Ch. 36 Flashcards

1
Q

Your elderly patient has fallen from the curb and complains of hip, leg, and back pain. You observe the foot of the injured limb turned outward. Palpation of the pelvis reveals the head of the femur in the inguinal area. You suspect the patient is suffering from ________, so your management will include ________.

A) anterior hip dislocation; reduction of the injured hip and transport to an emergency department
B) posterior hip dislocation; reduction of the injured hip and transport to an acute care facility
C) posterior hip dislocation; reduction of the injured hip and transport to a trauma center
D) anterior hip dislocation; stabilization of the injured hip and transport to an emergency department

A

D) anterior hip dislocation; stabilization of the injured hip and transport to an emergency department

Page Ref: 837
Objective: 36.1 Define key terms introduced in this chapter; 36.4 Describe each of the following types of injuries: dislocations and subluxations, fractures, sprains, and strains; 36.12 Explain the rationale for splinting musculoskeletal injuries.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Following the primary assessment of an injured soccer player, you note that the contour of the extended and injured leg drops at the knee. Assessment of the distal perfusion reveals a present pulse at the level of the malleolus. You suspect ________ and will treat by ________.

A) an anterior dislocation of the hip; applying gentle traction in an attempt to reduce the deformity
B) a posterior dislocation of the hip; immobilizing the affected limb in the position found
C) an anterior dislocation of the knee; applying gentle traction in an attempt to reduce the deformity
D) a posterior dislocation of the knee; immobilizing the affected limb in the position found

A

D) a posterior dislocation of the knee; immobilizing the affected limb in the position found

Page Ref: 837
Objective: 36.1 Define key terms introduced in this chapter; 36.4 Describe each of the following types of injuries: dislocations and subluxations, fractures, sprains, and strains; 36.12 Explain the rationale for splinting musculoskeletal injuries.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which one of the following statements about different musculoskeletal injuries is TRUE?

A) A sprain is an injury to a joint with possible damage to or tearing of ligaments.
B) A dislocation occurs when the bone within a joint is broken.
C) A fracture occurs when a tendon connecting muscle to a bone is overstretched and injured.
D) Strains are injuries that occur to ligaments and the joints to which they are attached.

A

A) A sprain is an injury to a joint with possible damage to or tearing of ligaments.

Page Ref: 837
Objective: 36.2 Describe the structures and functions of the musculoskeletal system, including bones, cartilage, joints, ligaments, skeletal muscle, and tendons; 36.4 Describe each of the following types of injuries: dislocations and subluxations, fractures, sprains, and strains.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

A patient with a closed fracture to the forearm has been properly splinted when which of the following are immobilized?

A) Elbow and forearm
B) Shoulder, elbow, and forearm
C) Wrist, forearm, and elbow
D) Wrist and forearm

A

C) Wrist, forearm, and elbow

Page Ref: 828
Objective: 36.2 Describe the structures and functions of the musculoskeletal system, including bones, cartilage, joints, ligaments, skeletal muscle, and tendons; 36.12 Explain the rationale for splinting musculoskeletal injuries.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which one of the following statements shows that an AEMT understands field care of a patient with a possible joint dislocation?

A) “The care for a patient with a joint injury is identical to that of a fracture.”
B) “If a distal pulse is absent, three attempts to straighten the joint can be made.”
C) “If a joint injury is suspected, ice packs and not splints are indicated.”
D) “Warm packs, not cold packs, are indicated for a patient with a possible joint injury.”

A

A) “The care for a patient with a joint injury is identical to that of a fracture.”

Page Ref: 828
Objective: 36.2 Describe the structures and functions of the musculoskeletal system, including bones, cartilage, joints, ligaments, skeletal muscle, and tendons; 36.4 Describe each of the following types of injuries: dislocations and subluxations, fractures, sprains, and strains; 36.12 Explain the rationale for splinting musculoskeletal injuries.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

You are assessing a patient who has fallen from a ladder and is in severe pain from an angulated, midshaft femur. Although angulated, there is good circulation and sensation distal to the injury site. The patient is conscious and alert and complains of severe pain. The MOST correct treatment for this patient is to:

A) treat for shock with oxygen, administer IV fluids, and secure the patient to a spine board.
B) administer oxygen and IV, apply traction splinting, and give analgesics for pain as indicated.
C) administer oxygen and IV, ladder splint as found, give analgesics for pain, and transport.
D) give morphine, splint the extremity as found, and transport.

