EMR Chapter 18
What is the definition of a bandage?
A bandage is a piece of material that holds a dressing in place.
What is the definition of a dressing?
A dressing is material that is placed directly onto a wound to cover it.
Signs of internal bleeding include which of the following?
A. Decreased level of consciousness B. Rapid and weak pulse C. Cool, pale, moist skin
Katie Garksy, 47, tripped in a supermarket parking lot and fell face forward into a concrete lamppost base, severely injuring her face. She is unresponsive and bleeding profusely from the nose. No skull fractures or spinal injuries are suspected. As the EMR providing care, you should:
A. probe the nose to remove any foreign material B. place her on her side with her head turned to provide drainage
Which of the following BEST describes the appropriate care for this patient?
Continual monitoring of the airway, administering high flow oxygen, and covering the burns with a dry, sterile, dressing
1. Which of the following BEST describes how this patient's burns would be classified?
Full thickness
In the past, it was thought that if a tourniquet was used, the patient would always lose the limb to which the tourniquet was applied. What will prevent this from happening?
Immediate transport to the hospital
What is the first step to treating a patient with any type of burn?
Make sure the burning process has stopped
Which of the following statements is NOT true about impaled-object emergencies?
The EMR should immediately remove the impaled object.
What is the purpose of a hemostatic dressing?
To use a chemical compound to promote clotting
Which of the following best describes why it is important for EMS providers to wear appropriate personal protective equipment such as gloves and masks when caring for someone who is bleeding?
Wearing protective equipment provides body substance isolation for both the patient and the provider.
Your patient has amputated the first digit on his left hand. What is the appropriate way to handle the amputated digit?
Wrap the amputated part in gauze and place it in a plastic bag or plastic wrap.
Which of the following is true about bandaging?
You should always bandage limbs from their distal ends to their proximal ends.
You are holding firm, direct pressure on a wound that was spurting bright red blood. Blood is seeping through the gauze you are holding against the wound. You should direct your partner to apply:
a tourniquet.
Your patient sustained a wound on her right knee after falling. The wound looks like a large scrape and appears to affect only the top layers of the skin. This wound would best be described as an:
abrasion.
You suspect your patient is bleeding internally. You should:
apply oxygen if allowed and transport rapidly.
As you approach your patient, you notice bright red blood is spurting from a cut on her upper arm. You should immediately:
apply firm, direct pressure.
A patient has bright red blood spurting from a laceration on his leg. This bleeding is best described as:
arterial bleeding.
Severe, rapid, life-threatening bleeding is also called:
arterial bleeding.
The material applied to hold a dressing in place is called a:
bandage.
Which of the following terms is associated with nonpenetrating trauma?
blunt trauma
To keep a patient with an eye injury from moving their injured eye, the EMR should:
cover both eyes
When cutting away clothing to expose a wound, the EMR should avoid:
cutting directly through holes made by knives or bullets.
The primary method for caring for most chemical burns is to:
flush the burned area with water for 20 minutes.
Your patient is a 27-year-old woman with a patent airway and a deep abrasion on her arm from falling off her motor scooter into the road. To remove superficial foreign matter, such as gravel and road dirt, you should:
gently wipe the surface of the wound with a sterile gauze pad.
To evaluate an electrical burn, an EMR should do all of the following EXCEPT:
help the patient before turning off the electricity
Your patient presents with a wound to her forearm. Your exam reveals a 3 cm wound that has smooth edges and appears to go through several layers of tissue. This type of soft tissue injury is best classified as a:
laceration.
Your patient was the driver in a head-on collision into a tree. Based on the mechanism of injury, the patient may have:
multisystem trauma.
Your patient has burned her hand with scalding water. When bandaging the hand you should:
place gauze in between the fingers prior to bandaging the hand.
The method used to determine what percentage of body surface area has been burned is called:
the rule of nines.
A 5-year-old patient has a nosebleed. You should:
tilt the head forward and pinch the nose.
Your patient has gotten dry lime on her arm that has caused a painful burn. You should first:
use a dry dressing brush off any remaining lime from the patient's skin.
In amputation emergencies, what should a rescuer do if bleeding is not controlled by direct pressure and a pressure bandage?
use a tourniquet
Your patient has cut his hand while making dinner. A laceration on his palm is slowly bleeding with dark blood. This bleeding is best classified as:
venous bleeding.
What is the total body surface area that has been burned?
36%
A responsive patient with a nosebleed and no other injuries should be placed in which position?
Seated, leaning slightly forward