Chapter 26: Soft Tissue Injuries

A 5-year-old female pulled a pot of boiling water from the stove. She has superficial and partial-thickness burns to her head, face, and anterior trunk. What percentage of her body surface area has been burned?

30%

In which of the following patients should you remove an impaled object?

A pulseless and apneic patient with a knife impaled in the back

An abdominal evisceration:

occurs when organs protrude through an open wound.

Which of the following is a severe burn in a 65-year-old patient?

Partial-thickness burn to 20% of the BSA

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 assess his breathing status.

During your assessment of a 22-year-old male 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 neck injury is:

an air embolism

Which of the following statements regarding crush syndrome is correct?

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 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 utility worker was trimming branches and was electrocuted when he accidentally cut a high-power line. He fell approximately 20 feet and is lying unresponsive on the ground; the power line is lying across his chest. You should:

rapidly assess the patient after ensuring that the power line is not live.

Common signs and symptoms of an airway burn include all of the following, EXCEPT:

chest pressure.

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.

Functions of dressings and bandages include all of the following, EXCEPT:

immobilization of injury

All of the following body structures are lined with mucous membranes, EXCEPT for the:

lips

You are assessing a 30-year-old woman with multiple large bruises to her chest and abdomen that she experienced during an assault. She is conscious but restless, and her skin is cool and pale. You should be MOST concerned with:

the fact that her clinical signs could indicate that she is bleeding internally.

A hematoma develops when:

large blood vessels beneath the skin are damaged.

Which of the following areas of the body has the thinnest skin?

Ears

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

Unbolt the kickstand from the bike frame and stabilize it with bulky dressings.

In order for electricity to flow through the body and cause damage:

a complete circuit must exist between the electrical source and the ground.