Exam (elaborations)
LJJ CSTR – Questions & Proper Solutions (Rated A+)
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LJJ CSTR – Questions & Proper Solutions (Rated A+)
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LJJ CSTR – Questions & Proper Solutions (Rated A+)An elderly patient fell while out of state, went to an ER where he received a
knee immobilizer for a fractured R patella. Upon arriving back home he
presents to your ED where he's admitted for pain control and placement by
Case Management. Does he get included in the trauma registry? Right Ans -
No, since he was seen and treated at another hospital; he wasn't seen by
Trauma, and he wasn't treated for the fracture.
A 15 y.o. presents to the ED with a GSW and dies within 15 mins. of arrival.
Should he be included in the trauma registry? Right Ans - Yes, since he had
a traumatic mechanism of injury and the injury resulted in death.
A patient presented to the ED after a fall resulting in a R radius/ulna FX. He
was splinted and discharged. He returned 2 days later for an ORIF. Does this
meet criteria to be included in the registry? Right Ans - No, since this was a
planned readmission.
A 24 y.o. MVC presents to the ED with a forehead and large wrist laceration
w/ tendon involvement. He went to the OR for repairs and was discharged.
Does he qualify for the registry? Right Ans - Yes
A patient comes to the ED complaining of leg pain w/o history of fall or
trauma. The patient has a Hx of osteoporosis and bone cancer. Imaging shows
a femur fracture; the patient was admitted. Does he qualify for the registry?
Right Ans - No, the injury was a-traumatic
The inclusion or exclusion criteria used to select patients for entry into the
trauma registry can vary from hospital to hospital, T or F? Right Ans - True:
each trauma facility has their own set of trauma inclusion criteria.
What is the ISS for a patient with an AIS of 6? Right Ans - 75: If an injury is
assigned an AIS of 6 (usually an unsurvivable injury), the ISS score is
automatically assigned to 75. The ISS score is virtually the only anatomical
scoring system in use and correlates linearly with mortality, morbidity,
hospital stay and other measures of severity
The Revised Trauma Score (RTS) includes Right Ans - Calculated using RR,
SBP and GCS; a perfect score is 7.84
, How is the Trauma & Injury Severity Score (TRISS) (also referred to as
Probability of Survival) calculated? Right Ans - Calculated using Age, RTS,
MOI (B or P injury), ISS
Best graph for representing M v. F injured by age groups 0-15, 16-25, 26-54,
55 and older Right Ans - A histogram has connected bars that display
frequency of cases falling within defined intervals or columns
Best graph for representing LOS continuous over time Right Ans - A line
graph displays the relationship between 2 types of information such as LOS by
month; it shows trends over time.
Best graph for representing LOS by ISS Score Right Ans - Scatter plots
display values for 2 variables w/ one variable on the horizontal axis and the
value of the other variable on the verticle axis.
Best graph for representing Percent of patients who arrive from the scene vs.
OSH Right Ans - Pie chart
Best graph for representing patients admitted to trauma vs. other services by
months of the year Right Ans - A double bar graph displays information
using 2 bars beside each other at various heights either vertically or
horizontally. The double bar graph compares 2 data groups
Best graph for representing Admitting Service by total number of patients
admitted to each service over time Right Ans - A double line graph has 2
axes. The x-axis shows the occurrences and the categories compared over
time. The y-axis represents the scale. A scale is a set of numbers that
represents the data and is organized into equal intervals.
Your TPM would like to see the trend in penetrating trauma over the past
year. What kind of graph would be most useful in displaying this? Right
Ans - Line Graph
Best graph for showing a large disparity between two units Right Ans - Pie
chart
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