Module 4
start
ESCAPE ROOM
introduction
Prove you’re a trauma whiz and win the four stars to beat the club record. Complete the missions to win the stars and reach the final prize.
enter
EXIT
Trauma Junkie
Newbie
Trauma Whiz
Trauma Llama
EXIT
1/5
Two of the MOST common mechanisms of injury for blunt trauma are:
Falls & Motor Vehicle Collisions
Gunshot Wounds and Vehicle Ejections
Motor Vehicle Collisions & Stabbings
Low-Caliber Gunshot Wounds and Falls
EXIT
2/5
Which of the following injuries would MOST likely occur as a direcct result of the third collision in a motor vehicle crash?
Flail Chest
Forehead Lacerations
Aortic Rupture
Extremity Fractures
EXIT
3/5
After blunt trauma to the abdomen, a 21-year-old female complains of diffuse abdominal pain and pain to the left shoulder. Your assessment reveals that her abdomen is distended and tender to palpation. Based on this, you are most suspicious of injury to the:
Spleen
Kidneys
Pancreas
Gallbladder
EXIT
4/5
A 39-year-old male was struck in the head by a baseball during a game. He is confused and has slurred speech. He has a large hematoma in the center of his forehead and cannot remember the events preceding the injury. After manually stabilizing his head and assessing his airway, you should:
Perform a neurologic exam
Palpate his radial pulses
Apply ice to the hematoma
Administer high-flow oxygen
EXIT
5/8
A 5-year-old female pulled a pot of boiling water from the stove. She has superficial and partial-thickness burns to her head, face and anteriror trunk. What percentage of her body surface area has been burned?
30%
36%
18%
27%
EXIT
6/8
According to the rule of palm method for estimating the extent of a patient's burns, the palm of the patient's hand is equal to ______ of his or her total body surface area.
1%
4%
6%
2%
EXIT
7/8
Which of the following processes occurs during the inflammation phase of the healing process?
The immune system releases histamines, which cause vasodilation resulting in swelling
Blood vessels in & around the injury site constrict forcing bacteria out and preventing infection
White blood cells are forced away from injury site, increase in red blood cells and blood flow
Veins & arteries at the site constrict, platelet aggregate, stops bleeding & increases wound size
EXIT
8/8
Significant trauma to the face should increase the EMT's index of suspicion for a(n):
Basilar skull fracture
Spinal column injury
Airway obstruction
Displaced mandible
EXIT
Trauma Junkie
Newbie
Trauma Whiz
Trauma Llama
EXIT
1/8
A female patient with a suspected head injury has slow, shallow breathing. The most appropriate treatment for her includes:
ventilation assistance to maintain an ETCO2 of 30-35mmHg
ventilation assistance to maintain an oxygen saturation of 90%
hyperventilating her at 30 breaths/min
administering oxygen via a nonrebreathing mask
EXIT
2/8
During your primary assessment of semiconscious 30-yearold femaile with closed head trauma, you note that she has slow, irregular breathing and a slow, bounding pulse. As your partner maintains manual in-line stabilization of her head, you should:
instruct him to assest her ventilations while you perform a rapid assessment
apply 100% oxygen via a nonrebreathing mask and obtain baseline vitals
perform a focused secondary assessment of the patient's head and neck
immediately place her on a long backboard and prepare for rapid transport
EXIT
3/8
In the setting of a head injury, hypertension, bradycardia, and Biot respirations indicate:
herniation of the brain stem
decreased cerebral blood flow
internal bleeding in the chest
an underlying skull fracture
EXIT
4/8
Which of the following breathing patterns is most indicative of increased intracranial pressure?
