fisdap trauma Flashcards
53 yo F hit by car. Unresponsive w/ deformity to the left femur and pelvic instability. Diminished lung sounds on L side. You should?
Immobilize long backboard
28 yo M, blunt trauma to R anterior chest. Pale, cool, diaphoretic and responsive to verbal. R 38 and shallow with paradoxical movement. What should you do?
02 with positive pressure ventilations
What is the most likely cause of periorbital ecchymosis?
Basilar skull fracture
30 yo M shot in mid thigh. Bleeding continues after partner applies direct pressure. You should?
Tourniquet
28 yo PT driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with copious amount of blood around face. Gurgling and R 4 per min. Most appropriate?
Jaw thrust without head tilt
M fell while water skiing. Unconscious. Suspect?
Head and spine injury
Appropriate care for amputated extremity?
Wrap in dry gauze, seal in plastic bag, and place in cool water
28 yo pt driving motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with copious amount of blood around face. Gurgling and R 4 per min. Most appropriate?
Control bleeding
18 yo M holding right shin after sports related injury. Deformity and swelling; pedal pulse present. You should?
Apply board splint in position found
Pedestrian hit by car. Pale, cool, and diaphoretic. Oriented to name only and has difficulty breathing. BP 80/40, P 120, R 28 and shallow. 90% SP02. You should?
BVM
81 yo F healthcare facility fell out of bed. Nurse suspects hip fracture. Which medication should concern you the most?
Coumadin
You are treating a patient with agonal respirations and gunshot wound to the chest. You notice an open skull fracture leaking brain matter. There is no radial pulse, you should?
Asses a carotid pulse and assist ventilations
a 45 year old male fell asleep outside while doing yard work. His face and lower legs are bright red with blisters and painful on examination. You should suspect
Both superficial and partial thickness burns
a 35 year old patient has fallen and has a deformed right lower leg. The distal extremity is pulseless and the skin is cool and cyanotic. You should
Realign the injured extremity
You arrive on scene of a car crash. The driver is alert and complaining of severe chest and abdominal pain. His radial is weak and rapid. Skin is cool, pale, and moist. The patient has a history of cardiac problems. You should?
Rapidly extricate onto a long spinal board and transport
47 male shot in back has cool and clammy skin with arm weakness. BP 130/90, P 76, R 24. You should suspect
Spinal cord injury
Injury that is most likely to require routine assessment and transport
Deformed Wrist Injury
After securing pt on long board, you should immediately assess
PMS
23 yo soccer player was kicked in the chest. He is alert with rapid, shallow R and complains of chest pain. Pale, cool, and wet. You should?
Non Rebreather
25 yo in R distress after being stabbed in the chest. Blood is bubbling from 2 cm laceration to L chest wall. Lung sounds diminished on L side. You should?
Apply occlusive dressing
Early signs of decompensated shock?
Low blood pressure
Pt stabbed in RUQ. What organ is injured?
Liver
Pt with chemical burn on eye and is wearing contact lenses. You should?
Remove contact lenses and administer irrigation solutions
A baseball player was hit by a baseball in the left eye and complains for double vision. What should you do?
Restrict spinal movement
First concern with conscious pt who received partial thick burns to the face is treating?
airway problems
22 yo F had an accident on moped. She is lying on ground; breathing well. Still wearing helmet. You should?
Leave helmet in place while she is stabilized
32 yo M is unconscious after being struck in the head by a baseball bat. Has pulse but breathing is slow. Minor bleeding from a laceration at the left temple. Partner is maintaining manual C-spine stabilization. You should?
Measure and apply a rigid c collar
28 yo M is fleeing from police and sustained 1 cm laceration shallow on forearm while climbing a rusted chain link fence. Refusing transport. What should you be concerned with?
Infection
Which is an open wound?
abrasion
Woman struck in face with softball bat. Unconscious. BP 74/50, P 60, R 8. What do you do?
Insert an oral airway and admin 02 via BVM
21 yo football player hit from the side and landed head first onto the ground. Was ambulatory on scene and oriented to name only. Refusing transport and care. What should you do?
Ask the team coach for assistance
Pt is bruising around the eyes and behind ears. What should you suspect?
Basilar skull fracture
Pt cut wrist. Wound is bleeding rapidly and is spurting with each heartbeat. Pt most likely severed?
Artery
Pt presents with pain and bruising to RUQ following motor vehicle collision. You should suspect injury to the?
Liver
50 yo M has obvious deformed right lower leg after falling from the roof. You notice a tear in the skin over the deformity. What should you do?
Realign and splint the leg
35 yo driver collided into telephone pole and is unconscious and unresponsive with severe bleeding in the mouth. You should?
rapid extrication to long spine board
Most important factor with person struck in chest with baseball
Speed of the ball
75 yo is involved in motor vehicle collision and can’t feel legs. BP is 80/40, P 60, R 24, you should suspect?
