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: