Trauma Flashcards
You are assessing a patient who fell from a tree. the patient is conscious and complains primarily of pain to his right arm, although he admits to having dyspnea as well. You note he has an open fracture of the right humerus with moderate bleeding controlled with pressure. He also has diminished breath sounds to the right thorax., a pulse oximeter reading of 92% on ambient air, and a narrowing pulse pressure. Of the above findings, which is so severe that it would categorize the patient as a “high priority”?
A. Pain to the right leg
B. Open humerus fracture
C. Narrowing pulse pressure
D. Diminished breath sounds
D. Diminshed breath sounds
A patient has injured the index finger of her left hand while trying to drive a nail with a hammer, accidentally her finger instead. Other then the soft-tissue trauma and skeletal deformity, no other signs of trauma are present. How should the secondary assessment proceed on this patient?
A. Focus on only the injury site
B. Complete a full head to toe assessment
C. There is no need to perform a secondary assessment
D. Assess both arms and hands but not the torso or lower extremities.
A. Focus on only the injury site
While orienting a new EMT hire to your EMS system, you quiz him over general knowledge and ask him to define what the mnemonic “DCAP-BTLS” stands for. Which of the new EMT’s answers below is incorrect?
A. Painful
B. Swelling
C. Contusion
D. Lacerations
A. Painful
A teenage patient has sustained soft-tissue trauma while using woodworking tools in shop class. The patient, upon arrival, has a damp cloth held over his forearm. When he removes the cloth, bright red blood comes spurting out. This would be what kind of bleeding?
A. Venous
B. Arterial
C. Capillary
D. Arteriovenule
B. Arterial
A patient with soft-tissue trauma has lost a significant amount of blood. if this patient enters into a hypoperfusion syndrome (shock), what is the likely etiology?
A. Neurologic
B. Distributive
C. Cardiogenic
D. Hypovolemic
D. Hypovolemic
You are managing an elderly patient who has sustained a deep laceration to the leg with bleeding. The patient has the following vitals: blood pressure is 80/56, heart rate is 98/min, respirations are 22/min, and the skin is cool and clammy. Which of the above findings BEST represents ana advanced or decompensated shock state?
A. Heart rate
B. Skin findings
C. Blood pressure
D. Respiratory rate
C. Blood pressure
Of the following types of soft-tissue trauma, which one could present as either an open soft-tissue injury or a closed soft-tissue injury?
A. Contusion
B. Crush injury
C. Arterial laceration
D. Superficial abrasion
B. Arterial laceration
You are treating a patient who has sustained a high pressure injection injury to the hand while at his construction job. Prior to transport, you have immobilized the hand. As the EMT, what additional intervention should you provide en route?
A. Apply heat
B. Apply cold
C. Elevate the limb above the heart
D. Lower the limb below the heart
C. Elevate the limb above the heart
Which of the following interventions should be provided to a patient suffering from an abdominal evisceration with bowel protruding?
A. Treat for shock
B. Extremity immobilization
C. Full spinal immobilization
D. Transport the patient with lights and siren.
A. Treat for shock
