Chapter 30 Jeopardy

If a seatbelt is worn properly it lays how?

Below the anterior/ superior iliac spines of the pelvis and the hip joints

When a patient stiffens the muscles of the abdomen to minimize pain.

Guarding

Bladder, ureters and stomach are considered what?

Hollow organs

Compression injury is most likely due to what?

Improperly placed lap belt

Abdominal pain, vomiting, and fever are most likely due to what?

Infection

You are transporting a patient with a blunt trauma injury. They are on non-rebreather mask with shallow and decreasing respiration and their level of consciousness in decreasing. What do you do?

Insert an OPA and ventilate

During assessment of a patient with an abdominal injury bruising around the umbilicus indicates what?

Intra-abdominal bleeding

Why is tachycardia a significant finding?

It is a sign of shock

If you see a hematoma injury on the flank you should suspect what?

Kidney injury

Injury to what usually indicates injury to other organs?

Kidneys

Injury to external male genitalia are usually what?

Not life threatening

Documentation related to a victim of sexual assault should be what?

Objective and factual

Accumulation of blood in the abdominal cavity will most likely cause this.

Distention

A male experienced an avulsion to his penis when his foreskin got caught in the pants zipper. He was able to unzip his pants and remove the foreskin. Your assessment reveals that he is in severe pain and that the avulsion is bleeding moderately. What is your most immediate treatment?

Control bleeding with dry sterile dressing

Difficulty breathing and a sunken appearance of the anterior abdominal wall is indicative of a rupture of what?

Diaphragm

A moist sterile dressing and covered with an occlusive dressing is treatment for what?

Evisceration

When assessing the abdomen during a rapid secondary assessment by palpating, the EMT is looking for this finding.

Firmness

The aorta liver, and spleen are susceptible to injury from falls due to fractured bones in what population?

Geriatrics

In a pediatric patient, the liver and spleen are what to the abdomen?

Larger in proportion

Bruising to the right upper quadrant of the abdomen following blunt trauma is most suggestive of injury to what?

Liver

What organ is MOST likely to bleed profusely when injured?

Liver

This is a membranous fold that attaches the intestines to the walls of the body.

Mesentery

Peritonitis may not develop for several hours in hollow organs due to what type of injury?

Penetrating injury

What occurs when hollow abdominal organs are damaged and spill their contents into the peritoneal cavity?

Peritonitis

Which best describes an abdominal evisceration?

Protruding organs

This can be caused by assault, foreign bodies, hemorrhoids or collidus.

Rectal bleeding

Early bruising following abdominal trauma often manifests as what?

Red areas of skin

Small amount of blood at the urethra would be an assessment finding you would observe with what type to injury?

Ruptured urinary bladder

As an EMT you should only visually inspect the external genitalia on your patient when there is what?

Severe pain or injury

Assuming that no obvious signs of intra-abdominal injury are present, which injury would MOST likely cause an injury to the liver or spleen to be overlooked?

Shoulder fracture

What hollow organ is most susceptible to injury from penetrating trauma?

Small bowel

Placing a pregnant patient in what position during their third trimester of pregnancy may decrease the amount of blood that returns to the heart?

Supine