EMS Trauma
A 74-year-old male complains of upper back pain and difficulty breathing after a fall. He has pain and
crepitus in the right side of his back below his scapula. He has equal chest wall expansion, and his breath
sounds are diminished in the affected area. His vital signs are P 82, R 18, BP 142/92, and SpO Subscript 2
is 96% on room air. You should suspect a:
A. cardiac tamponade.
B. flail segment.
C. tension pneumothorax.
D. simple pneumothorax. - correct answer✔️✔️D. simple pneumothorax.
A 52-year-old female was cutting a branch when she accidentally cut through the power line to her
house. She is standing outside and tells you she has severe pain in her right upper arm and cannot feel
anything in her right lower arm. You observe full thickness burns to her right hand and elbow. You
should first:
A. immobilize her arm with a sling and swathe.
B. assess her vital signs.
C. assess for a radial pulse in her right wrist.
D. immobilize her to a long backboard. - correct answer✔️✔️B. assess her vital signs.
A 51-year-old male has a five-inch partial thickness laceration to his left thigh. You have applied direct
pressure and controlled the hemorrhage. His vital signs are P 92, R 16, BP 132/76, and SpO Subscript 2 is
95% on room air. You should:
A. administer oxygen.
B. treat for shock.
C. apply a sterile dressing.
D. pack the wound with a hemostatic agent. - correct answer✔️✔️C. apply a sterile dressing.
,A 21-year-old female tells you she was stabbed by a piece of metal in her abdomen 15 minutes ago.
When you examine the area, you observe minimal bleeding and pink sausage-like tissue protruding from
the opening in her left lower abdominal quadrant. You should suspect a(n):
A. impaled object.
B. uterine inversion.
C. tumor.
D. evisceration. - correct answer✔️✔️D. evisceration.
A 22-year-old male complains of difficulty breathing after being struck in the chest with a pipe. He has a
six-inch bruise over his right axilla. His lung sounds are absent on the right lower chest. His vital signs are
P 122, R 20, BP 88/72, and SpO Subscript 2 is 94% on room air. You should:
A. fully expose him and immobilize him to a long backboard.
B. administer oxygen and keep him warm.
C. place him in the Trendelenburg position.
D. place him on the injured side. - correct answer✔️✔️B. administer oxygen and keep him warm.
A 73-year-old male has a nail impaled in the palm of his hand near the base of his thumb. He tells you he
was using a nail gun and it ricocheted off the wood into his hand. He can move all his digits and does not
have any neurological or circulatory deficits. You should:
A. splint his hand.
B. apply a cold pack.
C. remove the nail and apply an adhesive dressing.
D. stabilize the nail with a bulky dressing. - correct answer✔️✔️D. stabilize the nail with a bulky dressing.
A 75-year-old female complains of burning pain in her arms. She was working in her garden and spilled a
dry powder on them. After you remove the powder, you observe circumferential blistered and mottled
skin of both her forearms and hands. What percentage of her Total Body Surface Area should you
estimate is burned?
A. 9
, B. 13.5
C. 4.5
D. 18 - correct answer✔️✔️A. 9
A 9-year-old female was struck by a car while she was riding her bicycle. She complains of pain in her left
forearm, right shoulder, and abdomen. Her skin is pale and cool. Her right shoulder appears uninjured.
You observe an angulated injury to her forearm, and distal pulses are present. She has an abrasion to
her right upper abdominal quadrant, and the pain increases with palpation. You should perform spinal
motion restriction,
A. splint her left arm in the position found, and apply a cold pack.
B. administer oxygen, and transport immediately.
C. splint her left arm, and apply a sling to her right arm.
D. gently realign her left arm into the position of function, and apply a splint. - correct answer✔️✔️B.
administer oxygen, and transport immediately.
A 36-year-old female was struck by a car and thrown eight feet. She complains of pain in her left hip,
and her leg is externally rotated. When you press on her iliac crests, she complains of increased pain,
and you feel instability. You should suspect a(n):
A. femur fracture.
B. posterior femur dislocation.
C. anterior femur dislocation.
D. pelvic fracture. - correct answer✔️✔️D. pelvic fracture.
An unresponsive 21-year-old male was shot in the left upper abdominal quadrant. His skin is pale and
diaphoretic. You auscultate clear lung sounds, and his neck veins are flat. His vital signs are P 116, R 20,
BP 100/72, and SpO Subscript 2 is 92% on room air. What type of shock should you suspect?
A. Distributive
B. Intrinsic Cardiogenic
C. Hemorrhagic
A 74-year-old male complains of upper back pain and difficulty breathing after a fall. He has pain and
crepitus in the right side of his back below his scapula. He has equal chest wall expansion, and his breath
sounds are diminished in the affected area. His vital signs are P 82, R 18, BP 142/92, and SpO Subscript 2
is 96% on room air. You should suspect a:
A. cardiac tamponade.
B. flail segment.
C. tension pneumothorax.
D. simple pneumothorax. - correct answer✔️✔️D. simple pneumothorax.
A 52-year-old female was cutting a branch when she accidentally cut through the power line to her
house. She is standing outside and tells you she has severe pain in her right upper arm and cannot feel
anything in her right lower arm. You observe full thickness burns to her right hand and elbow. You
should first:
A. immobilize her arm with a sling and swathe.
B. assess her vital signs.
C. assess for a radial pulse in her right wrist.
D. immobilize her to a long backboard. - correct answer✔️✔️B. assess her vital signs.
A 51-year-old male has a five-inch partial thickness laceration to his left thigh. You have applied direct
pressure and controlled the hemorrhage. His vital signs are P 92, R 16, BP 132/76, and SpO Subscript 2 is
95% on room air. You should:
A. administer oxygen.
B. treat for shock.
C. apply a sterile dressing.
D. pack the wound with a hemostatic agent. - correct answer✔️✔️C. apply a sterile dressing.
,A 21-year-old female tells you she was stabbed by a piece of metal in her abdomen 15 minutes ago.
When you examine the area, you observe minimal bleeding and pink sausage-like tissue protruding from
the opening in her left lower abdominal quadrant. You should suspect a(n):
A. impaled object.
B. uterine inversion.
C. tumor.
D. evisceration. - correct answer✔️✔️D. evisceration.
A 22-year-old male complains of difficulty breathing after being struck in the chest with a pipe. He has a
six-inch bruise over his right axilla. His lung sounds are absent on the right lower chest. His vital signs are
P 122, R 20, BP 88/72, and SpO Subscript 2 is 94% on room air. You should:
A. fully expose him and immobilize him to a long backboard.
B. administer oxygen and keep him warm.
C. place him in the Trendelenburg position.
D. place him on the injured side. - correct answer✔️✔️B. administer oxygen and keep him warm.
A 73-year-old male has a nail impaled in the palm of his hand near the base of his thumb. He tells you he
was using a nail gun and it ricocheted off the wood into his hand. He can move all his digits and does not
have any neurological or circulatory deficits. You should:
A. splint his hand.
B. apply a cold pack.
C. remove the nail and apply an adhesive dressing.
D. stabilize the nail with a bulky dressing. - correct answer✔️✔️D. stabilize the nail with a bulky dressing.
A 75-year-old female complains of burning pain in her arms. She was working in her garden and spilled a
dry powder on them. After you remove the powder, you observe circumferential blistered and mottled
skin of both her forearms and hands. What percentage of her Total Body Surface Area should you
estimate is burned?
A. 9
, B. 13.5
C. 4.5
D. 18 - correct answer✔️✔️A. 9
A 9-year-old female was struck by a car while she was riding her bicycle. She complains of pain in her left
forearm, right shoulder, and abdomen. Her skin is pale and cool. Her right shoulder appears uninjured.
You observe an angulated injury to her forearm, and distal pulses are present. She has an abrasion to
her right upper abdominal quadrant, and the pain increases with palpation. You should perform spinal
motion restriction,
A. splint her left arm in the position found, and apply a cold pack.
B. administer oxygen, and transport immediately.
C. splint her left arm, and apply a sling to her right arm.
D. gently realign her left arm into the position of function, and apply a splint. - correct answer✔️✔️B.
administer oxygen, and transport immediately.
A 36-year-old female was struck by a car and thrown eight feet. She complains of pain in her left hip,
and her leg is externally rotated. When you press on her iliac crests, she complains of increased pain,
and you feel instability. You should suspect a(n):
A. femur fracture.
B. posterior femur dislocation.
C. anterior femur dislocation.
D. pelvic fracture. - correct answer✔️✔️D. pelvic fracture.
An unresponsive 21-year-old male was shot in the left upper abdominal quadrant. His skin is pale and
diaphoretic. You auscultate clear lung sounds, and his neck veins are flat. His vital signs are P 116, R 20,
BP 100/72, and SpO Subscript 2 is 92% on room air. What type of shock should you suspect?
A. Distributive
B. Intrinsic Cardiogenic
C. Hemorrhagic
