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Chapter 54 Review End

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    Trauma in Chapter 54 Assessment
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  • What should EMS do first when arriving at a trauma scene with suspected hemorrhage?
    Perform scene size-up and ensure standard precautions
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  • What is included in scene size-up for hemorrhagic trauma?
    MOI, time since injury, hazards, and patient presentation
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  • In a large-scale incident, scene oversight should involve:
    A structured incident management system assigning team roles
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  • What component is assessed first in the primary assessment of a shock patient?
    Mental status and general impression
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  • During the primary assessment, CUPS is used to:
    Categorize patient priority
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  • A secondary assessment should NOT be performed if:
    The ABCs are unstable and cannot be corrected
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  • Which sign on chest assessment may indicate a life-threatening injury?
    Muffled heart sounds or asymmetrical movement
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  • What should be done first during a rapid trauma assessment?
    Control immediate hemorrhage
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  • What finding during neck assessment is concerning in a trauma patient?
    Jugular vein distention or subcutaneous emphysema
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  • A fractured pelvis can result in:
    Significant internal hemorrhage
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  • A focused trauma assessment is performed when:
    The patient is stable with no significant MOI or systemic signs
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  • A tilt test may be used to evaluate:
    Syncope or orthostatic hypotension
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  • What signs are providers looking for when suspecting internal bleeding?
    Signs of local injury and unexplained shock
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  • The chief complaint and medications fall under which assessment step?
    Medical history
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  • When is a detailed physical exam appropriate in a trauma patient?
    After transport has been initiated and life threats managed
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  • What are essential components of reassessment?
    Repeat of primary assessment, vitals, GCS, and monitoring
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