ems chapter 25

preparing for immediate transport

A 22-year-old male was kicked in the abdomen multiple times during an assault. He is conscious but restless and his pulse is rapid. Your assessment reveals a large area of bruising to the right upper quadrant of his abdomen. The MOST appropriate treatment for this patient includes:

follow appropriate standard precautions

A 39-year-old male sustained a large laceration to his leg during an accident with a chainsaw and is experiencing signs and symptoms of shock. You should first:

pinching the patient's nostrils and having him lean forward

A 43-year-old man is experiencing a severe nosebleed. His blood pressure is 190/110 mm Hg and his heart rate is 90 beats/min and bounding. Preferred treatment for this patient includes:

high blood pressure

A 70-year-old man presents with a severe nosebleed. His medical history includes COPD, depression, and a hemorrhagic stroke 3 years ago. His BP is 190/110 mm Hg, his pulse is 100 beats/min, and his respirations are 24 breaths/min. His medications include albuterol, sertraline (Zoloft), and multivitamins. Which of the following is MOST likely causing his nosebleed today?

1 L

A fractured femur can result in the loss of ______ or more of blood into the soft tissues of the thigh.

Apply a topical hemostatic agent with direct pressure

A patient is bleeding severely from a severed femoral artery high in the groin region. Which of the following would MOST likely control the bleeding?

assist the patient's ventilations

A young male was shot in the abdomen by an unknown type of gun. He is semiconscious, has shallow breathing, and is bleeding externally from the wound. As you control the external bleeding, your partner should:

place additional dressings over the wound

After applying a pressure dressing to a laceration on a patient's arm, you notice that blood is slowly beginning to saturate it. You should:

body's temperature is considerably less than 98.6°F (37.0°C).

An organ or tissue may be better able to resist damage from hypoperfusion if the:

repeat the primary assessment

During transport of a 40-year-old female with acute abdominal pain, you note that she has stopped talking to you and has become extremely diaphoretic. You should:

pain and distention

Early signs and symptoms of intra-abdominal bleeding include:

veins are under a lower pressure

External bleeding from a vein is relatively easy to control because:

spleen

Following blunt trauma to the abdomen, a 21-year-old female complains of diffuse abdominal pain and pain to the left shoulder. Your assessment reveals that her abdomen is distended and tender to palpation. On the basis of these findings, you should be MOST suspicious of injury to the:

hematemesis

Gastrointestinal bleeding should be suspected if a patient presents with:

shock

Hypoperfusion is another name for:

the body cannot compensate for rapid fluid loss.

Hypovolemic shock occurs when:

a tourniquet proximal to the injury

If direct pressure fails to immediately stop severe bleeding from an extremity, you should apply:

dizziness upon standing

In nontrauma patients, an early indicator of internal bleeding is:

Femoral artery laceration and a blood pressure of 140/90 mm Hg

In which of the following situations would external bleeding be the MOST difficult to control?

splinting the extremity

Internal bleeding into a fractured extremity is MOST often controlled by:

Femoral artery laceration and a blood pressure of 140/90 mm Hg

Most cases of external bleeding from an extremity can be controlled by:

applying local direct pressure

Most cases of external bleeding from an extremity can be controlled by:

circulation of blood within an organ in adequate amounts to meet the body's metabolic needs.

Perfusion is MOST accurately defined as the:

how rapidly he or she bleeds

The ability of a person's cardiovascular system to compensate for blood loss is MOST related to:

systolic blood pressure

The severity of bleeding should be based on all of the following findings, EXCEPT:

arterioles

The smaller vessels that carry blood away from the heart and connect the arteries to the capillaries are called the:

returning deoxygenated blood back to the heart.

The systemic veins function by:

stop twisting the stick when the bleeding stops.

When using a stick and square knot as a tourniquet to control severe bleeding from an amputated arm, the EMT should:

the patient takes rivaroxaban (xeralto)

Which of the following findings would be the MOST significant when assessing a patient with possible internal bleeding?

patients with hemophilia may bleed spontaneously

Which of the following statements regarding hemophilia is correct?

a person taking blood thinners will experience slower blood clotting

Which of the following statements regarding the clotting of blood is correct?

the patient is at risk for vomiting and aspiration

You arrive at the home of a 50-year-old female with severe epistaxis. As you are treating her, it is MOST important to recall that: