PHTLS - Post Test, 8th Edition

Pre-hospital providers respond to a male patient lying on the ground after being struck by a high-speed motor vehicle. The patient is ap-neic and pulseless. What is the most appropriate action? - declare the patient dead E.M.S. responds to an adult barista who spilled a cup of hot coffee and sustained partial thickness burns to the abdomen and right leg. The patient ran cool water over the area. What intervention is most appropriate next? - cover the affected area with dry sterile dressings Pre-hospital providers have treated a sucking chest wound with an occlusive dressing. During transport, the patient develops increasing respiratory distress with increased respirations and absent lung sounds [noted on repeat auscultation]. What is the most appropriate next intervention? - remove the occlusive dressing ("burping" the dressing) E.M.S. arrived on scene and finds an emergency medical responder immobilizing a pediatric patient onto a long backboard. They know that the patient's head is in a flexed position. What action is most appropriate? - place padding under the patient's torso What is the most common cause of death from trauma in patients over 75 years of age? - falls What is an early sign of deterioration in a patient with a flail chest? - respiratory rate increase E.M.S. is treating an unrestrained driver of an automobile involved in a high-speed crash who struck his chest against the steering column. Patient has: paradoxical movement of a portion of chest wall; respiratory rate, 16; oxygen saturation, 94%. What is the most appropriate action? - provide supplemental oxygen and observe Pre-hospital providers respond to a 16-year-old male who punched a glass window and sustained a large laceration to his arm that is bleeding heavily. He is restless, diaphoretic and has a weak pulse of 30. What is the most appropriate action? - apply direct pressure In addition to using appropriately sized equipment, frequently re-assessing the patient, employing age-appropriate immobilization techniques; pre-hospital providers should do what, when managing pediatric patients? - preserve body heat