ems chapter 30

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:

transport him in the position in which you found him.

A 22-year-old male was kicked in the abdomen several times. You find him lying on his left side with his knees drawn up. He is conscious and alert and complains of increased pain and nausea when he tries to straighten his legs. His blood pressure is 142/82 mm Hg, his pulse rate is 110 beats/min and strong, and his respirations are 22 breaths/min and regular. In addition to administering high-flow oxygen, 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:

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?

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:

hematuria

A sign of kidney damage following blunt trauma is:

spleen

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

apply direct pressure to the wound.

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

shoulder fracture

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

liver

Bruising to the right upper quadrant of the abdomen following blunt trauma is MOST suggestive of injury to the:

a poorly placed lap belt

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

intra-abdominal bleeding.

During your assessment of a patient who experienced blunt trauma to the abdomen, you notice bruising around the umbilicus. This is a sign of:

red areas of skin

Early bruising following abdominal trauma often manifests as:

hollow abdominal organs are damaged and spill their contents.

Peritonitis usually occurs when:

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:

should be assumed to be a sign of shock.

The presence of tachycardia following a significant abdominal injury:

avoid speculation and document only factual data.

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

below the anterior superior iliac spines of the pelvis and against the hip joints.

When worn properly, a seat belt should lie:

urinary bladder

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

The protruding organs should be kept warm and moist.

Which of the following statements regarding abdominal eviscerations 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:

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: