emt chap 30

internal bleeding

Abdominal rigidity and periumbilical bruising are signs of _______.

spleen.

All of the following are hollow abdominal organs, EXCEPT the:

prompt transport to the hospital is essential.

Because the depth of an open abdominal wound is often difficult to determine:

keeping the injury moist and warm

Management of evisceration injuries includes _______.

Have you experienced recent abdominal trauma?

A 66-year-old male presents with dark red rectal bleeding and abdominal pain. He is conscious and alert; however, his skin is cool and clammy and his pulse is rapid. Further assessment reveals that his blood pressure is 112/60 mm Hg. Which of the following questions would be MOST pertinent to ask him?

assume that the arrow injured an internal organ.

A 20-year-old male was accidentally shot in the right upper abdominal quadrant with an arrow during an archery contest. Prior to your arrival, the patient removed the arrow. Your assessment reveals that he is conscious and alert with stable vital signs. The entrance wound is bleeding minimally and appears to be superficial. You should:

giving him small sips of plain water.

A 40-year-old male presents with severe abdominal pain following blunt trauma. He is diaphoretic, intensely thirsty, and has a weak and rapid pulse. Appropriate treatment for this patient includes all of the following, EXCEPT:

applying direct pressure with a dry, sterile dressing.

A 54-year-old male experienced an avulsion to his penis when his foreskin got caught in the zipper of his pants. He was able to unzip his pants and remove the foreskin prior to your arrival. Your assessment reveals that he is in severe pain and that the avulsion is bleeding moderately. The MOST appropriate treatment for this patient includes:

blunt injury to the kidney.

A football player was struck by another player in the right flank area just below the posterior rib cage. He complains of severe pain and point tenderness to the area. Your assessment reveals that there is a small amount of blood in his underwear. You should be MOST suspicious for:

cover the exposed bowel with a moist sterile dressing and then secure it in place with a dry bandage.

A man has a large laceration across his lower abdominal wall and a loop of bowel is protruding from the wound. He is conscious and alert and there is minimal bleeding from the wound. You should:

hematuria.

A sign of kidney damage following blunt trauma is:

infection

Abdominal pain, vomiting, and fever are most likely due to _______.

apply direct pressure to the wound.

An unresponsive trauma patient has a large open abdominal wound with massive external bleeding. You should:

a poorly placed lap belt.

Compression injuries to the abdomen that occur during a motor vehicle crash are typically the result of:

Improperly placed lab belt

Compression injury is most likely due to which of the following?

hemorrhage

Damage to solid organs typically leads to _______.

diaphragm.

Difficulty breathing and a sunken appearance of the anterior abdominal wall is MOST indicative of a ruptured:

larger in proportion to the abdomen

In pediatric patients, the liver and spleen are _______.

are rarely life-threatening

Injuries to the external male genitalia _______.

urinary

Most of the ________ system lies behind the digestive tract.

may decrease the amount of blood that returns to the heart.

Placing a pregnant patient in a supine position during the third trimester of pregnancy:

cavitation

The temporary wound channel caused by high-velocity weapons is called _______.

Falls

What is the most common mechanism of injury in geriatric patients?

peritonitis may not develop for several hours.

When a hollow organ is punctured during a penetrating injury to the abdomen:

guarding.

When a patient stiffens the muscles of the abdomen, it is known as _______.

avoid speculation and document only factual data.

When documenting a call involving a female patient who was sexually assaulted, the EMT should:

Only when there is a complaint of severe pain or other injury

When should you visually inspect the external genitalia on your patient?

Injury to the kidneys usually indicates injury to other organs.

Which of the following is true regarding injury to the kidneys?

Urinary bladder

Which of the following organs is at MOST risk for injury as the result of a pelvic fracture?

Liver

Which of the following organs would MOST likely bleed profusely when injured?

The protruding organs should be kept warm and moist.

Which of the following statements regarding abdominal eviscerations is correct?

It is often discovered when the patient is jarred or moved suddenly.

Which of the following statements regarding rebound tenderness is correct?

Uterine trauma is likely to cause shock in the pregnant patient.

Which of the following statements regarding trauma during pregnancy is correct?

lift the air bag and look for deformity to the steering wheel.

While assessing a 21-year-old female who struck a tree head-on with her small passenger car, you note that her air bag deployed. You should:

law enforcement is at the scene.

You are dispatched to a residence for a young female who was kicked in the abdomen. While en route to the scene, you should ask the dispatcher if:

insert an airway adjunct if he will tolerate it and begin assisting his ventilations with a BVM.

You are transporting a 42-year-old male who experienced blunt abdominal trauma. He is receiving oxygen at 12 L/min via a nonrebreathing mask and full spinal precautions have been applied. During your reassessment, you note his level of consciousness has decreased and his respirations have become shallow. You should:

closely monitor him and reassess him frequently.

You are transporting a patient with blunt abdominal trauma. The patient is unstable and is experiencing obvious signs and symptoms of shock. Your estimated time of arrival at the hospital is less than 10 minutes. After treating the patient appropriately, you should:

a hematoma in the flank region

You should suspect a kidney injury anytime the patient presents with _______.

be objective and factual

Your documentation on a sexual assault victim should _______.

control any external bleeding, administer oxygen, and transport at once.

Your presence is requested by law enforcement to assess a 33-year-old female who was sexually assaulted. The patient is conscious and obviously upset. As you are talking to her, you note an impressive amount of blood on her clothes in the groin area. Her blood pressure is 98/58 mm Hg, her pulse is 130 beats/min, and her respirations are 24 breaths/min. You should: