Which trauma levels imply that the patient can wait an hour or more to be seen?

Trauma Level 1 and 2

Trauma Level 1 only

Trauma Level 3 to 5

Trauma Level 2 and 3

Answer and Explanation

The Correct Answer is C

A. Trauma Level 1 and 2:
These are high-acuity emergencies. Level 1 is immediate, and Level 2 is emergent - both require prompt medical attention.

B. Trauma Level 1 only:
Level 1 patients need to be seen immediately and cannot wait.

C. Trauma Level 3 to 5:
These patients are stable and can safely wait for up to an hour or more. Level 3 is urgent but not life-threatening, and Levels 4 and 5 are semi-urgent and non-urgent.

D. Trauma Level 2 and 3:
Level 2 still requires prompt attention (within 10–15 minutes). Only Levels 3–5 meet the criteria for patients who can wait an hour or more.

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Correct Answer is B

Explanation

A. Focus on reducing fever and monitoring vital signs for changes:
While important, fever control alone does not address the underlying infection. Delaying treatment worsens outcomes.

B. Initiate interventions promptly to control the source once the infection is suspected:
In sepsis/SIRS, early source control (e.g., antibiotics, fluid resuscitation, possible surgical intervention) is critical to prevent progression to MODS.

C. Employ general supportive care until infection progression is evident:
Waiting for progression delays treatment. In sepsis, time is tissue - early action saves lives.

D. Confirm the infection through laboratory tests before beginning any interventions:
Lab confirmation is useful, but treatment should not be delayed for lab results when infection is suspected. Begin empiric treatment first.

A. Focus solely on treating existing organ dysfunctions once MODS develops. B. Muscle weakness C. Delay treatment interventions until organ failure is confirmed for accurate diagnosis. D. Prevent the progression from SIRS to MODS to improve prognosis.

Correct Answer is D

Explanation

A. Focus solely on treating existing organ dysfunctions once MODS develops:
While treating organ dysfunction is necessary, prevention is key. Once MODS sets in, prognosis worsens significantly.

B. Muscle weakness:
This is a symptom, not a goal of management. It is common in critically ill patients but not the focus here.

C. Delay treatment interventions until organ failure is confirmed for accurate diagnosis:
Delaying treatment leads to worsening of SIRS and a higher risk of MODS. Early intervention is critical.

D. Prevent the progression from SIRS to MODS to improve prognosis:
Early recognition and treatment of SIRS (e.g., with fluids, antibiotics, and source control in sepsis) can prevent MODS and improve outcomes.

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Which trauma levels imply that the patient can wait an hour or more to be seen?

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Naxlex Comprehensive Predictor Exams

In patients experiencing Systemic Inflammatory Response Syndrome (SIRS) with a suspected infection, what is the crucial initial approach to prevent further complications?

Correct Answer is B

Explanation

In critically ill patients, the progression from Systemic Inflammatory Response Syndrome (SIRS) to Multi-Organ Dysfunction Syndrome (MODS) is associated with a poor prognosis. Given this challenge, what is the primary goal in the management of these patients to improve their overall prognosis?

Correct Answer is D

Explanation

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Which trauma levels imply that the patient can wait an hour or more to be seen?

In emergency medicine, triage is a process of: