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 is 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

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

Treatment of a 55 y/o 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 man who was involved in an industrial accident, you note that his eyes are closed and 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 airways an assess his breathing status

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

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

When a person is exposed to a cold environment:

peripheral vessels constrict and divert blood away from the skin

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 oxygen

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

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 blood bubbling from it. You should:

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

When treating partial thickness burns to one hand you should:

apply moistened sterile dressings or moist burn sheets to burned areas

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 30-year-old male experienced a crushing injury when his arm was trapped between the back of a truck and a loading dock. Upon your arrival, the man's arm has been freed. Your assessment reveals that his arm is obviously deformed and swollen and is cold and pale. Further assessment reveals an absent radial pulse. You should be MOST concerned that this patient has:

compartment syndrome

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. You should:

control the 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

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

infection

Patients with full-thickness (third-degree) burns generally do not complain of pain because:

the nerve endings have been destroyed

Functions of the skin include all of the following, EXCEPT:

the production of key antibodies

Which of the following statements regarding electrical burns is correct?

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

Which of the following statements regarding penetrating injuries is correct?

External bleeding may be minimal but internal injuries can be extensive

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

abrasion

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

avulsion

A laceration:

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