PHTLS EXAM STUDY GUIDE QUESTIONS
AND ANSWERS 2024/25
Goals for PHTLS - ANS// -Reduce mortality and injury from trauma
-Provide pre hospital care providers with knowledge and skill
-Provide appropriate care to trauma patients
Mass Casualty Incident (MCI) - ANS// An incident where the number and severity of casualties exceeds
the capability of the responder's initial resources.
The PHTLS philosophy - ANS// Research
Interventions
Patient care delivery
How many people die each day worldwide as a result of injury? - ANS// 14,000
What is the leading cause of death in people between 1 yr to 45 yrs of age? - ANS// Unintentional injury
PHTLS approach to trauma - ANS// Team approach
Assessment and treatment of trauma patients (XABCDE)
Pre-event phase - ANS// Circumstances leading up to an injury. Efforts in this phase are primarily focused
on injury prevention.
Event phase - ANS// The moment of actual trauma. Actions taken during the event phase are aimed at
minimizing injury as the result of the trauma.
Post event phase - ANS// Deals with the outcome of the traumatic event. The phase of prehospital care
that includes response time, Golden period, and transport time.
Principle vs preference - ANS// Principle is based on patients needs.
, Preference is HOW the principle is accomplished. Preference may change depending on:
-Scene safety
-patient severity
-Care providers knowledge and skills
-resources
First phases of death occurs...? - ANS// within the first few minutes and up to an hour after the incident.
Second phase of death occurs...? - ANS// First few hours after and incident.
Third phase of death occurs...? - ANS// Occurs several days to several weeks after the incident.
XABCDE - ANS// eXsanguinate
Airway management and c-spine
Breathing
Circulation
Disability
Environment Exposure
MARCH acronym - ANS// Manage bleeding
Airway
Respirations
Circulation
Head/Hypothermia
Incident Command System (ICS) - ANS// Created to allow different types of agencies (fire, ems, police)
and jurisdictions to work together using common language and organizational structure to manage and
respond to a disaster or major incident.
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