Irregular rate, pattern and volue of breathing with intermittent periods of apnea
slow, shallow occassional gasps that progress to prolonged periods of apnea
increased rate with normal inspiratory tie and a prolonged expiratory time
increased rate and depth with the distinct odor of acetone on the patient's breath
EXIT
5/8
Which of the following sets of vitals depicts Cushing's triad:
BP: 200/100 HR: 140 RR: 28
BP: 80/40 HR: 30 RR: 32
BP: 190/110 HR: 55 RR: 30
BP: 90/50 HR: 120 RR: 10
EXIT
6/8
You are transorting a stable patient with a possible pneumothorax. The patient is receiving high-flow oxygen and has an oxygen saturation of 95%. During your reassessment, you find that the patient is now confused, hypotensive, and profusely diaphoretic. What is the cause of this patient's deterioration?
Compression of the aorta and vena cava
Hidden bleeding in the thoracic cavity
A total collapse of the affected lung
Blood accumulation in the pleural space
EXIT
7/8
Bones are connected to other bones by bands of tough fibrous tissues called:
Ligaments
Bursa
Tendons
Cartilage
EXIT
8/8
Care for a patient with a fractured tibia and suspected compartment syndrome includes:
applying traction to maintain distal pulses
applying chemical hot packs to the leg
keeping the leg at the level of the heart
immobilizing the leg with an air splint
EXIT
Trauma Junkie
Newbie
Trauma Whiz
Trauma Llama
EXIT
1/8
In moving joints, the ends of the bones are covered with:
gliding cartilage
articular cartilage
synovial tendons
muscular fascia
EXIT
2/8
When splinting an injury of the wrist, the hand should be placed:
into a fist
in an extended position
in a straight position
in a functional position
EXIT
3/8
Heat loss from the body through respiration occurs when:
the core body temperature is greater than 98F
warm air is exhaled into the atmosphere
air temperature is greater than body temperature
cool air is inhaled and displaces warm air
EXIT
4/8
During your assessment of a atinet who experienced a blast injury, you note that he has a depressed area to the front of his skull. This injury MOST likely occured:
when the patient was hurled against a stationary object
as a result of flying objects
as a direct result of the pressure wave
by inhaling toxic gases
EXIT
5/8
During your assessment of a patinet with a head injury, you note that he opens his eyes when you pinch his trapezius muscle, is mumbling, and has his arms curled in toward his chest. You should assign him a GCS score of:
10
EXIT
6/8
Which of the following statements regarding gunshot wounds is correct?
Low-velocity bullets will cause the greatest amount of trauma
The size of a bullet has the greatest impact on the injury produced
High-velocity bullets will cause less severe internal injuries
The speed of a bullet has the greatest impact on the injury produced
EXIT
5/5
In which of the following situations would external bleeding be the most difficult to control?
Femoral artery laceration and a BP of 140/90
Jugular vein laceration and an SBP of 90
Antecubital vein laceration and a BP of 138/92
Carotid artery laceration and an SBP of 60
EXIT
8/8
Burns to pediatric patients are generally considered more serious than burns to adults because:
pediatric patients are more prone to hyperthermia
pediatric patients have a proportionately larger volume of blood
most burns in children are the result of child abuse
pediatric patientshave more surface area relative to total body mass
EXIT
Newbie
Trauma Junkie
Trauma Llama
Trauma Whiz
EXIT
1/8
Following blunt trauma to the face, a 21-year-old male complains of a severe headache and decreased ability to ove his eyes. This patient's clinical presentation is most consistent with:
a blow-out fracture
a lacerated globe
optic vessel copression
a ruptured eyeball
EXIT
2/8
Following direct trauma to the upper part of the anterior neck, a young male presents with labored breathing, loss of voice, and subcutaneous emphysema in the soft tissues around his neck. You should suspect:
esophargeal tear
crushed cricoid
collapsed trachea
laryngeal fracture
EXIT
3/8
When assessing a patient with a head injury, you note the presence of thin, bloody fluid draining fro his right ear. This indicates:
rupture of the tympanic membrane following diffuse impact to the head
a linear skull fracture & a significant increase in intracranial pressure
significant pressure and bleeding in between the skull & dura mater
factures to the internal structures of the ear following direct trauma
EXIT
4/8
A 19-year-old male is unresponsive, apneic, and pulseless after being struck in the center of the chest with a softball. Based on the mechanism of injury, what most likely occurred?
