Chapter 24
During your assessment of a patient with a head injury, you note that he opens his eyes when you pinch his trapezius muscle, is mumbling, and has his arms curled in toward his chest. You should assign him a GCS score of...
7
Which of the following statements regarding the first collision that occurs during a motor vehicle crash is correct?
It is the most dramatic part of the collision and may make extrication difficult
If a person is standing near a building that explodes, which of the following injuries would be or she MOST likely experience as a result of the pressure wave?
Stomach rupture
Which of the following patients has experienced the MOST significant fall?
a 4'6" patient who fell 13 feet
When evaluating the mechanism of injury of a car-versus-pedestrain collision, you should first...
approximate the speed of the vehicle that struck the pedestrian
When treating a patient who experienced a pulmonary blast injury, you should...
avoid giving oxygen under positive pressure
When assessing a young male who was struck in the chest with a steel pipe, you note his pulse is rapid and irregular. You should be MOST suspicious for...
brushing of the heart muscle
A small compact car was involved in a rollover crash. As you are approaching the vehicle, you note that the roof is significantly collapsed. The patient, a 29 year old male, is complaining of severe pain in his neck and to the top of his head as well as numbness and tingling in his extremities. Witnesses who removed the patient from the vehicle state that he was wearing his seatbelt. What injury mechanism is MOST likely responsible for this patient's condition?
compression of the head against the roof
When a driver is in a car equipped with an air bag, but is not wearing a seatbelt, he or she will MOST likely strike that _________ when the air bag deploys upon impact.
door
Two of the MOST common mechanisms of injury for blunt trauma are...
falls and motor vehicle collisions
In contrast to a Level III trauma center, a Level I trauma center must...
have general surgeons who are in-house 24 hours a day
Evaluation of the interior of a crashed motor vehicle during extrication will allow the EMT to...
identify contrast points and predict potential injuries
The energy of a moving object is called...
kinetic energy
When assessing the interior of a crashed motor vehicle for damage, you are gathering information regarding the...
mechanism of inquiry
A 30 year old male sustained a stab wound to the neck when he was attacked outside a nightclub. During your assessment, you should be MOST alert for...
potential airway compromise
Which of the following statements regarding low-energy penetrating injuries is correct?
the area of injury is usually close to the path the object took through the body
Internal injuries caused by gunshot wounds are difficult to predict because...
the bullet may tumble or ricochet within the body
Factors that should be considered when assessing a patient who has fallen included all of the following, EXCEPT...
the speed of the fall
Passengers who are seated in the rear of a vehicle and are wearing only lap belts have a higher incidence of injuries to the ________ spine during a rear end crash.
thoracic and lumbar
The driver of a sport utility vehicle lost control and struck a utility pole head-on. The driver was killed instantly. The passenger, a young female, is conscious and alert and has severe; small abrasions and lacerations to her left forearm. Treatment for the passenger should include...
transport to a trauma center
