31, 36 Flashcards
When is it appropriate to place a hand in the birth canal during abnormal delivery?
Prolapsed Cord
Puncture wound close to arm pit caused by flying piece of metal. Which Treatment?
Occlusive Dressing (chest wound)
What is the primary concern of fractured ribs?
Punctured Lungs
Upon assessment of a conscious patient involved in fight at high school, you find knife sticking out of abdomen:
Provide O2, stabilize the knife, prepare for transport
Preg woman near end of term, restained properly during car accident, no injuries. She is on stretch on the way to hospital when she reports light headedness, vitals are tacchachardic, hypotensive, pale, cool, what happened?
Likely supine hypotensive syndrome
Which is most consistent with imminent delivery?
Urge to move bowels
Field delivery of newborn and umbilical chord is protruding through vaginal opening with no crowning, whjat do?
Insert gloved hands into the vagina and raise the fetus off the cord
30 YO patient was hit on drivers side on door. Unresponsive, trachia midline, neck viens are flat, lung sounds absent on left side:
Massive Hemothorax
Bloody show:
Mucus and blood before delivery
On scene multi-trauma patient with distended neck veins. Which of the following can be eliminated from your diagnosis?
Massive Hemothorax
Stab in mid-clavicular line on 8th intcost?
Liver
Which is greatest concern with newborn prematurely?
Keeping the infant warm
Placed 9m pregnant on backboard, patient stable prior and complaining of back pain now she is unresponsive, respiratory distress, weak, rapid pulse:
Tilt the board to the patient’s left side
Upper right quadrant bruising. Delivering to a hospital 20 minutes away:
Cover with a blanket to protect from heat loss
Severe abdominal pain just struck by baseball bat, wants to transport in fetal position:
Lay patient on side with knees bent up if preferred
