Trauma FISDAP
During a soccer game, an 18-year-old woman injured her knee. Her knee is in a flexed position
and is obviously deformed. What should you do? - ANSmanually stabilize the leg above and
below the knee
A hiker fell 25 feet from a ledge. There is obvious deformity to his thoracic spine and he has a
large laceration on his forehead. His BP is 60/40 mmHg, pulse is 50 beats/min, and respirations
are 26 breaths/min. His face and chest are pale and cool, but his abdomen and lower
extremities are pink and warm. Which of the following BEST describes the pathophysiology of
these findings? - ANSloss of nervous system control over the systemic vasculature
A man was struck in the side of the head with a steel pipe. Blood-tinged fluid is draining from the
ear and bruising appears behind the ear. The MOST appropriate treatment for this patient
includes: - ANSimmobilizing the spine, administering oxygen, and monitoring for vomiting
A man was kicked in the head and chest and stabbed in the abdomen. He is conscious, but
restless, and is coughing up blood. His breathing is rapid and shallow, his skin is cool and pale,
and his pulse is rapid and weak. The EMT should recognize that this patient's signs and
symptoms are MOST likely the result of: - ANSinternal hemorrhage
A woman fell through a large glass window and has a large laceration to her inner arm that is
bleeding profusely. The EMT applies a trauma dressing and direct pressure to the wound, but
the dressing immediately becomes soaked with blood. What should the EMT do next? -
ANSapply a proximal tourniquet and engage it until the bleeding stops
After completing a rapid assessment of a patient with a penetrating chest injury, the EMT tells
her partner that she suspects a pericardial tamponade. Which of the following did the EMT
MOST likely encounter during her assessment? - ANSDistended jugular veins
Assessment of an injured man reveals that he opens his eyes when the EMT speaks to him and
pulls his arm away when the EMT palpates it. He knows his name, but cannot remember what
happened and does not known what day it is. He should be assigned a Glasgow Coma Scale
(GCS) score of: - ANS11
(3 for eye opening, 4 for verbal response, 4 for motor response)
A man's arm was amputated during a car crash. The patient is unresponsive; has rapid, shallow
breathing; and has a rapid, weak pulse. As you and your partner are treating him, other
responders are attempting to locate his severed arm. Which of the following statements
regarding this scenario is correct? - ANSIf the patient's arm has not been recovered by the time
you are ready to transport, you should transport without delay
, Patients with significant closed head injuries often have pupillary abnormalities and: -
ANShypertension
Assessment of a trauma patient reveals paradoxical movement to the left side of his chest. The
patient is conscious, but restless, and is experiencing severe pain. His breathing is rapid and
shallow and his pulse is rapid and weak. The EMT should: - ANSventilate the patient with a
bag-mask device
Following a head injury, a young woman is semiconscious and is bleeding from the nose and left
ear. You should: - ANScover her ear and nose with a loose gauze pad to collect the blood
(bleeding following a head injury Amy contain CSF and indicates a skull fracture; do NOT
attempt to stop the flow of blood. The nasopharyngeal airway is contraindicated in patients with
a possible skull fracture)
Following blunt force trauma to the anterior chest, a man presents with difficulty breathing,
distended jugular veins, absent breath sounds over the left side of the chest, and hypotension.
Which of the following BEST describes the pathophysiology of this patient's injury -
ANSIncreased pressure in the pleural space is compressing the great vessels
A 42-year-old man was ejected from his car after it struck a bridge pillar at a high rate of speed.
You find him in a prone position approximately 50 feet from his car. He is not moving and does
not appear to be breathing. You should: - ANSmanually stabilize his head
(when a trauma patient is found in a prone position, your first action should be to manually
stabilize their head; this action is based on the assumption that the patient has a spinal injury
Following blunt trauma to the chest, a 33-year-old man has shallow, painful breathing. On
assessment, you note that an area to the left side of his chest collapses during inhalation and
bulges during exhalation. These are signs of a/an: - ANSflail chest
A patient is unresponsive with snoring respirations. His arm is amputated just above the elbow
and is bleeding heavily. The EMT should: - ANSapply a proximal tourniquet
A woman struck the steering wheel with her chest when her car collided with a tree. She is
conscious and alert; however, she is tachypneic and diaphoretic and her pulse is rapid and
irregular. What should you do? - ANSadminister oxygen and protect her spine
(based on clinical presentation of rapid, irregular pulse, a myocardial contusion should be
suspected.)
An elderly woman, who was removed from her burning house by firefighters, has full-thickness
burns to approximately 50% of her body. Appropriate treatment for the patient would include: -
ANScovering the burns with dry, sterile dressings and preventing further loss of body heat
During a soccer game, an 18-year-old woman injured her knee. Her knee is in a flexed position
and is obviously deformed. What should you do? - ANSmanually stabilize the leg above and
below the knee
A hiker fell 25 feet from a ledge. There is obvious deformity to his thoracic spine and he has a
large laceration on his forehead. His BP is 60/40 mmHg, pulse is 50 beats/min, and respirations
are 26 breaths/min. His face and chest are pale and cool, but his abdomen and lower
extremities are pink and warm. Which of the following BEST describes the pathophysiology of
these findings? - ANSloss of nervous system control over the systemic vasculature
A man was struck in the side of the head with a steel pipe. Blood-tinged fluid is draining from the
ear and bruising appears behind the ear. The MOST appropriate treatment for this patient
includes: - ANSimmobilizing the spine, administering oxygen, and monitoring for vomiting
A man was kicked in the head and chest and stabbed in the abdomen. He is conscious, but
restless, and is coughing up blood. His breathing is rapid and shallow, his skin is cool and pale,
and his pulse is rapid and weak. The EMT should recognize that this patient's signs and
symptoms are MOST likely the result of: - ANSinternal hemorrhage
A woman fell through a large glass window and has a large laceration to her inner arm that is
bleeding profusely. The EMT applies a trauma dressing and direct pressure to the wound, but
the dressing immediately becomes soaked with blood. What should the EMT do next? -
ANSapply a proximal tourniquet and engage it until the bleeding stops
After completing a rapid assessment of a patient with a penetrating chest injury, the EMT tells
her partner that she suspects a pericardial tamponade. Which of the following did the EMT
MOST likely encounter during her assessment? - ANSDistended jugular veins
Assessment of an injured man reveals that he opens his eyes when the EMT speaks to him and
pulls his arm away when the EMT palpates it. He knows his name, but cannot remember what
happened and does not known what day it is. He should be assigned a Glasgow Coma Scale
(GCS) score of: - ANS11
(3 for eye opening, 4 for verbal response, 4 for motor response)
A man's arm was amputated during a car crash. The patient is unresponsive; has rapid, shallow
breathing; and has a rapid, weak pulse. As you and your partner are treating him, other
responders are attempting to locate his severed arm. Which of the following statements
regarding this scenario is correct? - ANSIf the patient's arm has not been recovered by the time
you are ready to transport, you should transport without delay
, Patients with significant closed head injuries often have pupillary abnormalities and: -
ANShypertension
Assessment of a trauma patient reveals paradoxical movement to the left side of his chest. The
patient is conscious, but restless, and is experiencing severe pain. His breathing is rapid and
shallow and his pulse is rapid and weak. The EMT should: - ANSventilate the patient with a
bag-mask device
Following a head injury, a young woman is semiconscious and is bleeding from the nose and left
ear. You should: - ANScover her ear and nose with a loose gauze pad to collect the blood
(bleeding following a head injury Amy contain CSF and indicates a skull fracture; do NOT
attempt to stop the flow of blood. The nasopharyngeal airway is contraindicated in patients with
a possible skull fracture)
Following blunt force trauma to the anterior chest, a man presents with difficulty breathing,
distended jugular veins, absent breath sounds over the left side of the chest, and hypotension.
Which of the following BEST describes the pathophysiology of this patient's injury -
ANSIncreased pressure in the pleural space is compressing the great vessels
A 42-year-old man was ejected from his car after it struck a bridge pillar at a high rate of speed.
You find him in a prone position approximately 50 feet from his car. He is not moving and does
not appear to be breathing. You should: - ANSmanually stabilize his head
(when a trauma patient is found in a prone position, your first action should be to manually
stabilize their head; this action is based on the assumption that the patient has a spinal injury
Following blunt trauma to the chest, a 33-year-old man has shallow, painful breathing. On
assessment, you note that an area to the left side of his chest collapses during inhalation and
bulges during exhalation. These are signs of a/an: - ANSflail chest
A patient is unresponsive with snoring respirations. His arm is amputated just above the elbow
and is bleeding heavily. The EMT should: - ANSapply a proximal tourniquet
A woman struck the steering wheel with her chest when her car collided with a tree. She is
conscious and alert; however, she is tachypneic and diaphoretic and her pulse is rapid and
irregular. What should you do? - ANSadminister oxygen and protect her spine
(based on clinical presentation of rapid, irregular pulse, a myocardial contusion should be
suspected.)
An elderly woman, who was removed from her burning house by firefighters, has full-thickness
burns to approximately 50% of her body. Appropriate treatment for the patient would include: -
ANScovering the burns with dry, sterile dressings and preventing further loss of body heat
