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What is the definition of a flail chest? - ✔✔Two or more adjacent ribs
fractured in two or more places
What is the definitive treatment for a flail chest? - ✔✔BVM or CPAP
Name 2 different devices you might use to stabilize a pelvic fracture: -
✔✔1. Sheet splint
2. Commercial pelvic binder
List 5 things that describe a correctly applied dressing for an evisceration
(besides covering the wound/organ). This dressing must be: - ✔✔1. Moist
2. Sterile
3. Non-fibrous
4. Occlusive
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,5. Taped on 4 sides
When should you replace the organs in the abdomen if they are
eviscerated? - ✔✔Never
In what position should you transport a patient with an abdominal
evisceration who does not need SMR? - ✔✔Semi-Fowlers or Supine; Flex
knees/hips
How do you treat a female patient with a bleeding straddle injury? -
✔✔Direct pressure applied externally, and do not pack vagina
For a stable male patient whose hand is clamped inside a small metal vice-
like cylinder, should you attempt to remove the hand from the cylinder
and then treat the injury, or transport the patient with his hand still in the
cylinder and let the ED attempt to remove it? Why? - ✔✔Attempt
removal.longer clamped/crushed -> more edema, more toxin buildup,
more injury
Name 3 things that must be done, and 1 thing that should not be done,
when transporting an amputated body part: - ✔✔1. Do wrap in dry/moist
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,sterile dressing, rinse2. Do place in a plastic bag3. Do keep it cool4. Do not
put directly on ice
Name 2 things that you should do ASAP to treat an open (sucking) chest
wound - ✔✔1. Immediately cover with a gloved hand
2. Apply occlusive dressing taped on 3 sides
Name 4 signs of pericardial tamponade: - ✔✔1. JVD
2. Tachycardia
3. Narrow pulse pressure Hypotension
4. Pulsus paradoxus
What 2 signs let you know a tourniquet is applied appropriately - ✔✔1.
Bleeding stops
2. No distal pulse
List 2 definitive signs that a pneumothorax has just progressed to a tension
pneumothorax - ✔✔1. Hypotension
2. Change in mentation
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, List 5 signs/symptoms of internal bleeding - ✔✔1. Pain Tenderness
2. Hematemesis Hematochezia Melena
3. Increased respiratory rate Increased heart rate Weak/thready pulse
4. Narrow pulse pressure
5. Thirst Skin pale/cool/clammy Pupils dilated/sluggish
What is the minimal time you should irrigate a chemical burn to the eye? -
✔✔20 minutes
How long should you irrigate/cool a thermal burn if found within the first
10 minutes? - ✔✔1-2 minutes
Which 2 bone fractures are considered critical fractures?How much blood
can be lost from each one? - ✔✔Pelvis: entire blood supply
Femur: 1500 mL from each
List the 5 most important factors to consider in determining the severity of
a burn: - ✔✔1. Depth of burn
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Katelyn Whitman, All Rights Reserved © 2025