Trauma FISDAP
What is external hemorrhage?
Bleeding
A 16 year old male complains of severe pain in his upper left quadrant after being hit in the
stomach while playing football. What should you suspect?
a. Lacerated liver
b. Ruptured spleen
c. Pulmonary contusion
d. Bruised ribs
b. Ruptured spleen
The spleen is located in the upper left quadrant. It is a solid organ with two arteries that supply
blood flow. The spleen is dense with blood and the injury has the ability to be life-threatening.
A 46 year old male is only responsive to verbal stimuli after being stabbed. He has an open,
bubbling chest wound. What should you do?
a. Assist ventilations with a bag-valve mask.
b. Apply sterile gauze over the wound.
c. Cover the wound with a gloved hand.
d. Perform pleural chest decompression.
c. Cover the wound with a gloved hand.
You should first cover the open chest wound with a gloved hand to prevent any more air leakage
into the thoracic cavity.
A 43 year old male is unresponsive after being kicked in the chest by a horse. On inhalation a
segment of his chest moves inward. Vital signs are P 130, R 24 and shallow. What should you
do?
a. Stabilize the segment with a bulky dressing.
b. Assist ventilations with a bag-valve mask.
c. Apply high-flow oxygen by non-rebreather mask.
d. Obtain intravascular access.
b. Assist ventilations with a bag-valve mask.
,The initial treatment for a flail segment is providing positive pressure ventilations (PPV). The
chest wall structure has been compromised and they need help breathing to prevent them from
tiring out. Continuous waveform capnography will help assess their ventilations. Analgesics my
help reduce their pain and allow them to breathe easier (follow local protocol).
what are primary blast injury's?
Primary blast injury is caused by the blast wave moving through the body.
what are secondary blast injury's?
Secondary blast injuries are caused by debris that is displaced by the blast wind of the
explosion.
What are tertiary blast injurys?
Tertiary blast injuries are caused when the person in displaced through the air and impacts on
another object by the blast wind, or when a structure collapses and causes injury to the person.
Why are circumferential full thickness burns of an extremity considered so serious?
a. The extremity will begin to utilize anabolic metabolism proximal to the burn site.
b. Blood flow to underlying and distal tissue may become restricted.
c. The patient becomes more susceptible to systemic infection.
d. Even if the extremity heals, it will lose most of its functional ability.
b. Blood flow to underlying and distal tissue may become restricted.
Circumferential full thickness burns can inhibit blood flow and muscle movement. These injuries
need to be monitored for the need of an escharotomy. This surgical procedure allows for tissue
expansion in order to restore local perfusion.
What chemical do muscle cells release after being damaged?
a. Calcium
b. Magnesium
c. Potassium
d. Sodium
c. Potassium
Potassium is the predominated intercellular ion. When muscle cells die they release potassium,
which may lead to rhabdomyolysis.
, An 18 year old male screams in pain and has a large volume of bright, red blood spurting from
his right wrist. What should you do?
a. Apply direct pressure.
b. Apply a tourniquet.
c. Ensure an adequate airway.
d. Apply high-flow oxygen.
a. Apply direct pressure.
Since he is screaming in pain, you know he has a patent airway. Bright, red blood spurting from
his wrist is a life-threatening injury. The first step in bleeding and shock management is to apply
direct pressure.
An altered 24 year old male has an evisceration. In which position should the patient be
transported?
a. Reverse Trendelenburg
b. Supine with knees flexed
c. Left lateral
d. Trendelenburg
b. Supine with knees flexed
Transporting a patient in a supine position with their knees flexed (bent) will help relieve
pressure on the abdomen
A 39 year old female was stabbed with a broken bottle in her left lower quadrant. Her bowels
are protruding from the wound. What should you do?
a. Push the bowels back into the abdomen.
b. Place her supine with her legs elevated.
c. Apply a moist sterile dressing.
d. Cover with a dry bulky dressing.
c. Apply a moist sterile dressing.
You should apply a moist sterile dressing for a bowel evisceration. This will help prevent the
bowels from drying out and being exposed to an unsterile environment.
An unresponsive 31 year old female was found at the bottom of a stairwell. She has blood
draining from her ears and nose and dry vomit on her face. Emergency Medical Responders are
What is external hemorrhage?
