quiz 18

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

1%

a 70 year old patient presents with blistering burns of both arms and one leg. You inform medical control that your patient has ____ burns.

36% partial thickness

A pulseless ad apneic patient with a knife impaled in the back. should you remove the object?

yes

Treatment of a 55 year old male with a knife wound to his neck, with associated serious blood flow, would include

occlusive dressing

An abdominal evisceration:

occurs when organs protrude through an open wound.

As you approach a young male who was involved in an industrial accident, you note that his eyes are closed and that he is not moving. You can see several large contusions to his arms, a laceration to his forehead with minimal bleeding, and a closed deformity to his right leg. You should:

open his airway and asses his breathing status.

Does the skin function to produce key antibodies?

No

A laceration is

a jagged cut caused by a sharp object or blunt force trauma

When a person is exposed to a cold environment:

peripheral vessels constrict and divert blood away from the skin.

during your assessment of a 22 year old who was assaulted, you note widespread contusions and abrasions to his face, chest, and abdomen. His pulse is rapid and weak, and his skin is cool and clammy. You should:

administer oxygen and prepare for rapid transport

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

an air embolism

a 17 year old male was shot in the right anterior chest during an altercation with a gang member. As your partner is applying 100% oxygen, you perform a rapid secondary assessment and find an open chest wound with a small amount of frothy blood bubbling from it. You should

apply a semi-occlusive dressing to the wound and continue your assessment

When treating a partial-thickness burn, you should:

apply moistened sterile dressings or moistened burn sheets to the burned area

A 30-year-old male experienced a generalized (tonic-clonic) seizure, which stopped before you arrived at the scene. The patient is conscious, is answering your questions appropriately, and refuses EMS transport. Which of the following would be the MOST compelling reason to disagree with his refusal of transport?

compartment syndrome

Crush syndrome is when

compromised arterial blood flow leads to crush syndrome and can occur when an area of the body is trapped for longer than 4 hours.

a construction worker fell approximately 30' and landed in a pile of steel rods. Your assessment reveals that he is pulseless and apneic and has a 10" steel rod impaled in his left leg. The best order of treatment would be for the EMT to

control bleeding, begin cardiopulmonary resuscitation (CPR), stabilize the steel rod, immobilize his spine, and transport immediately.

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

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 should you care for his wound?

cover it with moist, sterile gauze and secure with an occlusive dressing

External injuries may be minimal, but internal injuries can be ________ regarding penetrating injuries.

extensive

In addition to external bleeding, the MOST significant risk that an open soft-tissue injury exposes a patient to is:

infection

patients do not generally complain of pain in the area of full thickness burns (third-degree) because:

the nerve endings have been destroyed

Which of the following statements regarding electrical burns is correct?

Entrance wounds are small relative to the amount of internal tissue damage

What is an open soft-tissue injuries is limited to the superficial layer of the skin and results in the least amount of blood loss?

abrasion

A 39 year old male was struck in the head by a baseball during a game. He is confused, has a large hematoma in the center of his forehead, and cannot remember the events preceding the injury. After manually stabilizing his head and assessing his airway, you should

administer high flow O2

An injury that separates various layers of soft tissue, resulting in complete detachment or a flap of skin, is called a(n):

avulsion