Neurogenic Shock
Pt was stabbed in chest and knife was removed prior to arrival. You notice blood and bubbles leaking from the wound. You cannot find occlusive dressing. You should?
Cover wound with plastic wrapper sealed on 3 sides
Chest wound, crackling sensation produced by air blowing into surrounding tissues is called subcutaneous ______?
Emphysema
40 yo M crashed snowmobile, skin cold and pale, BP 198/96, P 48, respiration is slow and irregular. What should you suspect?
Traumatic Brain Injury
Arrive at motor vehicle collision, pt extricated herself from vehicle and is walking around complaining of neck pain. You should?
Immobilize on a backboard
42 yo M has metal impaled in lower right leg. Obvious open fracture and no pulse in R foot, what should you do?
Stabilize with bulky dressing prior to transport
16 yo M complains of extreme pain to chest. You notice his shirt is splashed with battery acid. BP 150/100, P weak, R 24. You should?
Remove shirt and flush with saline water
38 yo M large bruise LUQ, following motorcycle collision. What should you suspect?
Injury to spleen
Unresponsive 18 yo F supine, bleeding in mouth from the nose, R20. What should you do?
Suction oropharynx
Snowmobile rider is thrown 15 ft from vehicle. His finger is deformed and sternum is tender to palpation. Pt states “I think I’ll be okay” and refuses trans. What should you do?
Ask if you’re able to assess the pt
Treating abdominal evisceration
Cover with moist sterile dressing
30 yo F was in minor motor vehicle accident. She is standing outside of the vehicle and complains of lower back pain. You should immobilize her using a?
Long spine board
23 yo M received burns to feet while stomping fire. He is still wearing the shoes. The rubber soles and laces melted together. What do you do?
Cut shoe laces and remove shoes
40 yo M fell off ladder has a broken leg, and the left knee now bends the wrong way. You should?
Check for PMS in the leg
24 yo F is unconscious after being struck by a car. She has ineffective breathing and bloody secretions in mouth. You should?
Immediate suction oropharynx
24 yo M has burns to the eyes, nose and mouth when the radiator cap on his car blew off. Treat for?
Respiratory swelling
Patient was found dead at the scene. GCS scale?
3
22 yo M is ejected from the vehicle. He complains of numbness and tingling in his extremities. What should you do?
Stabilize cervical spine
Appropriate management for an avulsion of the ear
Bandage in correct anatomical position
32 yo M has sustained facial trauma after falling off the roof. He has snoring respirations. What should you do?
Modified jaw thrust
4 yo M, arm amputated from farming accident, how should you manage the amputated limb?
Seal in plastic bag and place in container of cool water
Adult was pinned between 2 vehicles. Pt is conscious but confused and unable to follow directions. Has bruising on both sides of anterior chest, weak carotid pulse, no peripheral pulse, clear breath sounds, distended neck vein. What should you suspect?
Pericardial tamponade
59 yo M is trapped in the car by broken gas pedal through his foot. He’s gone into cardiac arrest. You should
Pull out of car
Knife impaled at 4th intercostal space, left sternal border, pulseless and not breathing. You should?
Remove knife from chest
Pt is bleeding profusely from scalp. You should?
apply direct pressure with sterile gauze
Pt with JVD, muffled heart sounds, clear breath sounds. You should suspect:
Pericardial tamponade
Pt suffering from most severe brain injury
Unconscious 34 yo with decerebrate posture
Cause of bilateral periorbital ecchymosis
Basilar skull fracture
Pt with 4in stick in their eye. You should?
Stabilize with gauze, place paper cup over affected eye, put dressing over the unaffected eye
Pt with severe steam burns to the hand and wrist. You should?
Remove the watch
62 yo M is unresponsive next to a ladder. BP 80/48, P 60, R 24. What should you suspect?
Neurogenic shock
Pt with several wounds oozing blood. After scene size up, you should?
Ensure adequate airway
Pt with diminished breath sounds on one side. Chest rise is unequal. You should suspect?
Pneumothorax
18 yo M fell off skateboard. He struck his head on the concrete and immediately started screaming. Alert and oriented to name only. You should?
Immobilize and expedited transport
25 yo assault victim is spitting up light pink sputum. Has bright red blood spurting from 2in laceration to L forearm. What should you do?
Apply direct pressure to wound
An early indicator of shock includes:
Tachycardia
Patient has a 3 cm laceration above his left eye. It is bleeding profusely you should?
Apply several 4x4 dressing to the wound using pressure to hold
An altered 24 yr M. stabbed in the abdomen. Sitting, holding contents and complaining of dizziness. He does not want to be touched. Vitals BP 70/40, P 120, R 20 you should?
Lay him down and apply a moist dressing