Ventricular fibrillation when the impact occured during a critical portion of the cardiac cycle
Collapse of both lungs due to fractured ribs that perforated the lung tissue & caused cardiac arrest
Asystole r/t massive intrathoracic hemorrhage due to traumatic rupture of aorta
Fracture of the sternum that caused a rupture of the myocardium
EXIT
5/8
Following a stab wound to the left anterior chest, a 25-year-old ale presents with a decreased level of consciousness and signs of shock. Which of the following additional assessment findings should increase your index of suspicion for cardiac tamponade?
Widening pulse pressure
Engorged jugular veins
Diminished breath sounds
Rapid, irregular pulse
EXIT
6/8
You have sealed the open chest wound of a 40-year-old male who was stabbed in the anterior chest. Your reassessment reveals that he is experiencing respiratory distress and tachycardia, and is developing cyanosis. You should:
partially remove the dressing
begin ventilatroy assistance
call for a paramedic ambulance
begin rapid transport at once
EXIT
7/8
30-year-old male sustained a stab wound to the neck when he was attacked outside a nightclub. During your assessment, you should be MOST alert for:
alteration in his mental status
injury to the cervical spine
potential airway compromise
damage to internal structures
EXIT
8/8
While assessing a young male who was struck in the chest with a steel pipe, you note that his pulse is rapid and irregular. You should be MOST suspicious for:
bruising of the heart muscle
traumatic rupture of the aorta
underlying cardiac disease
a lacerated coronary artery
back
CONGRATS!
You've completed all the missions and here's your well deserved trophy You're a trauma whiz!
Are you SURE you want to LEAVE?
yes
no
YOU FAILED, TRY AGAIN
back
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Transcript
Module 4
start
ESCAPE ROOM
introduction
Prove you’re a trauma whiz and win the four stars to beat the club record. Complete the missions to win the stars and reach the final prize.
enter
EXIT
Trauma Junkie
Newbie
Trauma Whiz
Trauma Llama
EXIT
1/5
Two of the MOST common mechanisms of injury for blunt trauma are:
Falls & Motor Vehicle Collisions
Gunshot Wounds and Vehicle Ejections
Motor Vehicle Collisions & Stabbings
Low-Caliber Gunshot Wounds and Falls
EXIT
2/5
Which of the following injuries would MOST likely occur as a direcct result of the third collision in a motor vehicle crash?
Flail Chest
Forehead Lacerations
Aortic Rupture
Extremity Fractures
EXIT
3/5
After blunt trauma to the abdomen, a 21-year-old female complains of diffuse abdominal pain and pain to the left shoulder. Your assessment reveals that her abdomen is distended and tender to palpation. Based on this, you are most suspicious of injury to the:
Spleen
Kidneys
Pancreas
Gallbladder
EXIT
4/5
A 39-year-old male was struck in the head by a baseball during a game. He is confused and has slurred speech. He has a large hematoma in the center of his forehead and cannot remember the events preceding the injury. After manually stabilizing his head and assessing his airway, you should:
Perform a neurologic exam
Palpate his radial pulses
Apply ice to the hematoma
Administer high-flow oxygen
EXIT
5/8
A 5-year-old female pulled a pot of boiling water from the stove. She has superficial and partial-thickness burns to her head, face and anteriror trunk. What percentage of her body surface area has been burned?
30%
36%
18%
27%
EXIT
6/8
According to the rule of palm method for estimating the extent of a patient's burns, the palm of the patient's hand is equal to ______ of his or her total body surface area.
1%
4%
6%
2%
EXIT
7/8
Which of the following processes occurs during the inflammation phase of the healing process?
