FISDAP Trauma
53 yo F hit by car. Unresponsive w/ deformity to the left femur and pelvic instability. Diminished
lung sounds on L side. You should? -ANS Immobilize long backboard
28 yo M, blunt trauma to R anterior chest. Pale, cool, diaphoretic and responsive to verbal. R 38
and shallow with paradoxical movement. What should you do? -ANS 02 with positive pressure
ventilations
What is the most likely cause of periorbital echymosis? -ANS Basilar skull fracture
30 yo M shot in mid thigh. Bleeding continues after partner applies direct pressure. You should?
-ANS Tourniqet
28 yo PT driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with
copious amount of blood around face. Gurgling and R 4 per min. ANOTHER most appropriate
action? -ANS Jaw thrust without head tilt
M fell while water skiing. Unconsciouse. Suspect? -ANS Head and spine injury
Appropriate care for amputated extremity? -ANS Wrap in dry gauze, seal in plastic bag, and
place in cool water
28 yo pt driving motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with
copious amount of blood around face. Gurgling and R 4 per min. Most appropriate? -ANS
Control bleeding
18 yo M holding right shin after sports related injury. Deformity and swelling; pedal pulse
present. You should? -ANS Apply board splint in position found
Pedestrian hit by car. Pale, cool, and diaphoretic. Oriented to name only and has difficulty
breathing. BP 80/40, P 120, R 28 and shallow. 90% SP02. You should? -ANS BVM
81 yo F helthcare facility fell out of bed. Nurse suspects hip fracture. Which medication should
concern you the most? -ANS Coumadin
You are treating a patient with agonal respirations and gunshot wound to the chest. You notice
an open skull fracture leaking brain matter. There is no radial pulse, you should? -ANS Asses a
carotid pulse and assist ventilations
, a 45 year old male fell asleep outisde while doing yard work. His face and lower legs are bright
red with blisters and painful on examination. You should suspect -ANS Both superficial and
partial thickness burns
a 35 year old patient has fallen and has a deformed right lower leg. The distal extremity is
pulsless and the skin is cool and cyanotic. You should -ANS Realign the injured extremity
You arrive on scene of a car crash. The driver is alert and complaining of severe chest and
abdominal pain. His radial is weak and rapid. Skin is cool, pale, and moist. The patient has a
history of cardiac problems. You should? -ANS Rapidly extricate onto a long spinal board and
transport
47 male shot in back has cool and clammy skin with arm weakness. BP 130/90, P 76, R 24. You
should suspect -ANS Spinal cord injury
Injury that is most likely to require routine assessment and transport -ANS Deformed Wrist Injury
After securing pt on long board, you should immediately assess -ANS PMS
23 yo soccer player was kicked in the chest. He is alert with rapid, shallow R and complains of
chest pain. Pale, cool, and wet. You should? -ANS Non Rebreather
25 yo in R distress after being stabbed in the chest. Blood is bubbling from 2 cm laceration to L
chest wall. Lung sounds diminished on L side. You should? -ANS Apply occlusive dressing
Early signs of decompensated shock? -ANS Low blood pressure
Pt stabbed in RUQ. What organ is injured? -ANS Liver
Pt with chemical burn on eye and is wearing contact lenses. You should? -ANS Remove contact
lenses and administer irrigation solutions
A baseball player was hit by a baseball in the left eye and complains for double vision. What
should you do? -ANS Restrict spinal movement
First concern with conscious pt who received partial thick burns to the face is treating? -ANS
airway problems
22 yo F had an accident on moped. She is lying on ground; breathing well. Still wearing helmet.
You should? -ANS Leave helmet in place while she is stabilized
32 yo M is unconscious after being struck in the head by a baseball bat. Has pulse but breathing
is slow. Minor bleeding from a laceration at the left temple. Partner is maintaining manual
C-spine stabilization. You should? -ANS Measure and apply a rigid c collar
53 yo F hit by car. Unresponsive w/ deformity to the left femur and pelvic instability. Diminished
lung sounds on L side. You should? -ANS Immobilize long backboard
28 yo M, blunt trauma to R anterior chest. Pale, cool, diaphoretic and responsive to verbal. R 38
and shallow with paradoxical movement. What should you do? -ANS 02 with positive pressure
ventilations
What is the most likely cause of periorbital echymosis? -ANS Basilar skull fracture
30 yo M shot in mid thigh. Bleeding continues after partner applies direct pressure. You should?
-ANS Tourniqet
28 yo PT driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with
copious amount of blood around face. Gurgling and R 4 per min. ANOTHER most appropriate
action? -ANS Jaw thrust without head tilt
M fell while water skiing. Unconsciouse. Suspect? -ANS Head and spine injury
Appropriate care for amputated extremity? -ANS Wrap in dry gauze, seal in plastic bag, and
place in cool water
28 yo pt driving motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with
copious amount of blood around face. Gurgling and R 4 per min. Most appropriate? -ANS
Control bleeding
18 yo M holding right shin after sports related injury. Deformity and swelling; pedal pulse
present. You should? -ANS Apply board splint in position found
Pedestrian hit by car. Pale, cool, and diaphoretic. Oriented to name only and has difficulty
breathing. BP 80/40, P 120, R 28 and shallow. 90% SP02. You should? -ANS BVM
81 yo F helthcare facility fell out of bed. Nurse suspects hip fracture. Which medication should
concern you the most? -ANS Coumadin
You are treating a patient with agonal respirations and gunshot wound to the chest. You notice
an open skull fracture leaking brain matter. There is no radial pulse, you should? -ANS Asses a
carotid pulse and assist ventilations
, a 45 year old male fell asleep outisde while doing yard work. His face and lower legs are bright
red with blisters and painful on examination. You should suspect -ANS Both superficial and
partial thickness burns
a 35 year old patient has fallen and has a deformed right lower leg. The distal extremity is
pulsless and the skin is cool and cyanotic. You should -ANS Realign the injured extremity
You arrive on scene of a car crash. The driver is alert and complaining of severe chest and
abdominal pain. His radial is weak and rapid. Skin is cool, pale, and moist. The patient has a
history of cardiac problems. You should? -ANS Rapidly extricate onto a long spinal board and
transport
47 male shot in back has cool and clammy skin with arm weakness. BP 130/90, P 76, R 24. You
should suspect -ANS Spinal cord injury
Injury that is most likely to require routine assessment and transport -ANS Deformed Wrist Injury
After securing pt on long board, you should immediately assess -ANS PMS
23 yo soccer player was kicked in the chest. He is alert with rapid, shallow R and complains of
chest pain. Pale, cool, and wet. You should? -ANS Non Rebreather
25 yo in R distress after being stabbed in the chest. Blood is bubbling from 2 cm laceration to L
chest wall. Lung sounds diminished on L side. You should? -ANS Apply occlusive dressing
Early signs of decompensated shock? -ANS Low blood pressure
Pt stabbed in RUQ. What organ is injured? -ANS Liver
Pt with chemical burn on eye and is wearing contact lenses. You should? -ANS Remove contact
lenses and administer irrigation solutions
A baseball player was hit by a baseball in the left eye and complains for double vision. What
should you do? -ANS Restrict spinal movement
First concern with conscious pt who received partial thick burns to the face is treating? -ANS
airway problems
22 yo F had an accident on moped. She is lying on ground; breathing well. Still wearing helmet.
You should? -ANS Leave helmet in place while she is stabilized
32 yo M is unconscious after being struck in the head by a baseball bat. Has pulse but breathing
is slow. Minor bleeding from a laceration at the left temple. Partner is maintaining manual
C-spine stabilization. You should? -ANS Measure and apply a rigid c collar
