Prehospital Trauma Life Support (PHTLS) Test 2025 – 400 Free Practice Questions to Pass the Exam

Question: 1 / 400

In trauma patients, what could an increased heart rate suggest?

Improved metabolic health

Potential hypovolemic shock or pain

An increased heart rate in trauma patients is often a physiological response to stressors such as hypovolemic shock or pain. When the body experiences significant blood loss or severe pain, the sympathetic nervous system is activated. This activation leads to an increase in heart rate as the body attempts to compensate for reduced circulating blood volume, maintaining adequate tissue perfusion and oxygen delivery.

In cases of hypovolemic shock, the heart's pumping action increases to counterbalance the drop in blood pressure caused by significant fluid loss. Similarly, in response to pain, the body may also trigger a fight-or-flight response, elevating the heart rate. Both scenarios indicate that the body is in a state of distress and highlights the importance of assessing heart rate as a vital indicator of a patient's condition in trauma situations. Other choices do not reflect the typical physiological response observed in trauma patients under distress.

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Excessive oxygenation

Increased physical fitness

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