Chapter 29-32 Test

The MOST prominent symptoms of decompression sickness is:

Abdominal or Joint pain

The EMT must assume that any unwitnessed water-related incident is:

Accompanied by possible spinal injury

You respond to a residence for a 40-year-old female who was assaulted by her husband; the scene has been secured by law enforcement. upon your arrival, you find the patient lying supine on the floor in the kitchen. she is semiconscious with severely labored breathing. Further assessment reveals a large bruise to the left anterior chest, jugular venous distention, and unilaterally absent breath sounds

As your partner is supporting her ventilation's, you should administer oxygen and transport to the hospital.

You and your partner respond to a park where several people were reportedly struck by lightning. When you arrive, you find three patients. The first patient is lying supine on the ground; he is unresponsive and does not appear to be breathing. The second patient is ambulatory, appears confused, and is holding his arm against his chest. The third patient is sitting on the ground holding the sides of his head. After calling for backup, you should:

Assess the unresponsive patient's pulse, begin CPR starting with chest compression if he is pulseless and attach the AED as soon as possible

An improperly placed lap belt can cause a

Compression injury

Following a stab wound to the left anterior chest, a 25-year-old male presents with a decreased level of consciousness and signs of shock. which of the following additional assessment findings should increase your index of suspicion for a cardiac temponade?

Engorged jugular veins

During your assessment of a 29-year-old female with significant deformity to her left elbow, you are unable to palpate a radial pulse. Your transport time to the hospital is approximately 40 minutes. You should apply:

Gentle manual traction in line with the limb and reassess for pulse

Injury to the kidneys usually indicates...

Injury to other organs

The body's natural cooling mechanism, in which sweat is converted to a gas

Is called evaporation

Rocky Mountain Spotted Fever can cause:

Paralysis and cardiorespiratory collapse

A severe pelvic injury should be stabilized with:

Pelvic binder with spinal precautions

a 31-year-old male was bitten on the leg by an unidentified snake. The patients is conscious and alert and in no apparent distress. Your assessment of his leg reveals two small puncture marks with minimal pain and swelling. In addition to administering oxygen and providing reassurance, further care for this patient should include:

Supine positioning, splinting the leg and transporting

Attach muscle to bone

Tendons

Controls the diaphragm and exit the spinal cord at C3, C4 and C5

The phrenic nerves

Compartment sydrome typically develops:

Within 6-12 hours after an injury

While jogging, a 19-year-old male experienced an acute onset of shortness of breath and pleuritic chest pain. He is conscious and alert with stable vital signs. Your assessments reveals that he has diminished breath sounds over the left side of the chest.

You should administer oxygen and transport to the hospital

A 37-year-old male was pinned between a flatbed truck and a loading dock. On exam, you find bruising to the chest, distended neck veins, bilaterally diminished breath sounds, and bilateral scleral hemorrhaging.

You should aggressively manage his airway

A 28-year-old male was struck in the chest with a baseball bat during an altercation. he is conscious and alert and complains of severe chest pain. your assessment reveals a large area of ecchymosis over the sternum and a rapid, irregular pulse.

in addition to providing supplemental oxygen, you should prepare for immediate transport.

You arrive at the scene of a major motor vehicle crash. the patient, 50-year-old female, was removed from her vehicle prior to your arrival. bystanders who removed her state that she was not wearing a seatbelt. the patient is unresponsive, tachycardic, and diaphoretic. your assessment reveals bilaterally clear and equal breath sounds, a midline trachea, and collapsed jugular veins.

you should be MOST suspicious that this patient has experienced a laceration of the aorta

The standards for prehospital emergency care and the individuals who provide it are typically regulated by the:

State office of EMS

A man called EMS 12 hours after injuring his chest. your assessment reveals a flail segment to the right side of the chest. the patient is experiencing respiratory distress and his oxygen saturation is 78%. his breathe sounds are equal bilaterally and his jugular veins are normal

you should suspect a pulmonary contusion