Internal medical disciplines Other 5. How long have you been working as a specialist? First 5 years 5–10 years >10 years 6. Considering all factors that affect community health, your assessment on the importance of trauma surgery is: Very important Important Medium importance Less important Not important 7. Please grade your level of knowledge (from 0 to 10) to the below medical conditions: Pediatric patients with high fever Adult patient with chest pain Young adult with severe abdominal pain An adult with vomiting, diarrhea Blunt whole body trauma 8. As a medical doctor, have you received any trauma training? Yes (Please write the name of trauma trainingIf yes, do you think it is adequate for appropriate approach to a trauma patient? Yes/No No 9. When compared with other medical disciplines, please grade the difficulty of trauma surgery (working hours, stress level, legal responsibilities, etc.) Very difficult Difficult No difference Easy Very easy 10. If you had an opportunity, would you choose being a trauma surgeon? Yes No No idea 11. You are in a foreign country and your spouse is injured and needs an emergency surgery. Would you choose her/ his surgical treatment to be performed in a trauma center or by the surgery department specific to the injured organ or anatomical site (brain surgery, thoracic surgery, or orthopedics)? Trauma center Specific surgery department I do not know 12. Please grade from 0 to 10 the importance of below given preventive measures in order to decrease the traumarelated mortality and morbidities. Focusing on preventing injuries first….. Establishing specialized trauma centers….. Separating the Turkish Trauma system as medical and surgical emergencies…. Enhancing the number of patient beds and intensive care unit capabilities in all hospitals Increasing the traffic accidents-related legal penalties by law You are in a situation to respond to high-velocity missiles or high explosives-related scene with many casualties. How much do you trust yourself for performing live-saving initial on-site interventions? A lot I trust myself I have a medium trust in myself Low level of self-esteem I do not trust myself 13. Within the trimodal distribution of trauma-related deaths, which period is effective in saving lives within hours? Period Period Period All 14. Do you have a trauma database for research at your institution? Yes No 15. Please grade the importance of national or institutional trauma database. Very important Important We can live without it Not important Very unimportant 16. Which one is not correct for triage? Triage is a process that should be repeatedly performed even to the same casualty Triage should be constantly performed A yellow triage code may turn to red code Yellow codes first, red codes second, black codes are the third priority Triage can be performed in every level of trauma care until to the ultimate treatment 17. Imagine there is a casualty with sacroiliac fracture + femur head fracture + fracture of 6 ribs on one side of thorax + grade 3 hemorrhagic shock and you have all the below fluids for resuscitation, which one would you choose? Cross-matched fresh whole blood Cross-matched whole blood Cross-matched erythrocyte suspension Ringer lactate 0.9% NaCl 18. Which one of the below triage systems does not require a medical device and is easily performed in a triage situation? Emergency Severity Index (ESI) ATLS Field Triage System START PATI score ISS score Trauma Survey of 476 Doctors: Now We know What We Do not know PAJT Panamerican Journal of Trauma, Critical Care & Emergency Surgery, January-April 2018;7(1):52-60 55 important,” the difference did not achieve statistical significance when the answers chosen by the four groups were compared. The survey data revealed that 358 (75%) of the respondents had not participated in any approved trauma training program. There was no difference in the exposure to approved trauma training programs among the groups (χ2 = 4.659, p = 0.199). Doctors’ opinions regarding the difficulty of trauma surgery as a career choice among other surgical specialties showed that 445/636 (94%) doctors believed that trauma surgery was “difficult” or “very difficult” as a professional career. A total of 101 of 184 (55%) general practitioners, 43/74 (58%) of surgical residents, and 128/184 (70%) surgeons stated that they would not choose trauma surgery as a subspecialty. Among the percentage of surgeons unwilling 19. You are the first responder to the trauma site and which one of the three scenarios would you evacuate first? Case 1 Case 2 Case 3 A 10 cm purple discoloration on the abdominal wall and tenderness, deep cuts on the fingers and palm, cannot walk. Profuse bleeding on the scalp laceration, purple discoloration on the back of ear, abundant blood on the torso dress, cannot walk. An 15 cm purple discoloration on the right hemithorax, laceration of 7 cm on right forearm, cannot walk “(15 cm length), right forearm laceration (6-7 cm), right forearm laceration, right arm of the shirt is stained with blood and cannot walk Respiration: 24/min Resp: 24/min Resp: 32/min Pulse: 120/min Pulse: 96/min Pulse: 108/min Capillary refill: 3 sec Capillary refill: 2 sec Capillary refill: 2 sec Consciousness: cooperates well Consciousness: No response to verbal input, response to painful stimuli Consciousness: