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NREMT prep – TRAUMA questions and answers well illustrated.

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NREMT prep – TRAUMA questions and answers well illustrated. How many ribs are there? - correct answers.12 pairs You are on scene with a 24-year-old male who has a large laceration on his posterior lower right leg with active bleeding. The blood is dark in color and is steadily flowing from the wound. What kind of bleeding do you suspect? Life-threatening hemorrhage Arterial bleeding Capillary bleeding Venous bleeding - correct answers.Venous bleeding Answer Explanation Venous bleeding is dark in color and can be slow or fast in flow. Most venous bleeding can be controlled with minimal direct pressure. Arterial bleeding is bright red and spurting. Capillary bleeding is characterized by oozing but may have stopped prior to EMS arrival. You are on scene with a 24-year-old male who has a large laceration on his posterior lower right leg with active bleeding. The blood is bright red and spurting from the wound in regular intervals. What kind of bleeding do you suspect? minor hemorrhage Arterial bleeding Capillary bleeding Venous bleeding - correct answers.Arterial bleeding Answer Explanation Venous bleeding is dark in color and can be slow or fast in flow. Most venous bleeding can be controlled with minimal direct pressure. Arterial bleeding is bright red and spurting. Capillary bleeding is characterized by oozing but may have stopped prior to EMS arrival. You are treating a 4-year-old male with burns to his head, neck, one arm, and anterior/posterior torso. What percentage of body surface area is burned? 63 48 52 73 - correct answers.63 Answer Explanation There are slight differences between adults and children. Using the rule of nines, we give the following percentages: head - 18, anterior torso - 18, posterior torso - 18, each arm - 9. 18+18+18+9 = 63. Using this method, the neck does not get any additional surface area added. As a general rule, what is the maximum amount of traction you should apply to a traction splint? 15 lbs 12 lbs 10 lbs 8 lbs - correct answers.15 lbs Answer Explanation Although local protocols may vary, as a general rule, we apply 10% of the patient's body weight, not exceeding 15 lbs of traction. Although local protocols may vary, as a general rule, we apply __x__% of the patient's body weight, not exceeding 15 lbs of traction. - correct answers.10% Although local protocols may vary, as a general rule, we apply 10% of the patient's body weight, not exceeding 15 lbs of traction. A horse-riding accident results in an abrasion of the clavicle, a contusion of the patella, swelling of the humerus, and a laceration around the orbit. Which of these is the cause for the most concern? Abrasion of the clavicle Contusion of the patella Laceration around the orbit Swelling of the humerus - correct answers.Swelling of the humerus Answer Explanation On this question, we are looking for the greatest life threat. Contusion of the patella is out because a bruise is not life-threatening. An abrasion of the clavicle could be indicative of further injury, but that is reading too much into it. Now we are left with the last two. Swelling of the humerus and laceration around the orbit. Bleeding into the eye is not too concerning, at least from a life-threat standpoint. If it had affected the actual eye, we could give it more consideration, but again, that would be reading too much into it with the information we have. With swelling of the humerus, we are thinking a possible fracture and blood loss into the arm. Although, it is not a life-threat in itself, it is still giving us the most concern out of all of the answers. tension pneumothorax - correct answers.a pneumothorax with rapid accumulation of air in the pleural space causing severely high intrapleural pressures with resultant tension on the heart and great vessels. spontaneous pneumothorax - correct answers.A pneumothorax that occurs when a weak area on the lung ruptures in the absence of major injury, allowing air to leak into the pleural space. Which of the following early signs of shock is easily missed? Decrease in Blood Pressure Narrowing pulse pressures Decrease in respiratory rate and volume Tachycardia - correct answers.Tachycardia

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