Fall Scenario (Technician)

Question 1 of 16

1. Question

What should you have considered before obtaining the initial history?

Scene safety

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Airway compromise

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Updating control with your findings

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Signing paperwork with the site manager before entering

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Question 2 of 16

2. Question

Some contractors are still working nearby. With limited PPE, you ask the site manager to pause activity for safety. Your colleague provides a quick handover:

“Responds to voice, airway is open and patent, breathing is shallow at 26 breaths/min, pain on the right side of the ribs, patient is pale and clammy, radial pulse strong at 120 bpm.”

What elements may be missing from this primary survey summary?

Catastrophic haemorrhage

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C-spine considerations

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Overall clinical impression

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HOTT principles

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Question 3 of 16

3. Question

Your colleague reports general cuts and grazes on the right side (head, chest, abdomen, hips) with no catastrophic bleeding noted. C-spine is a concern, and a site first aider is supporting the patient’s head and providing reassurance. The patient points to pain in the right lower chest and upper right leg.

Would you consider this patient a major trauma case?

Yes

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No

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Question 4 of 16

4. Question

You identify this as a major trauma case. Your colleague begins observations while you prepare oxygen via a non-rebreather mask. They suggest oxygen isn’t required because SpO₂ is 96%.

Do you agree?

No

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Yes

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Question 5 of 16

5. Question

You proceed with oxygen therapy due to major trauma concerns. Observations: RR 26, SpO₂ 96%, HR 128, BP 105/68, Temp 36.5°C.

What is the patient’s NEWS2 score?

11

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9

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14

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8

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Question 6 of 16

6. Question

With a high NEWS2 score and significant mechanism of injury, you’re concerned the patient is critically unwell. What should you do next?

Call for an enhanced care team

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Wait for Paramedic arrival before seeking further advice

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Question 7 of 16

7. Question

You contact a critical care team who confirm they will attend but will take approximately 20 minutes. The patient is now more responsive and verbalises significant pain while holding their side. You have Entonox available.

Is Entonox appropriate in this situation?

No

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Yes

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Question 8 of 16

8. Question

Entonox is unavailable due to your concerns with contradictions with head injury and chest trauma (pneumothorax). You support the patient as best you can while your colleague calls out their secondary survey findings. You identify:

Grazing and swelling to the top of the head

Deformity to the lower right arm/wrist, no bleeding

Pain on palpation of right ribs and upper abdomen

Right hip pain; patient unable to move legs

Clear chest sounds on auscultation

What is your next priority intervention?

Pelvic binder application

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Traction splint application

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Vacuum mattress application

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Head wound dressing

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Splint the right lower arm

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Question 9 of 16

9. Question

You apply a pelvic binder. How should it be correctly applied?

Apply to skin, tighten over the greater trochanters

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Apply over underwear, tighten over the greater trochanters

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Apply between greater trochanters and iliac crest

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Apply over the iliac crest

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Question 10 of 16

10. Question

You are concerned about the rib pain. What is a flail segment?

A chest injury where two or more adjacent ribs are fractured in two or more places

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A fractured rib puncturing the lung

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A dislocated and fractured set of ribs

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Floating ribs fractured into the pleural cavity

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Question 11 of 16

11. Question

You observe part of the ribcage moving independently during respiration and suspect a flail segment. Is the best approach to focus on pain relief and supportive ventilation as needed?

True

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False

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Question 12 of 16

12. Question

Which abdominal organ, located under the right upper quadrant, is most susceptible to blunt trauma in this area?

Liver

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Spleen

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Pancreas

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Appendix

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Question 13 of 16

13. Question

The Paramedic is on route. What medications could be prepared in anticipation of administration?

TXA

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Morphine

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IV Paracetamol

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Ondansetron

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Aspirin

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Salbutamol

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Question 14 of 16

14. Question

Your patient has a pelvic binder applied, and medications are prepared for handover. What else can be done?

Reassess primary

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Secondary surveys

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Expose and warm the patient appropriately

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Prepare extrication equipment

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Obtain second set of observations

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Question 15 of 16

15. Question

The Paramedic arrives and informs you the enhanced care team is 2–3 minutes away. What is the best handover tool to use when reviewing a trauma patient?

ATMIST

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ASHICE

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SBAR

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IIMARCH

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Question 16 of 16

16. Question

What is the most appropriate destination for this patient where stable enough?

Major trauma centre

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Local emergency department

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Surgical assessment unit

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Local trauma unit

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Fall Scenario (Technician)

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