The immune system releases histamines, which cause vasodilation resulting in swelling
Blood vessels in & around the injury site constrict forcing bacteria out and preventing infection
White blood cells are forced away from injury site, increase in red blood cells and blood flow
Veins & arteries at the site constrict, platelet aggregate, stops bleeding & increases wound size
EXIT
8/8
Significant trauma to the face should increase the EMT's index of suspicion for a(n):
Basilar skull fracture
Spinal column injury
Airway obstruction
Displaced mandible
EXIT
Trauma Junkie
Newbie
Trauma Whiz
Trauma Llama
EXIT
1/8
A female patient with a suspected head injury has slow, shallow breathing. The most appropriate treatment for her includes:
ventilation assistance to maintain an ETCO2 of 30-35mmHg
ventilation assistance to maintain an oxygen saturation of 90%
hyperventilating her at 30 breaths/min
administering oxygen via a nonrebreathing mask
EXIT
2/8
During your primary assessment of semiconscious 30-yearold femaile with closed head trauma, you note that she has slow, irregular breathing and a slow, bounding pulse. As your partner maintains manual in-line stabilization of her head, you should:
instruct him to assest her ventilations while you perform a rapid assessment
apply 100% oxygen via a nonrebreathing mask and obtain baseline vitals
perform a focused secondary assessment of the patient's head and neck
immediately place her on a long backboard and prepare for rapid transport
EXIT
3/8
In the setting of a head injury, hypertension, bradycardia, and Biot respirations indicate:
herniation of the brain stem
decreased cerebral blood flow
internal bleeding in the chest
an underlying skull fracture
EXIT
4/8
Which of the following breathing patterns is most indicative of increased intracranial pressure?
Irregular rate, pattern and volue of breathing with intermittent periods of apnea
slow, shallow occassional gasps that progress to prolonged periods of apnea
increased rate with normal inspiratory tie and a prolonged expiratory time
increased rate and depth with the distinct odor of acetone on the patient's breath
EXIT
5/8
Which of the following sets of vitals depicts Cushing's triad:
BP: 200/100 HR: 140 RR: 28
BP: 80/40 HR: 30 RR: 32
BP: 190/110 HR: 55 RR: 30
BP: 90/50 HR: 120 RR: 10
EXIT
6/8
You are transorting a stable patient with a possible pneumothorax. The patient is receiving high-flow oxygen and has an oxygen saturation of 95%. During your reassessment, you find that the patient is now confused, hypotensive, and profusely diaphoretic. What is the cause of this patient's deterioration?
Compression of the aorta and vena cava
Hidden bleeding in the thoracic cavity
A total collapse of the affected lung
Blood accumulation in the pleural space
EXIT
7/8
Bones are connected to other bones by bands of tough fibrous tissues called:
Ligaments
Bursa
Tendons
Cartilage
EXIT
8/8
Care for a patient with a fractured tibia and suspected compartment syndrome includes:
applying traction to maintain distal pulses
applying chemical hot packs to the leg
keeping the leg at the level of the heart
immobilizing the leg with an air splint
EXIT
Trauma Junkie
Newbie
Trauma Whiz
Trauma Llama
EXIT
1/8
In moving joints, the ends of the bones are covered with:
gliding cartilage
articular cartilage
synovial tendons
muscular fascia
EXIT
2/8
When splinting an injury of the wrist, the hand should be placed:
into a fist
in an extended position
in a straight position
in a functional position
EXIT
3/8
Heat loss from the body through respiration occurs when:
the core body temperature is greater than 98F
warm air is exhaled into the atmosphere
air temperature is greater than body temperature
cool air is inhaled and displaces warm air
EXIT
4/8
During your assessment of a atinet who experienced a blast injury, you note that he has a depressed area to the front of his skull. This injury MOST likely occured:
when the patient was hurled against a stationary object
as a result of flying objects
as a direct result of the pressure wave
by inhaling toxic gases
EXIT
5/8
During your assessment of a patinet with a head injury, you note that he opens his eyes when you pinch his trapezius muscle, is mumbling, and has his arms curled in toward his chest. You should assign him a GCS score of:
10
EXIT
6/8
Which of the following statements regarding gunshot wounds is correct?
