TRAUMA 1
AN 18 year old male was hit by a are while walking. When you ask him his name, he opens his eyes and responds with inappropriate words. During your physical examination, you noted he had lower left arm fracture after he withdrew and had facial grimace when you assessed the arm. What should you record as his Glasgow coma Scale score?
10
When a patient has a tension pneumothorax, the major complication is...
A lack f perfusion pressure to the tissues
A 68 year old male was the restrained driver of a car that was struck on the drivers side door with 20 inches of intrusion. You observe irregular chest wall movement on the left side. You should suspect...
Adjacent ribs in more than one place
What patient will most likely have complications as a result of blood loss?
An 82 year old male shot in the leg and BP 94/82
You are approaching a young male at a scene of a shooting, As you approach him, he is mumbling and you see a large amount of blood oozing from a leg would. He has a weak rapid brachial pulse. You should first...
Apply a tourniquet to the leg
An 11 year old male fell while riding rounding a curve on his bicycle and struck his head against a curb. He is unresponsive and has a long scalp laceration with underlying skull exposed and active bleeding. You should first...
Apply direct pressure
Following injury, as blood loss continues the body's feedback systems are alerted by...
Baroreceptors
If present, what findings represent the most serious finding in a patent with an eye injury?
Blood in the anterior chamber of the eye
A 19 year old male was shot in his right upper arm. Yo see active bleeding and bone fragments in the would His vital signs are P 108, r 16, BP 86/68. You should suspect a laceration of the...
Brachial artery
A 42 year old male was the unrestrained driver in a single car crash in a rural area at 3:00 AM. when you arrive at 3:45 he is unresponsive and slumped over the steering wheel. You observe a large bruise over his chest. After initial stabilization, you determine his vital signs are P 86 ad irregular, R 18, and BP 116/82. You should suspect...
Cardiac contusion
A 78 year old male was struck by a car while crossing the street. When you arrive, he is lying in the roadway, has a scalp laceration, and angulation of the right radius and femur. His pelvis is unstable. As you being to package him, he becomes unresponsive and apneic. You should first...
Check for a pulse
You are called by law enforcement to a domestic disturbance where a 29 year old male has multiple human bit marks that have capillary bleeding. He has no other injuries and refuses transport. You should...
Clean the wounds, explain the likelihood of infection, and have him sign a refusal form.
Internal bleeding and muscle damage around the site of a fibula fracture can lead to...
Compartment syndrome
What is compartment syndrome?
Compartment syndrome is a serious condition that involves increased pressure in a muscle compartment. It can lead to muscle and nerve damage and problems with blood flow.
A 51 year old male was splashed in the eyes with an alkali solution. He immediately flushed his eyes and continued for 20 minutes prior to your arrival. You should transport....
Continue to flush his eyes
A 46-year-old male was shot in the head with a 22 caliber pistol. He does not respond to painful stimuli. His vital signs are P 106, R 12, and BP 110/74. You should...
Cover his wound and rapidly transport
A 25 year old male has a gunshot wound to his right chest. Your partner reports a weak, thready pulse. You see irregular slow breathing. You should first...
Cover the would with a gloved hand
A 26 year old female who is two month postpartum is found at home hanged with a rope around her neck. What type of injury should you suspect?
Distraction
st chemical burns are initially managed by flushing with large amounts of water for extended periods of time, except chemicals that are...
Dry powders
The most reliable sign of hemorrhage from kidney trauma is...
Ecchymosis in the flanks of the abdomen
The most frequent cause of trauma and hospital admissions in the elderly is...
Falls
What would cause a patient to lose heat more rapidly?
Fell into icy water
A 21 year old male fell from his motorcycle. He responds to your questions by moaning. He has multiple rip fractures and stable ches wall. His vital signs are P 108, R 18, BP 96/74, and SpO2 is 92% on room air. You should suspect...
Hemopneumothorax
AN unresponsive 26 year old male is found in an alley outside a bar. His skin is pale and clammy. His vital signs are P 118, R 16, BP 104/82, and SpO2 is 95% on room air. You should suspect...
Hypovolemic shock
WHAT IS DISTIBUTIVE SHOCK AND EXAMPLES?
IT IS CHARACTERIZED BY INAPPROPRIATE DISTRIBUTION OF BLOOD VOLUME WITH INADEQUATE ORGAN AND TISSUE PERFUSION. -SEPTIC SHOCK -ANAPHYLACTIC SHOCK -NEUROGENIC SHOCK
A 19 year ol male was shot in the right side of his chest. He is sitting on your stretcher. If there is an accumulation of blood in the plural space, hen auscultating his chest, you should expect to hear...
Increased breath sounds over lower posterior chest when compared to the lower left chest...
A 56 year old female has generalized weakness and has been outside all night in 40 degree F weather. She is shivering and her ands re cold to the touch. To determine if she has hypothermia, you should...
