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A 30-year-old male, who has been playing softball all day in a hot environment,
complains of weakness and nausea shortly after experiencing a syncopal
episode. Appropriate treatment for this patient includes all of the following,
EXCEPT:
a. giving a salt-containing solution by mouth.
b. moving him to a cooler environment at once.
c. administering oxygen via nonrebreathing mask.
d. placing him in a supine position and elevating his legs. - ANSWER: a. giving
a salt-containing solution by mouth.
You are assessing a 27-year-old woman with a heat-related emergency. Her skin
is flushed, hot, and moist, and her level of consciousness is decreased. After
moving her to a cool environment, managing her airway, and administering
oxygen, you should:
a. gives her ice water to drink.
,b. place her in the recovery position.
c. covers her with wet sheets and fan her.
d. takes her temperature with an axillary probe. – Answer: c. cover her with
wet sheets and fan her.
It is important to remove a drowning victim from the water before
laryngospasm relaxes because:
a. the patient will suffer less airway trauma.
b. the risk of severe hypothermia is lessened.
c. less water will have entered the patient's lungs.
d. you can ventilate the patient with laryngospasm. – Answer: c. less water will
have entered the patient's lungs.
A 13-year-old girl is found floating face down in a swimming pool. Witnesses
tell you that the girl had been practicing diving. After you and your partner
safely enter the water, you should:
a. turns her head to the side and give five back slaps.
b. turns her head to the side and begin rescue breathing.
c. rotates her entire body as a unit and carefully remove her from the pool.
d. rotates the entire upper half of her body as a unit, supporting her head and
neck. – Answered: rotate the entire upper half of her body as a unit, supporting
her head and neck.
,Shortly after ascending rapidly to the surface of the water while holding his
breath, a 29-year-old diver begins coughing up pink, frothy sputum and
complains of dyspnea and chest pain. You should suspect and treat this patient
for:
a. an air embolism.
b. a pneumothorax.
c. pneumomediastinum.
d. decompression sickness. - ANSWER: a. an air embolism.
Three ambulances respond to a golf course where a group of six golfers were
struck by lightning. Two of the golfers are conscious and alert with superficial
skin burns (Group 1). The next two golfers have minor fractures and appear
confused (Group 2). The last two golfers are in cardiac arrest (Group 3).
According to reverse triage, which group of golfers should be treated FIRST?
a. Group 1
b. Group 2
c. Group 3
d. Groups 1 and 2; Group 3 should be tagged as deceased. - Answer. Group 3
A driver involved in a rollover motor vehicle crash will MOST likely experience
serious injuries or death if he or she:
, a. is wearing only a lap belt
b. experienced multiple impacts
c. remains within the vehicle
d. is ejected or partially ejected – Answered: is ejected or partially ejected
According to the American College of Surgeons Committee on Trauma (ACS-
COT), an adult trauma patient should be transported to the highest level of
trauma center is he or she:
a. was involved in a motor vehicle crash in which another patient in the same
vehicle was killed.
b. has a bleeding disorder or takes anticoagulant medications and has any blunt
or penetrating injury.
c. has a systolic blood pressure of less than 110 mm Hg or a heart rate greater
than 110 beats/min.
d. has a GCS score of less than or equal to 13 with a mechanism attributed to
trauma. – Answered: has a GCS score of less than or equal to 13 with a
mechanism attributed to trauma.
Airbags are designed to: