Trauma accel medic final

The FIRST step in any neurologic assessment involves:

• obtaining an initial Glasgow Coma Scale score.

• asking the patient if he or she can feel or move.

• determining the patient's level of consciousness.

• assessing the pupils for size, equality, and reactivity.

When performing a cranial nerve assessment of a patient with a suspected spinal injury, you note that the patient's pupil is constricted and the upper eyelid droops. This indicates an injury to:

• C3.

• C4.

• C5.

• C6.

Inability to feel or move below the level of the nipple line indicates injury to which spinal nerve root?

• C7

• T1

• T4

• L1

A positive Babinski reflex is observed when the:

• toes curve or move downward when the sole of the foot is touched.

• patient responds to pain by flexing the arms and extending the legs.

• patient's reflexes are hyperactive in response to an external stimulus.

• toes move upward in response to stimulation of the sole of the foot.

Spinal cord injuries that cause neurogenic shock generally produce:

• cool, clammy skin distal to the site of the spinal cord injury.

• reflex tachycardia due to sympathetic nervous system stimulation.

• flaccid paralysis and complete loss of sensation distal to the injury.

• signs and symptoms that are identical to those of hypovolemic shock.

An injured patient's head should be secured to the long backboard only after:

• you have placed padding under the shoulders.

• his or her torso has been secured adequately.

• both of the legs are secured to the board properly.

• a vest-style immobilization device has been applied.

In which of the following situations would it be MOST appropriate to apply a vest-type extrication device or a short backboard to a patient who is seated in his or her crashed motor vehicle?

• Conscious with bilateral femur fractures

• Unconscious with obvious spinal deformity

• Confused with lower back pain and tachycardia

• Conscious with neck pain and stable vital signs

When immobilizing a sitting patient with a vest-type extrication device or short backboard, you should manually stabilize his or her head and then:

• apply an appropriately sized cervical collar.

• perform a rapid assessment to detect life threats.

• assess distal pulse and sensory and motor functions.

• carefully place the vest device behind the patient.

When applying a vest-type extrication device or short backboard to a seated patient, his or her head should be secured to the device:

• after you apply a cervical collar.

• only after the torso is fastened securely.

• before you secure his or her torso.

• after he or she is moved to a long backboard.

If a trauma patient cannot be assessed properly in his or her vehicle, you should:

• apply a rigid cervical collar, perform a rapid assessment only, and then remove the patient with the two-person lift technique.

• maintain manual stabilization of the head, apply a cervical collar, and move the patient from the vehicle onto a long backboard.

• apply a vest-type extrication device and then rapidly remove him or her from the vehicle using at least three people.

• grasp the patient behind the shoulders, cradle his or her head in your arms to protect the spine, and rapidly extricate him or her from the car.