emt mod 9

You are working a vehicle vs. tree collision. During your scene size-up it is noticed that a branch from the tree has pierced through the front windshield, and pierced through the passenger's body. Assessment revels an entry wound just above the left nipple. In terms of documentation, how would an EMT describe the entry wound on a PCR?

• exit wound to the abdomen

• entry wound posterior thorax (entered through patient's back)

• Entry wound to anterior thorax (entered through patient's chest).

• Exit wound to the lower posterior torso.

Answer explanation

The correct choice is 'Entry wound to anterior thorax (entered through patient's chest)' because the wound is located just above the left nipple, indicating it entered the chest area, not the back or abdomen.

True or False: the upper and lower extremities are apart of the Central nervous system (CNS)? (a)  

• false

• true

Answer explanation

False. The upper and lower extremities are part of the peripheral nervous system (PNS), not the central nervous system (CNS), which consists of the brain and spinal cord.

A deep laceration to a patient's arm, has left the patient with an inability to move or feel touch. Which nervous system is affected (a)  

• CNS

• ANS

• PNS

• none of them

Answer explanation

The inability to move or feel touch indicates damage to the peripheral nerves, which are part of the peripheral nervous system (PNS). The central nervous system (CNS) is not directly affected in this case.

You and an Emergency medical responder are responding to a motorcycle accident. Fire dept. reported that the motorcyclist was thrown 10 ft away from his bike. As you conduct an assessment, the patient states that he cannot feel his legs, and your EMR states obvious deformity to both femurs. Of the following, which would you conduct first?

• expose the legs and feet to assess for bleeding

• check PMS in all the extremities to see if they match

• Check patient's resp. rate and effort of breathing

• place a c-collar and give some oxygen...just because

Answer explanation

In trauma cases, assessing the patient's respiratory rate and effort is critical first. This ensures the airway is clear and the patient is breathing adequately before addressing other injuries.

A patient just belly-flopped off a diving board that is 5 ft in the air from the pool. Patient chief complaint is neck pain and worsens when he attempts to move is head. Assessment reveals patient right cheek is touching his right shoulder. What should you do next, to reduce further injury to patient?

• straighten the head and place a c-collar

• place the patient in a vest-type immobilization device

• avoid use of the c-collar, he is faking the injury, cause water does not hurt anyone.

• Stabilize the patient's head in the position found.

Answer explanation

Stabilizing the patient's head in the position found prevents further injury, especially given the severe neck pain and abnormal head position. Attempting to straighten the head could exacerbate any potential spinal injury.

true of false: Anterior cord syndrome is when a patient cannot feel painful stimuli or motor function below the point of injury, but can feel light touch sensation below the point of injury

• false: its brown sequard

• True

Answer explanation

True: Anterior cord syndrome results in loss of pain and motor function below the injury, while light touch sensation remains intact. This distinguishes it from Brown-Séquard syndrome, which affects one side.

In terms of the intercostal spaces, where is the division between the thoracic cavity and the abdominal cavities?

• above the 12th rib

• below the 12 rib

• baby back ribs

• at the 5 intercostal space

Answer explanation

The division between the thoracic and abdominal cavities is at the 5th intercostal space, which is located between the 5th and 6th ribs. This anatomical landmark is crucial for understanding the organization of the thoracic cavity.

Which portion of the human eye is a clear structure that covers the pupil

• iris

• cornea

• retina

• pupil

Answer explanation

The cornea is the clear, dome-shaped structure that covers the front of the eye, including the pupil. It plays a crucial role in focusing light onto the retina, making it the correct answer.

When dealing with an avulsed tooth, what is the proper treatment and how do we transport it?

Answer explanation

For an avulsed tooth, rinse it gently with saline or milk, and transport it in the same liquid or place it back in the socket if possible. Seek dental care immediately for the best chance of reattachment.

A construction worker was hit in the head by a 2x4, that slide off the roof. The patient now has a quarter size laceration to the right side of his face and is SPITTING blood. He lost a tooth, which he is holding. Your INITIAL action when caring for the patient would be to?

• preserve the tooth

• suction the airway

• apply occlusive dressing (Vaseline gauze) to the laceration

• establish and maintain in-line immobilization.

Answer explanation

In this scenario, the patient has a head injury and is bleeding. Establishing and maintaining in-line immobilization is crucial to prevent further injury, especially if there is a possibility of spinal involvement.