Low-velocity bullets will cause the greatest amount of trauma
The size of a bullet has the greatest impact on the injury produced
High-velocity bullets will cause less severe internal injuries
The speed of a bullet has the greatest impact on the injury produced
EXIT
5/5
In which of the following situations would external bleeding be the most difficult to control?
Femoral artery laceration and a BP of 140/90
Jugular vein laceration and an SBP of 90
Antecubital vein laceration and a BP of 138/92
Carotid artery laceration and an SBP of 60
EXIT
8/8
Burns to pediatric patients are generally considered more serious than burns to adults because:
pediatric patients are more prone to hyperthermia
pediatric patients have a proportionately larger volume of blood
most burns in children are the result of child abuse
pediatric patientshave more surface area relative to total body mass
EXIT
Newbie
Trauma Junkie
Trauma Llama
Trauma Whiz
EXIT
1/8
Following blunt trauma to the face, a 21-year-old male complains of a severe headache and decreased ability to ove his eyes. This patient's clinical presentation is most consistent with:
a blow-out fracture
a lacerated globe
optic vessel copression
a ruptured eyeball
EXIT
2/8
Following direct trauma to the upper part of the anterior neck, a young male presents with labored breathing, loss of voice, and subcutaneous emphysema in the soft tissues around his neck. You should suspect:
esophargeal tear
crushed cricoid
collapsed trachea
laryngeal fracture
EXIT
3/8
When assessing a patient with a head injury, you note the presence of thin, bloody fluid draining fro his right ear. This indicates:
rupture of the tympanic membrane following diffuse impact to the head
a linear skull fracture & a significant increase in intracranial pressure
significant pressure and bleeding in between the skull & dura mater
factures to the internal structures of the ear following direct trauma
EXIT
4/8
A 19-year-old male is unresponsive, apneic, and pulseless after being struck in the center of the chest with a softball. Based on the mechanism of injury, what most likely occurred?
Ventricular fibrillation when the impact occured during a critical portion of the cardiac cycle
Collapse of both lungs due to fractured ribs that perforated the lung tissue & caused cardiac arrest
Asystole r/t massive intrathoracic hemorrhage due to traumatic rupture of aorta
Fracture of the sternum that caused a rupture of the myocardium
EXIT
5/8
Following a stab wound to the left anterior chest, a 25-year-old ale presents with a decreased level of consciousness and signs of shock. Which of the following additional assessment findings should increase your index of suspicion for cardiac tamponade?
Widening pulse pressure
Engorged jugular veins
Diminished breath sounds
Rapid, irregular pulse
EXIT
6/8
You have sealed the open chest wound of a 40-year-old male who was stabbed in the anterior chest. Your reassessment reveals that he is experiencing respiratory distress and tachycardia, and is developing cyanosis. You should:
partially remove the dressing
begin ventilatroy assistance
call for a paramedic ambulance
begin rapid transport at once
EXIT
7/8
30-year-old male sustained a stab wound to the neck when he was attacked outside a nightclub. During your assessment, you should be MOST alert for:
alteration in his mental status
injury to the cervical spine
potential airway compromise
damage to internal structures
EXIT
8/8
While assessing a young male who was struck in the chest with a steel pipe, you note that his pulse is rapid and irregular. You should be MOST suspicious for:
bruising of the heart muscle
traumatic rupture of the aorta
underlying cardiac disease
a lacerated coronary artery
back
CONGRATS!
You've completed all the missions and here's your well deserved trophy You're a trauma whiz!
Are you SURE you want to LEAVE?
yes
no
YOU FAILED, TRY AGAIN
back