Froggy Jumps
Trauma basics & field first aid
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1. You arrive at a motor vehicle collision and see exposed electrical wires near the vehicle. What should you do FIRST?
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3. Why is the mechanism of injury important in trauma assessment?
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4. A patient was involved in a high-speed collision. Although there are no obvious external injuries, the nurse remains concerned about internal injuries. Why?
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5. A disaster scene contains several injured people, but only two rescuers are available. What is the most appropriate action?
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6. Which is an example of a scene hazard?
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7. Which principle should guide a rescuer before entering a dangerous trauma scene?
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8. A patient is trapped inside a vehicle after a collision. Before entering the vehicle, what should rescuers confirm?
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9. Which situation represents a high-energy mechanism?
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10. During trauma care, a life-threatening problem is identified. What should the healthcare provider do?
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11. What does the "X" in XABCDE represent?
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12. What is the correct sequence of the primary trauma assessment?
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13. A patient has massive external bleeding from the leg. Which component should be addressed first?
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14. What does "A" represent in XABCDE?
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15. What does "B" represent?
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16. What does "C" represent?
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17. What does "D" represent?
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18. What does "E" represent?
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19. A trauma patient has uncontrolled hemorrhage but is also complaining of neck pain. Which problem takes immediate priority?
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20. During the exposure phase, why should the patient's body be inspected?
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21. Which finding is most concerning for severe external hemorrhage?
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22. A patient has severe bleeding from an arm. What should be attempted first?
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23. Direct pressure fails to control severe extremity bleeding. What intervention may be appropriate?
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24. Where should a tourniquet generally be positioned?
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25. A patient has a deep wound in an area where a tourniquet cannot be applied. Which intervention may be appropriate?
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26. Which type of wound may require wound packing because a standard extremity tourniquet cannot be applied?
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27. After applying a tourniquet, what should the provider do?
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28. A patient continues to bleed despite an appropriately applied tourniquet. What may be considered?
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29. Why is rapid hemorrhage control important?
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30. A trauma patient is pale, weak, and losing a large amount of blood. Which condition should be suspected?
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31. What is the primary goal of airway management?
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32. Which finding may indicate airway obstruction?
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33. A trauma patient is unable to speak and is making abnormal airway sounds. What should the nurse suspect?
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34. A trauma patient may have a cervical spine injury. Which maneuver should be used to open the airway?
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35. Why is the jaw-thrust preferred when cervical spine injury is suspected?
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36. A trauma patient has blood and vomitus obstructing the airway. Which intervention may be necessary?
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37. Which airway adjunct is appropriate for an unconscious patient without a gag reflex?
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38. Which airway adjunct should be avoided when significant facial or head trauma is suspected?
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39. Which finding suggests inadequate breathing?
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40. A trauma patient is breathing 35 times/minute but has shallow respirations and poor chest movement. What is the best interpretation?
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41. A patient has inadequate respirations. Which equipment may be needed to assist ventilation?
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42. Which is most important when evaluating breathing?
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43. What is the main purpose of circulation assessment?
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44. An unresponsive adult has no palpable radial pulse. Which pulse should be assessed?
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45. Which finding suggests poor perfusion?
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46. Which pulse finding is concerning for poor circulation?
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47. Which mental-status change may indicate poor perfusion?
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48. Shock is primarily a problem involving:
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49. A patient has significant blood loss. Which type of shock is most likely?
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50. A patient develops shock due to failure of the heart's pumping ability. What type of shock is this?
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51. A patient with suspected tension pneumothorax develops obstructive shock. What type of shock is this?
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52. Which conditions can cause obstructive shock?
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53. What is the primary goal of spinal motion restriction?
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54. Which finding is an indication for considering spinal motion restriction?
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55. A patient involved in a collision has neck pain and weakness in both arms. What should the nurse do?
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56. Which patient has the strongest indication for spinal motion restriction?
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57. Which of the following can make a spinal examination unreliable?
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58. A trauma patient has an altered level of consciousness. Why should spinal injury be considered?
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59. Which is an example of an anatomical indication for spinal motion restriction?
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60. Which symptom may indicate neurological involvement after spinal trauma?
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61. What is manual in-line stabilization?
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62. When should manual in-line stabilization be considered?
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63. Manual head-and-neck stabilization should be maintained:
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64. Before moving a patient with suspected spinal injury, what should be assessed?
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65. During a log roll, who should primarily control and stabilize the patient's head?
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66. During a coordinated log roll, which rescuer should give the movement command?
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67. Before initiating a roll, the patient may be instructed to:
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68. After placing the patient on a long board, where should straps be used to secure the patient?
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69. What should be used to help stabilize the patient's head on the board?
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70. What is the primary purpose of a long spine board?
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71. What is extrication?
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72. When is rapid extrication indicated?
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73. A trapped patient is inside a vehicle that has caught fire. What is the most appropriate approach?
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74. A patient is trapped in a stable vehicle. There is no fire, no explosion risk, and the patient is stable. What is appropriate?
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75. A patient trapped in a vehicle is rapidly deteriorating and cannot receive necessary lifesaving treatment because of the patient's position. What should be considered?
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Bonus 76. TRAUMA or DRAMA? A rescuer checks the scene for hazards before approaching the patient.
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Bonus 77. TRAUMA or DRAMA? A nurse performs a head-tilt/chin-lift on a patient with suspected cervical spine injury.
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Bonus 78. TRAUMA or DRAMA? A patient with massive bleeding receives immediate hemorrhage control.
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Bonus 79. TRAUMA or DRAMA? A rescuer enters a burning vehicle without waiting for the scene to be made safe.
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Bonus 80. TRAUMA or DRAMA? A trauma patient with numbness and motor weakness is considered for spinal motion restriction.
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81. TRAUMA or DRAMA? A patient with suspected spinal injury is asked to rotate their neck to check for pain.
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82. TRAUMA or DRAMA? A patient with suspected spinal injury has manual in-line stabilization maintained during movement.
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83. TRAUMA or DRAMA? A patient on a spine board does not need further circulation or neurological assessment.
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84. TRAUMA or DRAMA? A patient with severe respiratory compromise is kept rigidly supine even though the position interferes with ventilation.
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85. TRAUMA or DRAMA? A patient with hypotension, a normal-to-bradycardic heart rate, and warm, dry, flushed skin after spinal trauma is suspected of having neurogenic shock.
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86. What should receive immediate attention when massive bleeding and neck pain are present?
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87. A patient with suspected spinal injury suddenly begins vomiting while lying supine. What should take priority?
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88. A patient in a high-speed crash is conscious but intoxicated and cannot reliably communicate. What should the team consider?
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89. A patient has hypotension, bradycardia, warm dry skin, and a history of spinal trauma. Which condition is most likely?
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90. A patient has severe chest trauma and cannot maintain adequate ventilation while lying flat. What is the best principle?
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91. A patient is trapped inside a vehicle. There is no immediate danger, the vehicle is stable, and the patient is not deteriorating. What approach is most appropriate?
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92. During spinal assessment, a patient reports tingling in both legs. What does this finding suggest?
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93. A trauma patient has an altered level of consciousness and multiple painful injuries. Why is a complete secondary assessment appropriate?
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94. A critically injured patient requires immediate transport. What should happen with assessment and transport preparation?
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95. A rescuer says, "+Because this patient is being rapidly extricated, we don't need to worry about spinal precautions." What is the BEST response?
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