EMT Trauma Fisdap Exam (Latest 2023/2024) Update Complete Solutions Already Graded A

EMT Trauma Fisdap Exam (Latest 2023/2024) Update Complete Solutions Already Graded A Treatment for a patient with full-thickness burns - ANSWERHigh-flow oxygen; dry, sterile dressings; thermal management (keep patient warm); provide rapid transport What should you do if there is a major hemorrhage in a patient? - ANSWERApply a proximal tourniquet to stop the bleeding immediately. Then turn to patient's airway and breathing status (CAB) subcutaneous emphysema (crepitus) - ANSWERAir escapes into the tissues, dissects fascial planes under the skin and accumulates making areas appear puffy. Slight finger pressure produces a crackling sound and feel. Lightly dot the area tension pneumothorax - ANSWERAir fills the pleural space and progressively collapses the lung. In the process, the vena cavae are compressed and blood return to the heart is reduced (clinically manifesting in JVD as blood backs up into systemic venous system) Hemothorax - ANSWERBlood fills the pleural space. -Breath sounds are decreased or absent on affected side -jugular veins collapse instead of distention due to blood volume being lost into the chest cavity Axial Loading MOI - ANSWERThe spinal column is compressed vertically; injuries after diving head first into shallow water and lumbar spine injuries after a fall from a significant height and landing feet first What does cold, pale skin and an absent distal pulse indicate in a limb? - ANSWERIndicates that blood flow distal to the injury is compromised How do you make one attempt to restore distal circulation? - ANSWERBy applying gentle manual traction in line with the long axis of the limb What can you do to a limb after distal circulation is restored? - ANSWERSplint the limb in whatever position allows the strongest distal pulse, elevate limb above level of the heart to help minimize swelling, and an icepack may also help reduce pain and swelling What is a flail chest? - ANSWEROccurs when several ribs are fractured in more than one place; the result is a free-floating section of ribs (flail segment) that collapses during inhalation and bulges out during exhalation (paradoxical chest movement) What happens as the flail segment (flail chest) collapses? - ANSWERThe lung is compressed and ventilation is impaired. Treatment should include PPV and prompt transport. Injuries or clinical findings that warrant transport to a high level trauma center: - ANSWER-GCS equal or less than 13 after trauma -systolic BP less than 90 mm Hg -Resp. rate less than 10 or greater than 29 breaths/min -need for ventilatory support -all penetrating injuries to the head, neck, torso or extremities proximal to the knee or elbow -chest wall instability or deformity (flail chest) -two or more proximal long bone fractures -a crushed, degloved, mangled or pulseless extremity -amputation proximal to the ankle or wrist