Final Review Part 3 of 5

Your BEST Protection against legal liability when a patient with decision-making capacity refuses EMS care and transport is:

Thoroughly documented the entire event

According to the rule of palm method for estimating the extent of a patient's burns, the Palm of the patient's hand is equal to ___________% of his or her total BSA.

1%

You are assessing a 49-year-old man who, according to his wife, experienced a sudden, severe headache and then passed out. He is unresponsive and has slow, irregular breathing. His blood pressure is 190/94 mmHg and his pulse rate is 50 beats/min. His wife told you that he has hypertension and diabetes. He has MOST likely experienced:

A ruptured cerebral artery

You are dispatched to a residence for a 67-year-old female who was awakened by shortness of breath and has sharp chest pain's. Her husband tells you that she was recently discharged from the hospital after having hip surgery. Your assessment reveals dried blood around her mouth, facial cyanosis, and oxygen saturation of 88%. You should suspect:

Acute pulmonary embolism

A 21-year-old male was thrown over the handlebars of his motorcycle when he rear ended a car that was stopped at a red light. He was wearing a helmet, which was removed prior to your arrival. He is conscious, but restless, and has closed deformities to both of his femur's. His skin is pale, his heart rate is rapid and weak, and his respirations are rapid and shallow. You should:

Bind his legs together on the backboard, keep him warm, and transport without delay

You are treating a middle-age man with chest discomfort. He has a history of three previous heart attacks and takes nitroglycerin as needed for chest pain. You have standing orders to administer aspirin to the patient with suspected cardiac chest pain or discomfort. While your partner is preparing to give oxygen to the patient, you should:

Confirm that the patient is not allergic to aspirin, given the appropriate dose of aspirin, and document the time and dose given

A 40-year-old male was in his woodworking shop when he felt a sudden, sharp pain in his left eye. Your assessment reveals a small splinter of what embedded in his cornea. You should

Cover both of his eyes and transport to the hospital

Your partner, a veteran EMT with whom you have worked with for the past four years, seems unusually agitated during the call involving an elderly patient. Upon arrival back at your station, you notice the obvious smell of alcohol on his breath. What should you do?

Discreetly report your suspicions to your supervisor

A 40-year-old unrestrained female impacted the steering wheel of her vehicle with her chest when she hit a tree while traveling at 45 mph. She is conscious and alert, but is experiencing significant chest pain and shortness of breath. Which of the following injuries is LEAST likely

Head injury

You have two patients who were involved in a motor vehicle crash when their SUV struck a tree, one with neck and back pain and the other with a deformed left femur. The patient with the deformed femur states that he does not want to be placed on a hard board, nor does he want a collar around his neck. What is the MOST appropriate and practical method of securing the patient and placing them into the ambulance?

Immobilize the patient with neck and back pain on a long backboard and place him on the wheeled stretcher; place the patient with the deformed femur on a folding stretcher secured to a squat bench

Which of the following steps is NOT proper procedure when performing an emergency move?

Lifting the patient by the belt to move him or her

You are dispatched to a residence were a middle-age man was found unconscious in his front yard. There are no witnesses who can tell you what happened. You find them in a prone position; his eyes are closed and he's not moving. Your FIRST move should be to:

Log roll him as a unit to a supine position

You respond to the scene of a motor vehicle collision. Upon arrival, you find the driver, a young female, sitting on the curb and is confused; is an obvious respiratory distress; and has pale, moist skin. As your partner manually stabilizes her head, you perform a primary assessment. After performing any immediate life threatening treatment, you should:

Perform a detailed head to toe exam and prepare for immediate transport

A 20-year-old male was pulled from Coldwater by his friends. The length of his submersion not known and was not witnessed. You perform a primary assessment and determined that the patient is apneic and has a slow, weak pulse. You should:

Provide rescue breathing, remove his wet clothing,immobilize his entire spine, keep them warm, and transport carefully

A 50-year-old male was stung by a honeybee approximately 15 minutes ago. He presents with respiratory distress, facial swelling, and hypertension. After placing him on oxygen and ministering is epinephrine via autoinjector, you note that his breathing has improved. Additionally, his facial swelling is resolving and his blood pressure is stable. Your next action should be to:

Record the time and dose of the injection in transport promptly

You have been working at the scene of a major building collapse for eight hours. Many injured people are still being removed everyone is becoming frustrated and losing focus. The situation is MOST Effectively managed by:

Requesting a CISM team to provide on scene peer support

A 67-year-old female with severe chest pain becomes unresponsive, pulseless, and apneic during transport. You should:

Stop the ambulance, begin CPR, and attach the AED as soon as possible

A 30-year-old female was robbed and assaulted as she was leaving at night club. She has massive facial trauma and slow gurgling respirations. As your partner manually stabilizes her head, you should:

Suction her oropharynx 15 seconds

A 22-year-old male was kicked in the abdomen several times.You find him lying on his side with his knees drawn up. He is conscious and alert and complains of increased pain and nausea when he tries to straighten his legs. His blood pressure is 142/82 mm hg, his pulse rate is 110 beats/min and strong, and his respirations are 22 breaths/min and regular. In addition to a ministering high flow oxygen, you should:

Transport him in the position and in which you found him

A teenage boy who was involved in a bicycle accident has a puncture wound where the bicycle kickstand and impaled his leg. The MOST appropriate method for treating this injury is to:

Unbolt the kickstand from the bike frame and stabilize it with the bulky dressing's