West Coast EMT Block 4 Exam Questions and Answers

1st Degree Burn Tissue Effected? Skin Color/Moisture/Appearance? - ANSWER Superficial Thickness (Only Epidermis) Red Skin No Blisters or burns 2nd Degree Burn Tissue Effected? Skin Color/Moisture/Appearance? - ANSWER Partial Thickness (epidermis and part of dermis) Not subcutaneous tissue Blistered/white to red/ moist and spotted 3rd Degree Burn Tissue Effected? Skin Color/Moisture/Appearance? - ANSWER Full Thickness All skin layers including subcutaneous and beyond Dry/Leathery/white brown or black hemothorax Bleeding? s/s? Transport? - ANSWER pleural space fills with blood s/s: shock decreased breath sounds on affected side rapid transport Rule of 9's adults Head Chest Arms Abdomen Groin Legs - ANSWER Head - 4.5 Chest - 9 Arms - 4.5 Abdomen - 9 Groin - 1 Legs - 9 (this is per side aka front and back) anaphylaxis (anaphylactic shock) S/s - ANSWER Can develop within seconds, mild itching or rash, burning skin, vascular dilation, generalized edema, coma, rapid death cardiogenic shock S/s Pulse/Resp.'s/Blood Pressure? Skin CMT? Mental Status? Right vs Left - ANSWER P-Either R-Tachy BP-Brady and Narrowing Cool Pale and Clammy/ Cyanotic Anxiety to Decreased AMS JVD/peripheral edema = R. Sided Failure Crackles or rales upon auscultation L. Side fail distributive shock S/s Types of? - ANSWER Anaphylactic/Neurogenic/Septic hypovolemic shock S/s Pulse/Resp.'s/Blood Pressure? Skin CMT? Mental Status? Peripheral Pulse? - ANSWER pulse up / resp.'s up / BP down Pale Cool Clammy Anxiety Decreased Mental Status Weak Peripheral Pulse neurogenic shock S/s - ANSWER Bradycardia, low blood pressure, signs of neck injury Types of Obstructive Shock - ANSWER Cardiac Tamponade, Tension Pneumothorax, Pulmonary Embolism psychogenic shock S/s - ANSWER Rapid pulse, normal or low blood pressure septic shock S/s - ANSWER Warm skin, tachycardia, low blood pressure Pneumothorax - ANSWER accumulation of air in pleural space blood in pleural space will be deoxygenated Open Pneumothorax - ANSWER aka open chest wound or sucking chest wound rapidly sealed with occlusive dressing Spontaneous Pneumothorax - ANSWER Structural Weakness weak area