Insert your hand below her clothing and feel her abdomen
You achieve ROSC on a 20 year old male who was electrocuted while working with electrical wire. He vital signs are P 88, R 12, BP 108/68, and SpO2 is 95% on room air. You should...
Inspect his body for entrance and exit wounds
What should be your primary concern for an unresponsive 49-year-old male who has multiple contusions to the left side of his body, flail chest, and a fracture of his left femur after a fall?
Internal Bleeding
An unresponsive 42 year old male was struck while crossing the street. He has a scalp laceraton and an agulaed lower left leg. His breath sounds are clear. His vial signs are P 124, R 16, and BP 92/68. You should suspect...
Intra-abdominal bleeding
Thirty minutes after blunt trauma tht has resulted n a lover laceration, inspection f the abdominal wall should shows what findings?
Little or no change in appearance
A patient who has cardiac tamponade will have hypoperfusion of the brain due to a...
Loss of cardiac afterload
What is most likely to be injured by the primary blat of an explosion?
Lungs
A 21 year old male jumped from a window on the third floor to escape a fire. His left upper left is shortened, angulated, and deformed. He is in severe pain. You should suspect...
Mid-shaft femur fracture
The amount of external pressure that must be applied to a would to stop bleeding is...
One mmHg greater than the systolic pressure of the artery causing the hemorrhage.
Which assessment finding should cause you to suspect a gunshot victim is in irreversible shock?
Oozing wounds, thready pulse, irregular respirations.
A 21 year old male soccer player is unable to ambulate following an injury to his right lower leg. He has a 2 cm laceration on his tibial crest. His leg is not angulated. You should suspect a...
Open fracture
A bone condition that mostly affects females who are post menopausal is...
Osteroporosis
A 12 year old male fell from his bike striking his clavicle against a curb. On examination, you find a fracture of the clavicle and the first and second ribs. You should suspect an underlying...
Pneumothorax and major vessel injury
A 16 year old male was stabbed in his left lower abdominal quadrant He is comfortable but upset about the incident. His vitals are P 94, R 14, BP 128/82, and SpO2 is 96% on room air. You should...
Provide support and transport
A 38 year old male was lost in the forest while hiking. His feet are waxy, whit, and had to touch. It will take an hour to carry him to your ambulance. You should...
Provide supportive care
A stab wound which perforates the stomach will cause...
Rapid, chemical peritonitis
A 22 year old male received blunt trauma to his abdomen. During your assessment, you hear bowel sounds in his right chest. you should suspect...
Ruptured Diaphragm
Which of the following is a commonly associated complications complications of a sever head injury?
Seizures
A 56 year old a=male is in respiratory arrest following a head on car crash while not wearing a eat belt. He has significant facial and torso trauma. You palpate an irregularity to his cervical spine at C-4. You should suspect his arrest is due to...
Spinal cord compression above the C-4 level
What condition can cause distributive shock?
Spinal cord injury
A 26 year old male has an anterior dislocation of his left hip. How should you manage this injury?
Splint his legs together an immobilize him
A conscious 21 year old male was struck in the head with an arrow. The areows entered his forehead, is impaled, and exits above his occiput area. Blood is draining down his face into his mouth. You should...
Stabilize the arrow and transport
School officials called 911 for a 7 year old male has a pencil stuck in his e socket immediate lateral to his nose. He has vision out of that eye. You should...
Stabilize the pencil
A 12 year old male fell from his bicycle and complains of upper leg pain. Before you begin assessment, he screams, "Don't touch my leg!" In order to assess if he has a fracture you should...
Strike his heel with the palm of your hand
You should remove an impaled object if it is impaled in...
The airway; obstructing the airflow
What is the most important factor that affects the amount of injury a patent suffers as a result of a car crash?
The speed the vehicles were moving
A 22 year old female was the restrained driver in a a single car crash where he car glanced alongside a utility pole. She is crying but does not complain f pain. She tells you she is 14 weeks pregnant. You should...
Transport her routinely without light and sirens
A 26 year old was stuck by lighting while playing golf. When you arrive, he has amnesia and an irregular pulse. You observe his skin is pale, cool and diaphoretic. As you prepare to transport hi you should...
Utilize spinal motion restriction precautions
During a fight 19 year old male had a lower tooth kicked out. Your partner finds the tooth while you control bleeding. You should...
Wrap the tooth in saline-soaked gauze
A 22 year old male was stabbed in the abdomen. He is leaning against a wall and you observe a puncture wound to the right upper abdominal quadrant. He becomes faint when he stands p to get on the stretcher. You should suspect the reason he became faint was due to...
orthostatic hypotension
When a patient has been shot in the abdomen, the organ that is least likely to be injured is the...
pancreas