A

B) administer oxygen and IV, apply traction splinting, and give analgesics for pain as indicated.

Page Ref: 832-833
Objective: 36.7 Establish the priority for assessing and treating musculoskeletal injuries with respect to a patient’s overall condition; 36.11 Consider the need for fluid replacement and pain management in patients with musculoskeletal injuries; 36.16 Given a variety of scenarios involving patients with musculoskeletal injuries, manage the injuries using general rules of proper splinting.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

You are treating a patient who has an open wound directly over the fracture site. This is called a(n):

A) compound fracture.
B) open fracture.
C) comminuted fracture.
D) transverse fracture.

A

B) open fracture.

Page Ref: 833
Objective: 36.4 Describe each of the following types of injuries: dislocations and subluxations, fractures, sprains, and strains.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

You are evaluating a patient who is experiencing pain, deformity, and a loss of pulse to his left upper extremity following a riding accident. You suspect a dislocated shoulder. Your protocols allow an attempt to realign an injured extremity grossly in the case of impaired distal neurovascular function. Based on this information, you should:

A) provide oxygen and paralytics to reduce the fracture site.
B) make multiple attempts at resetting the joint into socket.
C) splint the shoulder in position found and transport rapidly.
D) make one attempt to manipulate the joint while checking distal pulse.

A

D) make one attempt to manipulate the joint while checking distal pulse.

Page Ref: 827
Objective: 36.4 Describe each of the following types of injuries: dislocations and subluxations, fractures, sprains, and strains; 36.14 Discuss pitfalls associated with improper splinting.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When treating a patient with a long-bone injury who also has soft-tissue involvement, the AEMT should:

A) rapidly splint the injury and then bandage the wound to prevent infection.
B) splint the injury while leaving the wound available for dressing and bandaging.
C) cover the open wound with the splint to assist bleeding control.
D) dress and bandage the open wound prior to splinting.

A

D) dress and bandage the open wound prior to splinting.

Page Ref: 834
Objective: 36.7 Establish the priority for assessing and treating musculoskeletal injuries with respect to a patient’s overall condition; 36.16 Given a variety of scenarios involving patients with musculoskeletal injuries, manage the injuries using general rules of proper splinting.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A nine-year-old boy has fallen from a swing. Assessment findings reveal no threats to the airway, breathing, or circulation but do indicate deformity, pain, and swelling to his right wrist. The right radial pulse is strong and is accompanied by skin that is pink and warm to the touch. Which one of the following actions indicates that the AEMT is properly caring for this patient?

A) Maintaining the wrist below the level of the heart to decrease swelling
B) Applying cold packs to the wrist to reduce swelling
C) Straightening the wrist to promote blood flow to the hand
D) Massaging the wrist gently to decrease the pain

A

B) Applying cold packs to the wrist to reduce swelling

Page Ref: 828
Objective: 36.5 Describe the signs and symptoms associated with injury to the musculoskeletal system; 36.7 Establish the priority for assessing and treating musculoskeletal injuries with respect to a patient’s overall condition.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Management of life-threatening injuries to the pelvic ring MUST include:

A) immobilization of the fracture, hemodynamic support, and rapid transport to a trauma center.
B) application of a PASG, large-bore vascular access with two 1000 cc bags of NS or LR, aggressive fluid therapy to maintain systolic blood pressure above 90-100 mmHg, and immediate transport to trauma facility.
C) patient immobilization, aggressive fluid therapy to maintain systolic blood pressure above 90 mmHg, and transport to trauma center.
D) immobilization of the cervical spine, application of the PASG, large-bore vascular access with appropriate fluid resuscitation to maintain systolic blood pressure above 90-100 mmHg, and immediate transport to the trauma center.

A

A) immobilization of the fracture, hemodynamic support, and rapid transport to a trauma center.

Page Ref: 836
Objective: 36.6 Explain why fractures of the femur, pelvis, and multiple concomitant long bones are considered critical fractures; 36.13 Describe special considerations for splinting pelvic fractures.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Management of a traumatic fracture of the femur should include:

A) stabilization of affected limb using a longboard and padding with pillows and blanket rolls, and then transport to the emergency department.
B) application of traction using either the unipolar or bipolar device, supportive fluid therapy, and transport to a trauma center.
C) application of traction using a unipolar device, application of a PASG, supportive fluid therapy, and transport to a trauma center.
D) application of a traction device, application of a PASG, immobilization using a longboard, transport to the emergency department.

A

B) application of traction using either the unipolar or bipolar device, supportive fluid therapy, and transport to a trauma center.

Page Ref: 836
Objective: 36.6 Explain why fractures of the femur, pelvis, and multiple concomitant long bones are considered critical fractures; 36.13 Describe special considerations for splinting pelvic fractures.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

A young man riding a motorcycle was hit head on and ejected from the bike. Your scene size-up reveals him to be lying supine in the roadway with obvious deformity to his right thigh and left ankle, with blood noted to his pants in these areas. How should the AEMT assess this patient’s circulation?

A) Check the radial pulse.
B) Check for distal pulses in both lower extremities.
C) Ask the patient about numbness.
D) Have the patient use his feet to dorsiflex and plantar flex.

A

B) Check for distal pulses in both lower extremities.

Page Ref: 827
Objective: 36.16 Given a variety of scenarios involving patients with musculoskeletal injuries, manage the injuries using general rules of proper splinting.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The AEMT should assess a patient’s neurovascular status:

A) prior to and after applying a splint.
B) after applying a splint if the patient complains of pain.
C) before applying a splint if the patient complains of weakness.
D) before and after applying a splint if the patient complains of numbness.

A

D) before and after applying a splint if the patient complains of numbness.

Page Ref: 827
Objective: 36.7 Establish the priority for assessing and treating musculoskeletal injuries with respect to a patient’s overall condition.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

You are called to the local school playground for a six-year-old who fell off the teeter-totter. Her only complaint is pain to her right knee. Following your initial assessment, you should perform:

A) a rapid secondary assessment.
B) a detailed physical exam.
C) a reassessment.
D) a focused secondary assessment.

A

D) a focused secondary assessment.

Page Ref: 827
Objective: 36.7 Establish the priority for assessing and treating musculoskeletal injuries with respect to a patient’s overall condition.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

You have an 18-year-old woman who was hit in the arm by a softball. Upon inspection, you observe swelling and tenderness but no deformity or crepitus. The patient has no external bleeding, but there is tissue discoloration. You suspect internal bleeding and begin treatment that includes:

A) immobilization.
B) pain control.
C) hemorrhage control.
D) preventing contamination of the wound.

A

A) immobilization.

Page Ref: 828
Objective: 36.16 Given a variety of scenarios involving patients with musculoskeletal injuries, manage the injuries using general rules of proper splinting.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

A lifeguard has fallen 10 feet from his chair and has deformity, swelling, and ecchymosis to her right lower leg. The leg also is rotated medially. Another lifeguard has taken and is maintaining manual inline spinal stabilization. While your partner conducts the primary assessment, you should take which one of the following actions?

A) Ready the traction splint for application.
B) Align the leg in a neutral position.
C) Manually stabilize the lower right leg.
D) Check the right foot for pulses and motor ability.

A

C) Manually stabilize the lower right leg.

Page Ref: 828, 836
Objective: 36.16 Given a variety of scenarios involving patients with musculoskeletal injuries, manage the injuries using general rules of proper splinting.

18
Q

While on standby at a semi-professional baseball game, you are summoned onto the field for a player complaining of severe leg pain after colliding with the catcher of the opposing team. The primary assessment shows no threats to the airway, breathing, or circulation. The secondary assessment reveals a severely deformed knee that is swollen and ecchymotic. The leg is pale and cool, and the patient cannot move his leg when asked to do so. In addition, you cannot palpate a pedal pulse. Which one of the following is your priority at this time?

A) Apply a traction splint and enough traction until a pulse returns.
B) Check the patient’s radial or carotid pulse.
C) Make one attempt if your protocols allow it to straighten the leg to reestablish circulation.
D) Apply cold packs to the knee and transport immediately.

A

C) Make one attempt if your protocols allow it to straighten the leg to reestablish circulation.

