EMT: Trauma Review III

An 18 year old male was hit by a car while walking. He responds to verbal commands with inappropriate words. During your physical examination you noted he had a lower left arm fracture because he withdrew and had facial grimace when you assessed the arm. What should you record as his Glasgow Coma Scale score?

• 8

• 10

• 9

• 12

A 16-year-old was involved in a fight at school and was punched in his LUQ. He is comfortable but upset about the incident. His vitals are B/P 128/82, P 94, R 14 and SpO2 is 97% on room air. You should:

• place him in the recovery position.

• cover the wound with an occlusive dressing.

• administer oxygen by non-rebreather mask.

• provide support and transport.

During your primary assessment of a semiconscious 30-year-old female with closed head trauma, you note that she has slow, shallow breathing and a slow, bounding pulse. As your partner maintains manual in-line stabilization of her

head, you should:

• perform a secondary assessment of the patient's head and neck.

• instruct him to assist her ventilations while you perform a rapid assessment

• apply 100% oxygen via a nonrebreathing mask and obtain baseline vital signs.

• immediately place her on a long backboard and prepare for rapid transport.

A person fell 30’ and landed on a pile of metal rods. The pt is pulseless and apneic and has a 12” rod impaled in his arm. You should:

• Control bleeding and perform CPR, stabilize the object, immobilize and transport

• Remove the rod control bleeding apply AED and transport

• Stabilize the rod control bleeding begin CPR and rapid transport

• Control the bleeding remove the rod begin CPR and transport

An 8 year old has scald burns that are superficial and partial thickness to her face and chest. What is the BSA involved?

• 27%

• 22%

• 14%

• 18%

A male was electrocuted while attempting to wire his house. He is pulseless and apneic. The power to the house has been shut off. You should:

• Begin CPR and attach AED

• Begin CPR and transport

• Assess for entry and exit wounds

• Fully immobilize his spine

A 39 year old accidentally cut his wrist while sharpening his knife. Airway is intact but he is bleeding significantly. You should:

• Ensure patent airway

• Control bleeding with direct pressure

• Apply O2

• Apply tourniquet proximal to the wound

A drowsy 21 year old male was stabbed with a knife over the left side of his anterior chest. His skin is cool and clammy and his vitals are B/P 106/78, P 122, R 22 and SpO2 is 95% on room air. What type of shock is he suffering?

• Cardiogenic

• Metabolic

• Distributive

• Hypovolemic

A 72 year old male is vomiting large amounts of dark foul smelling liquids. He has diffuse colicky abdominal pain. His skin is cool and clammy. His vital signs are B/P 108/86, P 106, R 16 and SpO2 is 95% on room air. You should:

• treat for shock.

• Place the patient on O2 by nasal cannula 1-2 LPM

• provide supportive care.

• administer 100% oxygen.

A 77-year-old woman slipped and fell on a throw rug and landed on her left hip. She denies striking her head or losing consciousness. Assessment of her left leg reveals that it is shortened and externally rotated. Distal pulses, sensory, and motor functions are intact. You should:

• manually stabilize her left leg, apply a traction splint, and then secure her to a long backboard or scoop.

• carefully slide a long backboard underneath her, keep her in a supine position, and apply a splint to her leg.

• place her onto a scoop stretcher, pad around her left hip with pillows, and secure her to the scoop with straps.

• bind both of her legs together with triangular bandages and carefully secure her onto the ambulance stretcher