EMT TRAUMA EXAM FISDAP

EMT TRAUMA EXAM FISDAP A man has a knife impaled at the fourth intercostal space, left sternal border. He is pulseless and not breathing. You should: Remove the knife from the chest An adult was pinned between two vehicles. He is conscious but confused and unable to follow commands. He has bruising on both sides of his anterior chest. He has a weak carotid pulse, no peripheral pulses, clear breath sounds in all fields, and distended neck veins. You should suspect: Pericardial tamponade A patient received a severe steam burn to his hand and wrist. You should: Remove his watch Proper management for an avulsion of the ear includes: Banding in the correct anatomical position A patient has a stab wound to the upper left quadrant. Which organ would most likely be injured? Spleen Your patient has been stabbed in the right upper quadrant. Which organ is the most likely to be injured? Liver An 18 year old male is holding his right shin after a sports-related injury. There is deformity and swelling; pedal pulses are present. You should: Apply a board splint in the position found A 42 year old male has a piece of metal impaled in his lower right leg. He has an obvious open fracture and no pulse in his right foot. What should you do? Stabilize with bulky dressings prior to transport A 47 year old male was shot in the back. He is cool and clammy and has arm weakness. Vital signs are bp 130/90, p 76, r 24. You should suspect: Spinal cord injury A 28 year old male was fleeing from the police and sustained a shallow, 1 centimeter laceration to his forearm while climbing a rusted chain link fence. He is refusing transportation. What should your concern be? Infection A 32 year old male sustained facial trauma after falling from a roof. He has snoring respirations. What should you do? Perform a modified jaw-thrust A 50 year old male has an obviously deformed right lower leg after falling off a roof. As you approach you notice a tear in the skin over the deformity. What should you do? Realign and splint the leg A 53 year old female was hit by a car. She is unresponsive with deformity to the left femur and pelvic instability. She has diminished lung sounds on the left side. You should: Rapidly transport to the nearest emergency room Which of the following trauma patient is suffering from the most severe brain injury? A semi-conscious 34 year old with decerebrate posturing A snowmobile rider was thrown 15 feet from his vehicle. Finger is deformed and his sternum is tender to palpation. He says, "i think i'll be okay", and refuses transport. What should you do? Ask him if you can perform a detail assessment A patient has a 4 inch stick lodged in her eye. You should: Stabilize the stick with gauze, place a paper cup over the affected eye, and dress the unaffected eye. A 32 year old male is unconscious after being struck in the head by a baseball bat. His pulse and breathing are slow and you see minor bleeding from a laceration at his left temple. Your partner is maintaining manual c-spine stabilization. You should: Measure and apply a rigid c-collar A four year old male has suffered an arm amputation during a farming accident. How should you manage the amputation limb? Apply dressing and seal tightly with plastic wrap A patient has diminished breath sounds on one side. Chest rise is unequal. You should suspect: A pneumothorax A 16 year old male complains of extreme pain to his chest. You note his shirt is splashed with battery acid. Vitals are bp 150/100, p 100, r 24. You should: p Remove his shirt and flush skin with water What is the most important factor when a person is struck in the chest with a baseball? The speed of the ball at impact A pedestrian was struck by an automobile. His skin is pale, cool, and diaphoretic. He is oriented to name only and complaining of difficulty breathing. Vital signs are bp 80/40 (low), p 120, r 28 (bordering high) and shallow, spo2 90% (bordering low) you should: Administer oxygen with bag valve mask A 25 year old assault victim is splitting up light pink sputum. He has bright, red blood spurting from a 2 inch laceration to his left forearm, what should you do? Apply direct pressure to the wound