Page Ref: 827
Objective: 36.7 Establish the priority for assessing and treating musculoskeletal injuries with respect to a patient’s overall condition; 36.16 Given a variety of scenarios involving patients with musculoskeletal injuries, manage the injuries using general rules of proper splinting.

19
Q

The term subluxation describes:

A) partial displacement of a joint.
B) gross dislocation of a joint.
C) a fracture with exposed bone ends.
D) bleeding into a muscle compartment.

A

A) partial displacement of a joint.

Page Ref: 837
Objective: 36.4 Describe each of the following types of injuries: dislocations and subluxations, fractures, sprains, and strains.

20
Q

Which one of the following questions is BEST asked when attempting to determine the degree of sensation in the hand of a patient who has suffered an elbow injury?

A) “Can you tell me if you have parethesia in your hand?”
B) “Can you tell me what finger I am touching?”
C) “Do you have feeling in your hand?”
D) “Does your hand feel as though it is asleep?”

A

B) “Can you tell me what finger I am touching?”

Page Ref: 827
Objective: 36.8 Describe the rationale for assessing distal circulation, sensation, and motor function before and after splinting a musculoskeletal injury, and for frequently reassessing for changes in distal neurovascular function.

21
Q

A patient exhibits swelling and deformity to the wrist. After splinting, which one of the following positions of the hand is MOST appropriate?

A) Hand in a fist with thumb inside fist
B) Fingers curled inward
C) Wrist flexed with fingers extended
D) Fingers extended and spread

A

B) Fingers curled inward

Page Ref: 836
Objective: 36.16 Given a variety of scenarios involving patients with musculoskeletal injuries, manage the injuries using general rules of proper splinting.

22
Q

The potential effects of compartment syndrome when the object is removed from the patient include all of the following EXCEPT:

A) paradoxical movement.
B) paralysis.
C) pallor.
D) pulselessness.

A

A) paradoxical movement.

Page Ref: 834
Objective: 36.9 Recognize signs and symptoms of compartment syndrome; 36.10 Describe the pathophysiology of compartment syndrome.

23
Q

You have been dispatched for a patient whose arm was caught in a grinding machine. Assessment reveals a deformed arm covered with a bloody towel. The patient is alert and anxious, and he has a patent airway. His breathing is adequate. Radial pulse is fast but strong. Which one of the following should you do NEXT?

A) Perform a secondary assessment, focusing on his arm.
B) Start positive pressure ventilation.
C) Begin IV therapy.
D) Insert an oropharyngeal airway and administer oxygen.

A

A) Perform a secondary assessment, focusing on his arm.

Page Ref: 827
Objective: 36.16 Given a variety of scenarios involving patients with musculoskeletal injuries, manage the injuries using general rules of proper splinting.

24
Q

A patient has suffered an open crush injury to his elbow. As you approach, you note the patient sitting upright holding a towel to his elbow. The towel is soaked with blood, but the elbow does not appear to be actively bleeding. After assessing for the cause of the bleeding, to splint this patient’s injury you would use a:

A) long backboard.
B) traction splint.
C) sling and swathe.
D) PASG.

A

C) sling and swathe.

Page Ref: 826
Objective: 36.16 Given a variety of scenarios involving patients with musculoskeletal injuries, manage the injuries using general rules of proper splinting.

25
Q

The basic principle to splinting a suspected fracture is to:

A) splint the joint above and below the fracture site.
B) always use the traction splint when a femur is fractured.
C) prioritize splinting over bandaging to preserve limb function.
D) fully splint all injuries regardless of the patient’s condition.

A

A) splint the joint above and below the fracture site.

Page Ref: 828
Objective: 36.12 Explain the rationale for splinting musculoskeletal injuries.

26
Q

Twisting forces are most likely to produce a(n) ________ fracture.

A) oblique
B) comminuted
C) spiral
D) transverse

A

C) spiral

Page Ref: 833
Objective: 36.3 Give examples of direct, indirect, and twisting forces that can produce musculoskeletal injuries.

27
Q

A patient fell and sustained an open fracture to the left humerus. However, assessment reveals the bone to have pulled back into the arm. Bleeding from the site is controlled. How will splinting the left arm benefit this patient?

