Ontario Paramedic Practice Exam

What signs indicate the need for immediate transport of a trauma patient?

1. Stable vital signs

2. Altered mental state

3. Minor mechanism of injury

4. Normal respiratory rate

The correct answer is: Altered mental state

When assessing a trauma patient, one of the critical signs that indicate the need for immediate transport is an altered mental state. This condition can signal a variety of underlying issues, such as intracranial bleeding, shock, or other serious complications. An altered mental state suggests that the patient may have suffered a significant injury that is affecting their brain function, which can rapidly deteriorate. Timely transport to a medical facility is essential to ensure that the patient receives appropriate diagnostics and interventions swiftly, as delays can lead to poorer outcomes. In contrast, stable vital signs, a minor mechanism of injury, and a normal respiratory rate may not necessarily indicate an urgent need for transport, as these conditions may suggest that the patient's immediate life is not in danger. However, they should still be monitored closely, as changes can occur. In trauma situations, altered mental states represent an important red flag that necessitates rapid response and transport to a higher level of care.