West Coast EMT Block One Exam

The determination that prompt surgical care in the hospital is more important than performing time-consuming procedures in the field on a major trauma patient is based MOSTLY on:

1. A. the lead EMT's decision.

2. B. regional trauma guidelines.

3. C. EMS research.

4. D. local protocols.

The correct answer is: C. EMS research.

The emphasis on obtaining prompt surgical care in the hospital for a major trauma patient aligns strongly with established findings from EMS research. This research highlights the critical nature of time in trauma care, suggesting that early surgical intervention can dramatically improve survival rates and outcomes for severely injured patients. Studies have shown that certain interventions, such as achieving hemostasis or controlling bleeding, are best conducted in a hospital setting where advanced surgical techniques and tools are available. Performing time-consuming procedures in the field can delay this critical care and potentially lead to poorer outcomes. Therefore, the decision to prioritize rapid transport to a surgical facility rather than extensive field care is backed by tangible data and research outcomes demonstrating its effectiveness. While regional trauma guidelines and local protocols can influence specific practices based on location and situation, the underlying principles for these decisions often stem from broader EMS research findings. These studies serve as foundational knowledge that inform protocols to optimize patient care across various settings.