A) Decrease the opportunity for further injury to nerves and blood vessels.
B) Convert the open fracture to a closed fracture and maintains it as such.
C) Eliminate the possibility of infection through the open wound.
D) Start the process of healing by aligning and connecting the bone ends.

A

A) Decrease the opportunity for further injury to nerves and blood vessels.

Page Ref: 828
Objective: 36.12 Explain the rationale for splinting musculoskeletal injuries.

28
Q

You suspect that your patient has a possible pelvic fracture following a fall. The BEST way to splint this injury is to:

A) apply a pressure splint.
B) improvise and apply a pelvic binder.
C) place the patient on a padded stretcher and secure for comfort.
D) apply a traction splint.

A

B) improvise and apply a pelvic binder.

Page Ref: 836
Objective: 36.13 Describe special considerations for splinting pelvic fractures.

29
Q

Which one of the following statements describes the benefit of using the pneumatic antishock garment (PASG) to splint a potential pelvic fracture?

A) It increases blood flow into both the pelvis and distal leg.
B) In addition to the pelvis, it immobilizes the thoracic and lumbar spine.
C) It applies even pressure to the pelvis, forcing the pelvic bones to realign.
D) It can effectively stabilize the pelvis and may help to control internal bleeding.

A

D) It can effectively stabilize the pelvis and may help to control internal bleeding.

Page Ref: 836
Objective: 36.13 Describe special considerations for splinting pelvic fractures.

30
Q

Shoulder injuries without pulse deficit should be managed by:

A) aligning the affected limb into the axillary region and securing it to the thorax using cravats or three-inch cling.
B) immobilization in the position found.
C) single reduction attempts followed by a sling and swathe.
D) repeated reduction attempts until the deformity is aligned.

A

B) immobilization in the position found.

Page Ref: 837
Objective: 36.16 Given a variety of scenarios involving patients with musculoskeletal injuries, manage the injuries using general rules of proper splinting.

31
Q

A football player injured his knee during practice and is in pain. His left knee is swollen, ecchymotic, and flexed in an upward position. Your partner reports that the distal skin is warm, and he has located a weak pedal pulse. Which one of the following should you perform immediately?

A) Splint the knee in the position found prior to providing transport to the hospital.
B) Place the patient on a long spine board and apply a traction splint en route to the hospital.
C) Apply a traction splint and straighten the knee until the pain is decreased.
D) Realign and straighten the injured knee and then immobilize it by binding it to the other leg.

A

A) Splint the knee in the position found prior to providing transport to the hospital.

Page Ref: 837
Objective: 36.16 Given a variety of scenarios involving patients with musculoskeletal injuries, manage the injuries using general rules of proper splinting.

32
Q

Your patient has an injury to the elbow and forearm. While you are conducting the reassessment, which one of the following statements made by the patient should concern you most?

A) “My arm seems to be bruising more.”
B) “I am still having a hard time moving my arm.”
C) “It hurts when I move my fingers.”
D) “My hand feels like it is going to sleep.”

A

D) “My hand feels like it is going to sleep.”

Page Ref: 827-828
Objective: 36.14 Discuss pitfalls associated with improper splinting.

33
Q

A female patient with osteoporosis stepped sideways on her foot and has suffered an open tibial fracture to the distal portion of her right leg. Which one of the following interventions indicates that appropriate care is being given for this injury?

A) The protruding bone is gently replaced back under the skin.
B) The bone end and soft-tissue wounds are covered with a sterile dressing.
C) A pressure dressing is tightly applied to the open wound prior to splinting.
D) The AEMT cleans dirt from within the wound and off the bone prior to splinting.

A

B) The bone end and soft-tissue wounds are covered with a sterile dressing.

Page Ref: 827-828
Objective: 36.14 Discuss pitfalls associated with improper splinting.

34
Q

The AEMT recognizes that a splint applied too loosely can result in which one of the following?

A) Decreased pain to the fracture site
B) Conversion of an open fracture to a closed fracture
C) Laceration of previously intact blood vessels
D) New fractures along the bone

A

C) Laceration of previously intact blood vessels

Page Ref: 828
Objective: 36.14 Discuss pitfalls associated with improper splinting.

35
Q

Which of the following statements regarding the indication and application of traction splints is TRUE?

