PHTLS questions and answers 2023
updated
Principles vs Preference - correct answer Principle describes the "what" of care and
preference describes the "how" of care.
Ethical Principles: - correct answer Nonmaleficence, Beneficence, Autonomy Justice =
Do no harm, Do good, Right to consent / refusal, fair distribution of goods / services
Advanced Directives & Order of Importance - correct answer Means of patient making
medical decisions in advance in case of incapacitated condition; Order for life sustaining
treatment (POLST) / Out of Hospital medical order / DNR order >> Medical Power of
Attorney (MPOA) >> Living will
Golden Hour / Period - correct answer Short period of time from injury to definitive care
after which chance of survival is significantly lower; We abide by the Platinum 10, where
we transport within 10 minutes of arrival
Why Trauma Patients Die - correct answer Massive acute blood loss > Injury to vital
organs > Airway obstruction and ventilatory failure
Golden Principle #1 - correct answer Ensure Safety of Care Provider and Patient
(Scene Safety / BSI)
Golden Principle #2 - correct answer Assess scene for need of additional resources
Golden Principle #3 - correct answer Recognize physics of trauma (how did this happen
/ what happened / how bad is it)
Golden Principle #4 - correct answer Identify life threats (XABCDE)
Golden Principle #5 - correct answer Manage Airway while ensuring C-Spine
immobilization
Golden Principle #6 - correct answer Support breathing
Golden Principle #7 - correct answer Control significant external hemorrhages (Every
Red Blood Cell Counts)
Golden Principle #8 - correct answer Provide basic shock therapy such as splinting
injuries and maintaining BODY TEMPERATURE
