NBCSN Nationally Certified School Nurse Practice Exam

During a mass casualty triage, which of the following would be prioritized over cardiac arrest?

1. Simple fracture

2. Long bone fracture with compromise

3. Minor lacerations

4. Concussion without loss of consciousness

The correct answer is: Long bone fracture with compromise

In a mass casualty triage scenario, a long bone fracture with compromise is prioritized over cardiac arrest because it indicates a more urgent condition that could lead to serious complications if not addressed promptly. Compromised fractures can involve significant blood loss, vascular injury, and the risk of compartment syndrome, which can lead to permanent damage if not treated immediately. Cardiac arrest typically requires advanced medical intervention and may not be survivable in the crowded and resource-limited environment of a mass casualty situation, where immediate life-saving measures are crucial. In contrast, managing a long bone fracture with compromise can significantly impact the patient’s survival and quality of life. The other options, such as a simple fracture, minor lacerations, or a concussion without loss of consciousness, are considered less critical in comparison to a long bone fracture with compromise. While they may still require treatment, the urgency of addressing potential life-threatening injuries makes the latter the priority when allocating limited resources during a mass casualty event.