A) Traction splints prevent bone ends from overriding, lessen pain, and may help relax muscular contraction.
B) If the femur fracture is associated with instability about the ankle, apply the hitch to the lower leg three inches above the site of the fractured malleolus.
C) If the femur fracture is associated with pelvic instability, application of the PASG prior to the traction splint may minimize the potential bleeding.
D) Traction splints cannot be utilized in open femur fractures.

A

A) Traction splints prevent bone ends from overriding, lessen pain, and may help relax muscular contraction.

Page Ref: 832, 836
Objective: 36.15 Compare and contrast the characteristics and uses of various types of splints, including the following: formable splints, improvised splints, pressure (air or pneumatic) splints, rigid splints, sling and swathe, long backboard, traction splints, and vacuum splints.

36
Q

Angulated knee dislocations can be immobilized with:

A) a bipolar traction splint.
B) two medium rigid splints.
C) a swathe.
D) a unipolar splint.

A

B) two medium rigid splints.

Page Ref: 828-829
Objective: 36.15 Compare and contrast the characteristics and uses of various types of splints, including the following: formable splints, improvised splints, pressure (air or pneumatic) splints, rigid splints, sling and swathe, long backboard, traction splints, and vacuum splints.

37
Q

The preferred and MOST effective technique for splinting a proximal humeral fracture involves:

A) placing the patient’s affected limb against the axillary region with a circumferential wrapping of cravats or three-inch cling.
B) application of a short padded splint to the lateral forearm, placing the patient’s affected limb in a sling including just the wrist and not the elbow, and gently swathing the arm and forearm to the chest.
C) placing the patient’s affected limb in the position of function against the chest with circumferential wrapping of cravats or three-inch cling.
D) application of a short padded splint to the lateral forearm, placing the patient’s affected limb in a sling including both the wrist and elbow, and gently swathing this to the chest.

A

B) application of a short padded splint to the lateral forearm, placing the patient’s affected limb in a sling including just the wrist and not the elbow, and gently swathing the arm and forearm to the chest.

Page Ref: 835-836
Objective: 36.15 Compare and contrast the characteristics and uses of various types of splints, including the following: formable splints, improvised splints, pressure (air or pneumatic) splints, rigid splints, sling and swathe, long backboard, traction splints, and vacuum splints.

38
Q

A vacuum splint has just been applied to the arm of a patient who fell backward from a chair while hanging drapes. Which of the following should the AEMT do NEXT?

A) Assess the patient’s pain level.
B) Palpate the arm for tenderness.
C) Assess the pulse in the extremity.
D) Apply roller gauze to secure the arm.

A

C) Assess the pulse in the extremity.

Page Ref: 827-828
Objective: 36.8 Describe the rationale for assessing distal circulation, sensation, and motor function before and after splinting a musculoskeletal injury, and for frequently reassessing for changes in distal neurovascular function.

39
Q

Which one of the following statements about traction splints is TRUE?

A) “Once the traction splint has been positioned under the leg and the ankle hitch is applied, manual traction can be released.”
B) “Once the mechanical traction has been applied, the ischial strap must be released to promote circulation into the affected leg.”
C) “Mechanical traction should be applied until the mechanical traction is equal to the manual traction and the patient experiences a reduction in pain.”
D) “Mechanical traction should be applied until the affected leg is approximately one to two inches longer than the unaffected leg.”

A

C) “Mechanical traction should be applied until the mechanical traction is equal to the manual traction and the patient experiences a reduction in pain.”

Page Ref: 839
Objective: 36.15 Compare and contrast the characteristics and uses of various types of splints, including the following: formable splints, improvised splints, pressure (air or pneumatic) splints, rigid splints, sling and swathe, long backboard, traction splints, and vacuum splints.

40
Q

While the clavicle is the MOST frequently fractured bone in the human body, it:

A) is unlikely to cause serious internal injury.
B) cannot be managed in a prehospital setting.
C) can be managed by immobilizing the distal extremity using an air or rigid splint.
D) can be managed by immobilizing the affected limb using a sling and swathe.

A

D) can be managed by immobilizing the affected limb using a sling and swathe.

Page Ref: 829
Objective: 36.16 Given a variety of scenarios involving patients with musculoskeletal injuries, manage the injuries using general rules of proper splinting.