Exam 28: Bleeding and Soft Tissue Trauma

You have been dispatched to a residence where a woman lacerated her arm after falling while holding a drinking glass. She informs you that when she was first cut, blood spurted from the wound, and then within a second or two, it subsided to a mere trickle. She asks why this would happen. Which one of the following is the correct response?

Which of the following statements about dressings and bandages is true?

Your patient is a 48-year-old male who is in shock from injuries sustained in a motor vehicle collision. Which one of the following assessment findings is an indication for the use of the pneumatic anti-shock garment (PASG)?

Which statement demonstrates an understanding of shock caused by internal bleeding?

Which instruction is appropriate when helping a new EMT care for a male patient with a laceration to his left arm?

A 24-year-old male has cut his arm with a table saw. Assessment reveals dark red blood flowing steadily from the laceration. As an EMT, you would identify this bleeding as:

Which one of the following patients would the EMT recognize as suffering from an evisceration injury?

Which one of the following patients requires the EMT to remove an impaled object in the field?

A young male was riding a motorcycle when he lost control and was ejected. The patient is unresponsive and receiving positive pressure ventilation. The secondary assessment reveals bright blood flowing from both nostrils. Management of this bleeding would include:

Which statement made by the EMT shows an understanding of bandaging an open wound?

You are having a difficult time controlling bleeding from a small skin avulsion on a patient's ankle. Which one of the following statements made by the patient best explains why control has been difficult to achieve?

You are transporting a male patient who was stabbed in the left upper quadrant of the abdomen. On scene the patient was alert and oriented with a patent airway and adequate respirations. There was minimal hemorrhage from the stab wound, which was covered with a sterile dressing. Oxygen was applied and transport was initiated. During the reassessment, which one of the following assessment findings should the EMT consider of most concern?

A man has been bitten in his arm by his dog. He states that the bite occurred several hours earlier when he accidentally stepped on the dog's paw. When asked, he tells you that the dog is up-to-date on all of her shots, including the rabies vaccine. Assessment reveals two small puncture wounds to the hand with some bruising in the surrounding tissue. The patient wants to refuse treatment and transport. Given these assessment findings, which one of the following indicates the primary reason the patient should be seen in the emergency department?

Which one of the following types of injuries is most likely to result in capillary bleeding only?

Direct pressure has failed to control an arterial bleed on a patient's leg. The EMT's next action would be:

Which statement shows that the EMT understands the use of a tourniquet in controlling bleeding?

While riding a bike, a young boy fell onto a stick protruding from the ground. The stick impaled him in the neck. The boy immediately pulled the stick out and ran home, where his mother called 911. Assessment reveals a gaping wound to the right neck. All hemorrhage has clotted off and manual in-line spinal stabilization is being maintained. Which one of the following instructions should you provide to the other EMTs on scene?

A patient has suffered a small but jagged laceration to her left hand. When cleaning the wound, it is important that the EMT:

A patient was assaulted and sustained various and multiple injuries. Which injury does the EMT recognize as presenting the greatest risk for infection?

A young female was involved in an altercation and stabbed in the abdomen with an ice pick. After being stabbed, she quickly removed the ice pick. She states that there was not much bleeding but does say it "stings" quite a bit. Assessment reveals a small puncture wound to the right upper quadrant with some dried blood around the site. Which of the following best describes the primary focus of the EMT in caring for this patient?