Exam 36: Multisystem Trauma and Trauma in Special Patient Populations

An 83-year-old female has fallen down the basement stairs. Once at her side, she tells you that her left hip hurts and rates it 10/10. Since the patient is downstairs, you recognize the need for assistance in extricating from the residence. As you start the primary assessment, you note a dog at the top of the stairs growling. At this time, what is your primary concern?

The EMT would recognize which patient as suffering from multisystem trauma?

A 62-year-old female with severe kyphosis has fallen and hit the back of her head, which is oozing blood from a small laceration. Family members state that she suddenly complained of a "very bad headache" before collapsing to the kitchen floor. She has snoring respirations and cyanosis in the extremities. Of the following interventions, which one should you do first?

You observe a traumatically injured 3-year-old female immobilized to a long spine board with no padding behind the neck, shoulders, or back. Which one of the following is the issue of most concern with this oversight?

You are assessing an 86-year-old male who has fallen down a flight of stairs after getting out of bed to use the bathroom. He is complaining of severe head, neck, and back pain. Which one of the following questions is most appropriate to ask this patient?

When treating an injured geriatric patient, it is very important to:

A 31-year-old unrestrained pregnant female has been involved in an MVC and is complaining of chest and abdominal pain after striking the steering wheel. She is conscious, alert, and oriented with no deficits noted to the airway, breathing, or circulation. When asking her questions regarding her status, what questions should you ask first?

Tragically, you have just arrived by the side of a 23-year-old female who is 37 weeks pregnant and apneic and pulseless after being shot in the abdomen. Regarding care of this woman, which of the following statements would you provide to other rescuers on scene?

An 85-year-old male with a history of an irregular heartbeat, diabetes, renal failure, and stroke fell getting out of bed, striking his head on the nightstand. He is alert and oriented and denies complaint. Vital signs are all within normal limits. There is a minor abrasion on his forehead, but he denies any associated pain or headache. Which of the following should be your priority?

When treating a pregnant female involved in a traumatic event, the EMT must remember:

An unresponsive 10-year-old male was struck by a car while riding his bike. He has blood on his face and presents with snoring respirations. Respirations are approximately 10 per minute, with cyanosis noted to his extremities. Manual in-line spinal stabilization is being held by Emergency Medical Responders. Which one of the following should you do next?

The mother of a 4-year-old boy states that he fell off the top bunk bed and hit his head. After falling, he appeared to seize for approximately 30 seconds. Presently he has nonpurposeful movement to painful stimuli, with a patent airway and slow respirations. His radial pulse is intact, and his skin is warm and dry. You note urinary incontinence. After taking manual in-line spinal stabilization, which one of the following should you do immediately?

You are presenting information on emergency care to a class of pregnant women. A participant asks you what the most frequent cause of injury is to a woman during pregnancy. Which one of the following is the correct response?

An elderly female has fallen and is very confused, and you are having a problem getting her past medical history. Which one of the following is your next best action?

The EMT knows that the majority of all deaths in children who are 1 to 14 years of age could be prevented by:

How would you tell a pregnant woman to restrain herself when traveling in a car?

An 81-year-old woman with severe kyphosis and osteoporosis has fallen and is complaining of neck pain as well as nausea. Given the patient's past medical history, which one of the following is most appropriate?

The EMT is correctly assessing a 2-year-old male who is unresponsive after being assaulted by the mother's live-in boyfriend when he:

When assessing and treating a traumatically injured female in her third trimester of pregnancy, the EMT must remember that:

You are transporting an elderly female who fell in a nursing home and displays outward rotation of her left leg. She has a lengthy medical history, including dementia. Currently, she is very quiet and receiving oxygen through a nasal cannula at 6 liters per minute. She also is immobilized to a long spine board. During your reassessment, you note her to be alert but confused, with slightly accelerated respirations and a strong radial pulse. You also note that her SpO₂ has dropped from 97% on scene to 91%. You should: