emt final exam

emt final exam You are dispatched to I-84 east bound to a motor vehicle accident with injuries. Upon arrival, you see a 1982 Ford Country Squire that has left the highway and has impacted a group of small trees. There is an elderly couple in the vehicle. The man is hunched over the steering wheel unconscious, and the woman is hysterical screaming, "I told him to put his seat belt on." The man's head and face appear darker than the rest of his body. His eyes are bulging, and he appears to have distended neck veins with broken blood vessels in his face. What should you suspect? - ANSWER Traumatic asphyxia: a medical emergency caused by an intense compression of the thoracic cavity, causing venous back-flow from the right side of the heart into the veins of the neck and the brain. A deer hunter perched on a platform 20 feet above ground, looses his footing and falls from the tree. He has his cell phone with him and manages to call 911. When you arrive, you find that his left leg is bent below the knee at an unusual angle. He is alert and tells you that he never lost consciousness. He has a strong pulse, no bleeding and normal skin color and temperature. After stabilizing the spine, and administering high-flow O2, and treating for potential shock, you should next - ANSWER Check distal CSM, align the extremity to its natural position and splint with an air splint. You are called to the scene of a motor vehicle accident involving a delivery truck and motorcycle. Your general impression of the patient is that he is unconscious. You also notice that he appears to have a serious femur fracture on his right leg. The patient has multiple head trauma, and does not have a patent airway, and needs ventilatory support. What should you consider? - ANSWER Ventilate the patient, collar the patient if possible, secure his entire body to a long spine board, call for an ALS intercept, and transport immediately. You are called to Mr. Happy's Sports Bar where the patient has been shot in the abdomen. The scene is safe, you have determined the mechanism of injury, requested additional help and considered stabilization of the spine. The patient is semi-conscious, is bleeding moderately from the belly, which seems to be controlled by your direct pressure. Your partner gives the patient high-flow O2 and has assured adequate ventilations. He assesses the pulse, skin color and temperature. What is your next move? - ANSWER Identifies the patient's priority and makes the transport decision You have been called to the scene of a motor vehicle accident. Your patient appears stable but is complaining of neck and back pain. There is no external bleeding, but the vehicle is badly damaged indicating a significant mechanism of injury. You decide to secure the patient's spine with a KED. After taking body substance isolation precautions, you direct your partner to place and maintain the patient's head in a neutral in-line position. You assess CSM in each extremity, apply an extrication collar, and position the immobilization device behind the patient. What comes next? - ANSWER Secure the device to the patient's torso.