EMT chapter 26- Soft Tissue Injuries 2

You are responding to a fight at a restaurant and find a man, conscious and alert. His face is mottled with blisters and abrasions, and he has blood on his shirt. He tells you he was trying to stop the fight when he was hit in the face with scalding hot coffee and fell backwards over a chair. According to the rule of nines, what percentage of the patient's skin surface is burned?

9%

In addition to severe bleeding, the MOST life-threatening complication associated with an open neck injury is:

: an air embolism.

The sebaceous glands produce sebum, a material that:

: waterproofs the skin and keeps it supple.

You are treating an 8-year-old who fell while riding his bike on a gravel road. The wound on his arm is seeping blood, is about 7 inches long, and there is a lot of dirt and gravel in it. How should you treat this injury?

Apply sterile dressing.

What is the final stage of wound healing?

Collagen production

You are assessing a 28-year-old with a rigid cast extending the length of his left leg. The patient is complaining of pain on passive movement and he is showing signs of impaired circulation. What do you suspect?

Compartment syndrome

When using the rule of nines, what do you need to include in your calculations?

Full- and partial-thickness burns

What is your first responsibility when treating a burn patient?

Stopping the burning

For which injury would you use an occlusive dressing directly on the wound?

open neck injury

Burns to pediatric patients are generally considered more serious than burns to adults because:

pediatric patients have more surface area relative to total body mass.

You have applied a dressing and roller-gauze bandage to a laceration on the arm of a young female. During transport, she begins to complain of numbness and tingling in her hand. You should:

assess distal circulation and readjust the bandage as needed.

Which type of soft-tissue injury is LEAST likely to result in infection?

Contusions on the left lateral chest

A 33-year-old male sustained an abdominal evisceration to the left lower quadrant of his abdomen after he was cut with a large knife. After appropriately managing his ABCs and assessing him for other life-threatening injuries, how you should care for his wound?

Cover it with moist, sterile gauze and secure with an occlusive dressing.

A closed soft-tissue injury characterized by swelling and ecchymosis is called a(n):

contusion

A 56-year-old male has an incomplete avulsion to his right forearm. After controlling any bleeding from the wound, you should:

replace the avulsed flap to its original position and cover it with a sterile dressing.

An 8-year-old male was bitten by a stray dog. He has a large laceration to the back of his left hand, which your partner covered with a sterile dressing and bandage. In addition to transporting the child to the hospital, you should:

report the incident to the appropriate authorities.

The severity of a thermal injury directly correlates with temperature, concentration, and what other factor?

Duration of exposure

You are assessing a patient who has been in a high-impact T-bone collision. She is bleeding from the abdomen and you can see part of her large intestine outside her body. What is this injury called?

Evisceration

What processes occurs during the inflammation phase of the healing process?

The immune system releases histamines, which cause vasodilation and increased capillary permeability, resulting in local redness and swelling.

What is true about electrical burns?

They are always more severe than the external signs indicate.