EMT 30

Which of the following is required in the management of all open soft-tissue injuries?

• Application of a disinfectant solution

• Cervical spine precautions

• Provision of high-concentration oxygen

• Use of Standard Precautions by the EMT

Which of the following is of concern in a patient who received burns to his hand when he grabbed a live electrical wire?

• The burning will continue for hours, perhaps days.

• The extent of tissue damage may be much greater than it appears on the surface.

• The patient remains an electrocution hazard to rescuers for several minutes after being removed from the source of electricity.

• Toxic gases were inhaled.

An injury in which the epidermis remains intact, but blood vessels and cells in the dermis are injured, is called a(n):

Select one:

• abrasion

• avulsion.

• contusion.

• hematoma.

You are dispatched to a local industrial plant for an "electrical injury." You arrive on-scene and find a 46-year-old male lying supine in front of an electrical panel. You are told he was attempting to make a repair and somehow received an electrical shock and was thrown to the ground. The scene is safe and the electricity is off. Your initial exam reveals a conscious person, breathing adequately. Vital signs are normal and there are no obvious signs of burns. Coworkers state that he was unconscious until your arrival. What is the next step?

Select one:

• Load and go–conduct any other care in the ambulance en route due to the potential seriousness of the burns.

• While on the scene, rapidly do a complete assessment, provide oxygen, provide care for potential spine injuries, and transport as soon as possible after the exam.

• Stay with the patient awhile, and if he does not appear to be in distress, encourage him to refuse care.

• Put the patient on oxygen and help him into your ambulance.

You are treating a 5-year-old for extensive burns. You know that burns pose a greater risk to infants and children. The reason for this is:

Select one:

• their body surface area is greater in relation to their total body size.

• child abuse is usually the reason for the burns.

• the child will likely be upset and crying and therefore hard to evaluate.

• the parents' interference with your assessment and treatment can delay your response.

Which of the following is appropriate in caring for a patient with closed soft-tissue injuries and a significant mechanism of injury (MOI)?

• Treat for shock if you think there are internal injuries even if the patient's vital signs are normal.

• anticipate viomitting

• Splint any swollen, deformed extremities.

• All of these

Your patient is a 32-year-old man with a fish hook that has perforated his hand between the thumb and index finger. Which of the following is the best way to manage the situation in the prehospital setting?

Select one:

• Leave the hook in place and try not to disturb it.

• Push the hook through the wound to avoid further damage from the barbed end.

• Apply a pressure dressing over the hook.

• Pull the hook out from the same direction in which it entered the hand.

Your patient is a 40-year-old male who has been exposed to a dry chemical powder and is complaining of severe pain on both of his hands, the site of the contact. He is working in an illegal chemical manufacturing plant and there is no decontamination shower on site. Which of the following would be the best way to manage this situation?

Select one:

• Brush away the powder and bandage the hands in a position of function.

• Have the fire department connect to a hydrant and spray down the patient from head to toe.

• Brush away as much powder as possible and then pour a bottle of sterile saline solution over his hands.

• Brush away as much of the powder as possible and then have the patient hold his hands under running water from a faucet or regular garden hose.

When managing an electrical burn, the EMT should:

• quickly check the pulse, even if the patient is still in contact with the electrical source.

• never attempt CPR unless it is within 4 minutes of contact.

• always attempt to remove the patient from the electrical source.

• check for a source and ground burn injury.

Your patient is a 14-year-old male who crashed his bicycle, landing prone and sliding along a gravel trail. He has deep abrasions to his hands, arms, chest, and knees. The patient has small pieces of gravel, twigs, and dirt embedded in the abrasions. Which of the following is the best way to manage this situation after taking cervical spine immobilization?

• Do not attempt to remove any debris, apply pressure dressings over the embedded material if necessary, apply high-concentration oxygen, and transport.

• Assess for additional injuries, flush away large pieces of debris with a sterile dressing, place dressings on the abrasions, bandage them in place, and transport.

• Use your fingers to pick embedded debris from the wound, bandage with moist saline dressings in place, and transport.

• Use a tongue depressor to scrape large pieces of debris out of the wounds, place the patient on high-concentration oxygen, and transport.