @ 0530. While in surgery, she was given 2 units of PRBCs and a unit of FFP on 2/15 @ 0800. There was a laceration to the diaphragm which was repaired and her abdomen was closed. She was transferred on your ICU on 2/15 @ 1000. While in ICU on 2/15 @ 1900, she was given 2 units of PRBCs and a unit of FFP. Based on the above information, what value should be submitted for the variable Surgery for Hemorrhage Control Type?
    • A. 

      2 Laparotomy

    • B. 

      1 None

    • C. 

      Not Applicable

    • D. 

      Not Know/Not Recorded

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