Traume services

North Memorial Trauma Update Answer Sheet
Volume 10|June 2010

1. Which of the following is not a correct statement about the initial assessment and treatment of potential drowning patients?
A. Assess Airway, Breathing and Circulation as per standard ATLS principles
B. Spine precautions are less important in water related injuries
C. Measures to prevent hypothermia (remove wet clothing and measures to warm the patient) is an important component of the initial treatment of a patient suffering a near drowning injury.
D. Resuscitative efforts should be initiated at the scene

2. Which of the following statements are true about drowning and near drowning injuries?
A. Poor supervision of younger children in recreational water environment.
B. Alcohol consumption is a significant contributing factor to fatal drowning accidents
C. Infrequent use of personal floatation devices is an important contributing factor for fatal drowning injuries.
D. Inexperienced boaters are more likely to suffer fatal drowning injuries
E. All of the above.

3. Which of the following is not a correct feature of near drowning and fatal drowning injuries?
A. Nonfatal near drowning injuries occur most commonly in individuals < 15 years of age
B. Most near drownings occur in natural water settings
C. Fatal drowning events are more likely to involve personal watercraft, canoes and small boats.
D. It is estimated that only 9% of individuals suffering a fatal drowning injury were wearing personal flotation devices at the time of their injury.
E. Improving the security of pool enclosures and closer supervision of young swimmers is expected to prevent near drowning injuries.

4. Which of the following is not a mechanism used by the body to preserve and/or generate heat?
A. Vasodilation
B. Shivering thermogenesis
C. Non-shivering thermogenesis
D. Active muscle movement

5. Which of the following statements about the treatment of patients suffering a near drowning injury is not correct?
A. Anoxic brain injury is a significant cause of disability following near drowning
B. Prophylactic antibiotics should be initiated in patients suffering an aspiration injury as part of their near drowning injury.
C. Pulmonary secretions should be cultured in patients suffering aspiration and near drowning
D. Patients suffering hypothermia have increased pulmonary secretions which mandates aggressive pulmonary toilet.

6. Which of the following statements is not correct?
A. Hypothermia affects the heart and lungs but not the coagulation system
B. Therapeutic hypothermia is an experimental treatment for anoxic brain injury associated with near drowning
C. Water injection injuries may occur from falls into unobstructed water.
D. Traumatic brain injury is more common following wake-boarding accidents than waterskiing accidents.
E. Musculoskeletal injuries are more common following waterskiing injuries than wakeboard injuries

7. Which of the following statements is not correct?
A. Boat-propeller related injuries may cause loss of significant soft tissue and traumatic amputations.
B. Skeletal fractures are more common with propeller related and personal watercraft related injuries.
C. Vertebral body and spinal cord injuries occur most commonly in the cervical and upper thoracic spine in individuals sustaining injuries from personal watercraft crashes.
D. Injuries resulting from personal watercraft injuries are more likely to require operative intervention that those occurring in small boats.

To receive CME credit, the following information is required:

Name:
Facility:
Credentials: MD PA RN NP Paramedic EMT other
Answers Required* for CME Credit:
*1. What behavior or practice protocol will you change, what new strategy or procedure will you implement or what new knowledge or skill did you learn as a result of your participation in this activity?

*2. Disclosures of potential conflict of interest by faculty were clearly communicated. Yes No
Address:
Email: