Which of the following statements regarding crush syndrome is correct?
A) Tissue damage that occurs in crush syndrome is severe, but kidney injury is unlikely because toxins
are quickly eliminated from the body.
B) With crush syndrome, massive blood vessel damage occurs following severe soft-tissue injuries, such
as amputation of an extremity.
C) Provided that a patient with a crush injury is freed from entrapment within 6 hours, the amount of
tissue damaged is generally minimal.
Correct!
D)Compromised arterial blood flow leads to crush syndrome and can occur when an area of the body is
trapped for longer than 4 hours. - Answers D) Compromised arterial blood flow leads to crush syndrome
and can occur when an area of the body is trapped for longer than 4 hours?
A 56-year-old male has an incomplete avulsion to his right forearm. After controlling any bleeding from
the wound, you should? - Answers replace the avulsed flap to its original position and cover it with a
sterile dressing.
During your assessment of a patient who was shot in the abdomen, you notice a large entrance wound
with multiple small puncture wounds surrounding it. This wound pattern is MOST consistent with a? -
Answers shotgun.
A 39-year-old male was struck in the head by a baseball during a game. He is confused and has slurred
speech. He has a large hematoma in the center of his forehead and cannot remember the events
preceding the injury. After manually stabilizing his head and assessing his airway, you should? - Answers
administer high-flow oxygen
As you approach a young male who was involved in an industrial accident, you note that his eyes are
closed and that he is not moving. You can see several large contusions to his arms, a laceration to his
forehead with minimal bleeding, and a closed deformity to his right leg. You should? - Answers open his
airway and assess his breathing status
When performing a full body scan, you should assess for - Answers DCAP-BTLS
If your patient swallows blood following facial trauma, there is an increased risk of? - Answers vomiting
The MOST significant complication associated with facial injuries is? - Answers airway compromise
When caring for a patient with an open facial injury, the EMT's immediate priority should be to? -
Answers wear gloves and facial protection
,Significant trauma to the face should increase the EMT's index of suspicion for a(n)? - Answers spinal
column injury
You are assessing a 59-year-old male and note that his pupils are unequal. He is conscious and alert.
When obtaining his medical history, it is MOST pertinent to ask him if he? - Answers has a history of eye
surgeries
When transporting a patient with a facial injury, it is MOST important to be as descriptive as possible
with the hospital regarding the patient's injuries because? - Answers they may need to call a specialist to
see the patient
Bleeding from soft-tissue injuries to the face is MOST effectively controlled with? - Answers direct
pressure using dry, sterile dressings
Glasgow Coma Scale (Eyes) - Answers E 4 V 5 M 6
Eyes
4- spontaneous
3- response to voice
2- Response to pain
1- unresponsive
Glasgow Coma Scale (Verbal) - Answers E 4 V 5 M 6
Verbal
5- Oriented, converses normally
4- Confused, disoriented
3- Utters incoherent words
2- Incomprehensible sounds
1- unresponsive
Glasgow Coma Scale (Motor) - Answers E 4 V 5 M 6
Motor
,6- Obeys commands
5- Localizes to painful stimuli
4- Flexion / Withdrawal to painful stimuli
3- Abnormal flexion to painful stimuli (decorticate response)
2- Extension to painful stimuli (decerebrate response)
1- unresponsive
Decorticate response - Answers with elbows, wrists and fingers flexed, and legs extended and rotated
inward
Decerebrate response - Answers the head is arched back, the arms are extended by the sides, and the
legs are extended
A patient has a large accumulation of blood in the sac surrounding the heart. Which type of shock would
this condition cause? - Answers Obstructive
Your patient is involved in a MVA. MVA stands for? - Answers Motor Vehicle Accident
You are caring for a very sick patient who is complaining of chest pain. You have him in your cardiac
monitor showing AF. Suddenly the patient goes into VF, so you attach your AED and shock him. What is
AF, VF, and AED - Answers AF - Atrial fibrillation
VF - Ventricle fibrillation
AED - Automated External Defibrilator
When carrying a patient up or down stairs, you should avoid? - Answers Using a wheeled stretcher
whenever possible
The minimum number of rescuers to lift a patient who weighs 250 lbs or more? - Answers 4
To avoid injury when pushing a patient or object, you should? - Answers Avoid pushing with your elbows
fully extended.
You and your partner enter the residence of an elderly couple, both of whom are found unconscious in
their bed with no evidence of trauma. As you begin your assessment, you and your partner notice the
smell of natural gas. What should you do? - Answers Rapidly remove the patients from the residence
using a blanket or sheets
Situation in which you should use the rapid extrication technique include all of the following EXCEPT?
A) PT who can be properly assessed while still in the vehicle
, B) PT who blocks the access to another seriously injured pt
C) PT who needs immediate care that requires a supine position
D) PT whose condition requires immediate trnasport - Answers A) PT who can be properly assessed
while still in the vehicle
When performing the rapid extrication technique to remove a pt from the vehicle, you should? -
Answers Apply a cervical collar and remove the pt on a long backboard
In which of the situation would a ground lift be the MOST appropriate method of moving a pt?
A) A conscious pt complaining of abdominal pain
B) PT who complains of hip pain following a fall
C) Pedestrian with back pain after being struck by a car
D) Unconscious pt with possible ischemic stroke - Answers A) A conscious pt complaining of abdominal
pain
The extremity lift would NOT be appropriate to use on a pt with? - Answers Any deformed extremities
The direct carry is used to transfer a pt... - Answers From a bed to the ambulance stretcher
The MOST appropriate method to use when moving a pt from a bed to a wheeled stretcher is? -
Answers the draw sheet method
An 81 yr old female fell and struck her head. You find her lying on her left side, conscious and
complaining of neck and upper back pain. As you are assessing her, you note she has a severely kyphotic
spine. How do you immobilize her? - Answers Lever her on her side and use blanket rolls to immobile
her to a long backboard.
In most instances, you should move a pt on a wheeled ambulance stretcher by? - Answers Pushing the
head of the stretcher while your partner guides the foot
An unrestrained pt is sitting in the car after a MVA. He is conscious and alert, has no visible trauma, and
is complaining of neck and back pain. Before removing him, you should? - Answers Apply a cervical collar
and immobilize him with a vest style device
Which of the following statements regarding a scoop stretcher is NOT correct?
A) The construction of the scoop stretcher prohibits X-rays while PT is on it
B)You must fully secure the pt to the scoop stretcher before moving
C) A scoop stretcher will provide adequate immobilization of a pt's spinal column