Chapter 25: Face and Neck Injuries Flashcards
What is the correct term for the white of the eye?
sclera
In what manner should the EMT flush the eye when there is a foreign body in it?
the nose to the outside of the eye
When treating a patient with an impaled object in the eye, the EMT should:
stabilize the object in place
How long should the EMT irrigate a burn to the eye caused by a strong acid or alkali?
20 minutes
When an eyeball has been displaced from its socket, what should the EMT do?
- Cover the eye.
- Stabilize the eye.
- Cover both eyes.
- all of the above
all of the above
When a patient has one pupil larger than the other, the EMT should suspect:
a head injury
What is another name for the skull?
cranium
After taking standard precautions, the EMT should focus on the patient’s:
airway
Anytime there are injuries to the face or head, the EMT should suspect:
spinal injuries
What is the “halo test”?
a test for CSF in the blood
The presence of air in the soft tissue produces a characteristic crackling sensation known as:
subcutaneous emphysema
After taking standard precautions, what should the EMT do to control epistaxis?
lean the patient forward
Which of the following statements is true regarding facial fractures?
- Be sure to remove and save any loose teeth or bone fragments from the mouth.
- Facial fractures are always an acute emergency.
- Facial fractures generally heal themselves.
- You should transport a patient with a facial fracture directly to the plastic surgeon.
- Be sure to remove and save any loose teeth or bone fragments from the mouth.
Which of the following statements is true regarding facial fractures?
- Be sure to remove and save any loose teeth or bone fragments from the mouth.
- Facial fractures are always an acute emergency.
- Facial fractures generally heal themselves.
- You should transport a patient with a facial fracture directly to the plastic surgeon.
- Be sure to remove and save any loose teeth or bone fragments from the mouth.
In face and neck injuries, your priorities are to prevent further injury to the ____ , manage the airway and ventilation of the patient, and control breathing.
cervical spine
Airway compromise may be caused by:
- ______ into the airway
- swelling in and around the structures of the airway located in the face and neck
- and injuries to the _______ that interfere with normal respiration.
- heavy bleeding into the airway
- swelling in and around the structures of the airway located in the face and neck
- and injuries to the CNS that interfere with normal respiration.
To control heavy bleeding from soft-tissue injuries to the face, use _____ with a dry, sterile dressing. If brain tissue is exposed, use a ______ dressing.
To control heavy bleeding from soft-tissue injuries to the face, use direct pressure with a dry, sterile dressing. If brain tissue is exposed, use a moist, sterile dressing.
Always check for ____ inside the mouth because this may produce airway obstruction.
bleeding
Save ____ pieces of skin and tissue, and transport them with the patient for possible reattachment at the hospital.
avulsed
Maintain a high index of suspicion for patients with unequal pupils—this sign may indicate an….
illness or an injury to the brain
If a foreign body is on the underside of the eyelid, remove it gently with a ______. Never remove foreign bodies stuck to the cornea.
cotton-tipped applicator
Be alert to clear fluid draining from the ears or nose. This may indicate a _____.
basilar skull fracture
Be alert to the possibility of an _____ from an open neck injury. Place an _______ over the site, and provide direct pressure.
air embolism, occlusive dressing
The opening at the base of the skull is called the ____________.
foramen magnum
The bony socket that the eye sits in within the skull is called the ____________.
orbit
The clear membrane that allows light to enter the eye is called the ____________.
cornea
What method should be used to remove a foreign object on the surface of the eye?
gently flush the eye with saline solution
How should an object impaled in the eye be managed?
- Prepare a doughnut ring of gauze.
- Place the ring over the eye to hold the impaled object in place.
- Secure it with a dressing.
Does a burn from ultraviolet light become immediately painful?
no
the following should alert you to a possible _____
- Unequal pupils; eyes not moving or looking together
- inability to follow movement of fingers
- bleeding under the conjunctiva
- protrusion or bulging of the eyes
head injury
How should a patient with heavy bleeding from the nose be treated?
place the patient in a sitting position, leaning slightly forward, and pinch the nostrils together.
