Exam 28: Bleeding and Soft Tissue Trauma

A pregnant 31-year-old has been shot in the neck. Currently, she is responsive to verbal stimuli, with an open airway and rapid, but adequate respirations. Her radial pulse is weak and fast. Vital signs are as follows: pulse 152, respirations 22, blood pressure 92/76, and SpO₂ at 100% on high-concentration oxygen. When caring for this patient, what other intervention will most benefit this patient?

The EMT knows that a function of the skin is to:

When managing a patient with a soft-tissue injury, it is essential that the EMT perform which of the following?

Which statement indicates an understanding of the EMT's prehospital role in caring for the patient in shock?

The EMT's initial concern when treating a patient with a gunshot wound to the chest is:

A 40-year-old homeless male is found lying in the street. On physical examination, you notice that the patient has a stab wound to the mid-chest. He is unresponsive and his skin is cool to the touch. His respirations are snoring at 40 per minute and his pulse is 120. Which of the following would the EMT perform first?

While cleaning a gun, a 44-year-old man accidentally shot himself in the abdomen. On arrival the patient is responsive to painful stimuli and lying on his side with his legs drawn to his chest. Blood is evident on his shirt and pants. Which of the following shows the correct sequence of events when caring for this patient?

Of the statements that follow, which one describes the best way to determine the severity of a patient's blood loss?

Which observations direct the EMT to classify a patient's soft tissue injury as an abrasion?

In the human body, what occurs when a person is in shock?

You have just applied a pressure dressing to the leg of a woman who suffered a deep laceration to her calf from a piece of broken glass. Which one of the following should you do next?

A patient has had part of his right thumb amputated in an industrial accident. Coworkers have retrieved the thumb and wrapped it in a towel. The EMT demonstrates appropriate handling of the amputated part when he:

A 24-year-old female was an unrestrained driver of a car that struck a guardrail, causing her to sustain blunt trauma to the chest and abdomen. Vitals obtained by Emergency Medical Responders (EMRs) are pulse 120, respirations 22, blood pressure 100/58 mmHg, and SpO₂ 96%. As you transport her to the hospital, what finding indicates that the patient is deteriorating?

Your patient is confused and anxious after falling 20 feet from a ladder onto the grass below. What sign is most suggestive of shock?

A patient was building a bomb in his garage when it accidentally detonated. Assessment findings from the rapid secondary assessment reveal intestine and a portion of the liver protruding from the right side of the abdomen. Proper care of this injury would include which of the following?

A 54-year-old male patient has been involved in a car crash. Window glass has caused an open wound to his upper neck. Which one of the following dressings is best for this injury?

Which of the following describes the layers of the skin?

You are called for a 2-year-old boy who fell and cut his arm. While en route to the call, the dispatcher informs you that the patient has hemophilia (clotting disorder). As an EMT, you should recognize that:

A patient has suffered abrasions to the legs after falling on a moving treadmill. In relation to the function of the skin, the EMT should be most concerned about:

You are called for an alert and oriented female who had a cesarean section several days ago. Today she bent over and tore the surgical incision open. There is a moderate amount of bleeding coming from the site. What should the EMT do to control the bleeding?