Management Of Trauma Patients - Assessment

8 Questions | Total Attempts: 317

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Management Quizzes & Trivia

Test your performance of what you have learned so far by undertaking a moulage review in the management of a trauma patient. A 23 year old male has been severely injured in a motorbike accident. He has sustained the following injuries:- Abdominal injuries Thoracic injuries Pelvic injury Head injury Multiple fractures Massive external haemorrhage (from an open right groin/thigh wound) You are now running the trauma team. � It is important for you to make the right clinical decisions in managing the patient and helping to organise the team. � Good luck!


Questions and Answers
  • 1. 
    A 23 year old male has been severely injured in a motorbike accident.  He has sustained the following injuries:-
    • Abdominal injuries
    • Thoracic injuries
    • Pelvic injury
    • Head injury
    • Multiple fractures
    • Massive external haemorrhage (from an open right groin/thigh wound)
      The initial management of the patient involves the following:-
    • A. 

      MARCH

    • B. 

      UABCDE

    • C. 

      ABCDE

    • D. 

      CABCDE

  • 2. 
    The first priority in the treatment of the patient (as with all patients with major trauma) is:-
    • A. 

      Protecting the patient's airway

    • B. 

      Treating an underlying thoracic/breathing problem (such as decompressing a tension pneumothorax)

    • C. 

      Control of massive external haemorrhage

    • D. 

      Restoring a patient's circulating blood volume using intravenous fluids

    • E. 

      Instigation of urgent treatment of a deteriorating head injury

    • F. 

      Inducing hypothermia in the presence of multiple severe injuries

  • 3. 
    Effective procedures to control life-threatening massive bleeding of the patient's haemorrhaging right groin/thigh wound include:-
    • A. 

      Use of simple bandages

    • B. 

      Application of an arterial tourniquet

    • C. 

      Indirect pressure distal to the injury

    • D. 

      Direct pressure with gauze

    • E. 

      Use of haemostatic agents

    • F. 

      Application of a venous tourniquet

    • G. 

      Direct pressure is the least effective manoeuvre at controlling external major haemorrhage

    • H. 

      Use of pressure dressings

  • 4. 
    Conditions for using haemostatic agents in the management of trauma patients include:-
    • A. 

      Cannot be applied to aggressively bleeding injuries

    • B. 

      Require immediate direct pressure after application

    • C. 

      Some agents can cause burns to the patient

    • D. 

      Must be washed out during surgery once haemorrhage has been controlled

    • E. 

      Haemostatic agents are not effective at controlling haemorrhage

    • F. 

      Haemostatic agents can only be used by in hospital doctors who are experienced trauma clinicians

  • 5. 
    The patient's conscious level deteriorates.  Management, as in any patient with depressed conscious level (reduced Glasgow Coma Scale - GCS) as a result of major trauma, requires one or more of the following interventions:-
    • A. 

      Insertion of a naso-pharyngeal airway

    • B. 

      Insertion of a definitive airway (endotracheal tube)

    • C. 

      A Guerdal (oropharyngeal) airway may be a useful temporising measure pending Rapid Sequence Induction (RSI)

    • D. 

      Invasive ventilation is a necessity for a patient with a decreasing GCS

  • 6. 
    The following thoracic/respiratory problems may be encountered and/or interventions prove necessary during the treatment of the motorcycle patient and his injuries:-
    • A. 

      The patient is unlikely to have developed a tension pneumothorax

    • B. 

      Any patient with a tension pneumothorax will require immediate decompression

    • C. 

      Oxygen should be administered to any patient who has been subjected to severe trauma/major injuries

    • D. 

      Oxygen saturations are a useful indicator of indentifying respiratory/thoracic injuries and complications

    • E. 

      It is vital that a chest x-ray is performed to diagnose any underlying respiratory injury

    • F. 

      Bleeding from underlying thoracic injuries is a rare finding

  • 7. 
    Which of the following are correct regarding the management of the motorcycle patient regarding the corrective treatment of his major blood loss following his severe traumatic injuries:-
    • A. 

      Hypotension is caused by blood loss until proved otherwise

    • B. 

      Hypotension requires immediate correction with the administration of intravenous fluids

    • C. 

      Correction of circulation problems is the priority in the management of major trauma patients

    • D. 

      The best replacement for blood loss is a combination of red blood cells (blood) with clotting factors in a comparable concentration

    • E. 

      Patients who have multiple traumatic injuries rarely require administration of clotting factors/products

    • F. 

      Hypotension is an accurate early sign in the presence of major bleeding from trauma

  • 8. 
    The motorcycle patient has a head injury.  Head injuries can rapidly become fatal.  Most head injury patients (such as the motorcycle patient being treated) require the following:-
    • A. 

      Reduction of raised intracranial pressure

    • B. 

      Urgent neurosurgical decompression of bleeding/haematomas

    • C. 

      Maintenance of cerebral perfusion through ensuring adequate blood pressure to the brain

    • D. 

      All patients should be observed with the insertion of an intracranial bolt pressure transducer monitor

    • E. 

      Head injuries are the first priority in the management of any trauma patient

    • F. 

      Hypothermic cooling is bad for isolated head injuries