7 Advanced Trauma Practice Cases Free Online FlashCards

What does XABCDE prioritize in a trauma primary survey?

XABCDE prioritizes catastrophic external bleeding, then airway with cervical-spine precautions, breathing, circulation, disability, and exposure/environment.

When should a trauma team repeat the primary survey?

Repeat the primary survey after every intervention or change. A single reassuring measurement does not establish stability.

Why can a near-normal systolic pressure fail to rule out shock?

Shock can develop before profound hypotension. Interpret vital signs as trends and assess the whole clinical picture for occult bleeding.

What immediate measures address life-threatening limb bleeding?

Use direct pressure or a tourniquet for life-threatening limb bleeding, and arrange rapid definitive bleeding control.

Does a negative FAST rule out significant abdominal bleeding?

No. A negative FAST does not exclude abdominal or retroperitoneal bleeding.

When should imaging not delay intervention for suspected bleeding?

In an unstable nonresponder, imaging should not delay intervention to control suspected bleeding.

How does suspected TBI change resuscitation during active hemorrhage?

Avoid hypotension because it can worsen secondary brain injury. Address hemorrhage and resuscitation together, using local cerebral-perfusion targets.

What systolic blood-pressure thresholds may be considered for TBI by age?

The guideline says systolic pressure at or above 110 mm Hg may be considered for ages 15–49 or over 70, and at or above 100 mm Hg for ages 50–69.

Where should a pelvic binder be positioned?

Apply the binder over the greater trochanters when pelvic bleeding is suspected.

What should sudden hypoxia, hypotension, and unilateral reduced breath sounds suggest?

Suspect tension pneumothorax and, with severe respiratory compromise or hemodynamic instability, treat immediately according to training and local protocol without waiting for imaging.

What should be reassessed immediately after treating suspected tension pneumothorax?

Reassess chest movement, breath sounds, oxygenation, blood pressure, and tube or ventilation function immediately.

What can cause a falling GCS after trauma?

A falling GCS may reflect worsening brain injury, poor perfusion, hypoxia, or more than one cause.