NREMT Paramedic Trauma Exam Prep

Category - Paramedic Trauma

According to the National Trauma Triage Protocol, in which of these cases would it be most appropriate to transport to a trauma center?
  1. A 34-year-old female who fell from a rock-climbing wall onto a soft pad. It is suspected she as a closed fracture to her wrist. No loss of consciousness. Stable vital signs.
  2. A 16-year-old male who accidentally amputated his first and second fingers between the first and second knuckle with a rotating saw.
  3. An 84-year-old female, restrained passenger in an MVA with significant damage. Presents ambulatory and complaining only of a nosebleed. Respiratory rate is 22.
  4. A 24-year-old male who fell from a ladder while painting a single story house. No complaints or obvious injuries.
Explanation
Answer: C- According to the National Trauma Triage Protocol, patients over the age of 55 should be transported to a trauma center after being involved in a MVA with high trauma risk potential.

For isolated fractures, amputations distal to the wrist/ankle, or falls from less than two stories, a trauma center is not necessary, and transport to the closest facility is generally recommended.
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