Bleeding
A 16 year old male complains of severe pain in his upper left quadrant after being hit in the
stomach while playing football. What should you suspect?
a. Lacerated liver
b. Ruptured spleen
c. Pulmonary contusion
d. Bruised ribs
b. Ruptured spleen
The spleen is located in the upper left quadrant. It is a solid organ with two arteries that supply
blood flow. The spleen is dense with blood and the injury has the ability to be life-threatening.
A 46 year old male is only responsive to verbal stimuli after being stabbed. He has an open,
bubbling chest wound. What should you do?
a. Assist ventilations with a bag-valve mask.
b. Apply sterile gauze over the wound.
c. Cover the wound with a gloved hand.
d. Perform pleural chest decompression.
c. Cover the wound with a gloved hand.
You should first cover the open chest wound with a gloved hand to prevent any more air leakage
into the thoracic cavity.
A 43 year old male is unresponsive after being kicked in the chest by a horse. On inhalation a
segment of his chest moves inward. Vital signs are P 130, R 24 and shallow. What should you
do?
a. Stabilize the segment with a bulky dressing.
b. Assist ventilations with a bag-valve mask.
c. Apply high-flow oxygen by non-rebreather mask.
d. Obtain intravascular access.
b. Assist ventilations with a bag-valve mask.
,The initial treatment for a flail segment is providing positive pressure ventilations (PPV). The
chest wall structure has been compromised and they need help breathing to prevent them from
tiring out. Continuous waveform capnography will help assess their ventilations. Analgesics my
help reduce their pain and allow them to breathe easier (follow local protocol).
what are primary blast injury's?
Primary blast injury is caused by the blast wave moving through the body.
what are secondary blast injury's?
Secondary blast injuries are caused by debris that is displaced by the blast wind of the
explosion.
What are tertiary blast injurys?
Tertiary blast injuries are caused when the person in displaced through the air and impacts on
another object by the blast wind, or when a structure collapses and causes injury to the person.
Why are circumferential full thickness burns of an extremity considered so serious?
a. The extremity will begin to utilize anabolic metabolism proximal to the burn site.
b. Blood flow to underlying and distal tissue may become restricted.
c. The patient becomes more susceptible to systemic infection.
d. Even if the extremity heals, it will lose most of its functional ability.
b. Blood flow to underlying and distal tissue may become restricted.
Circumferential full thickness burns can inhibit blood flow and muscle movement. These injuries
need to be monitored for the need of an escharotomy. This surgical procedure allows for tissue
expansion in order to restore local perfusion.
What chemical do muscle cells release after being damaged?
a. Calcium
b. Magnesium
c. Potassium
d. Sodium
c. Potassium
Potassium is the predominated intercellular ion. When muscle cells die they release potassium,
which may lead to rhabdomyolysis.
, An 18 year old male screams in pain and has a large volume of bright, red blood spurting from
his right wrist. What should you do?
a. Apply direct pressure.
b. Apply a tourniquet.
c. Ensure an adequate airway.
d. Apply high-flow oxygen.
a. Apply direct pressure.
Since he is screaming in pain, you know he has a patent airway. Bright, red blood spurting from
his wrist is a life-threatening injury. The first step in bleeding and shock management is to apply
direct pressure.
An altered 24 year old male has an evisceration. In which position should the patient be
transported?
a. Reverse Trendelenburg
b. Supine with knees flexed
c. Left lateral
d. Trendelenburg
b. Supine with knees flexed
Transporting a patient in a supine position with their knees flexed (bent) will help relieve
pressure on the abdomen
A 39 year old female was stabbed with a broken bottle in her left lower quadrant. Her bowels
are protruding from the wound. What should you do?
a. Push the bowels back into the abdomen.
b. Place her supine with her legs elevated.
c. Apply a moist sterile dressing.
d. Cover with a dry bulky dressing.
c. Apply a moist sterile dressing.
You should apply a moist sterile dressing for a bowel evisceration. This will help prevent the
bowels from drying out and being exposed to an unsterile environment.
An unresponsive 31 year old female was found at the bottom of a stairwell. She has blood
draining from her ears and nose and dry vomit on her face. Emergency Medical Responders are
