Fisdap Paramedic Trauma Review Questions and Answers
with 100% Complete Solutions UPDATED!!!
Assess the patient with tension pneumothorax - ANSWER
Absence of breath sounds on the affected side, on equal chest
rise, pulses paradoxus, tachycardia and dysrhythmias such as
progression to ventricular tachycardia and ventricular
fibrillation, JVD, narrow pulse pressure, and tracheal deviation.
Treatment is needle decompression with a 14 to 16 gauge
catheter at least 2 inches long just above the third rib. After
decompressing treat for shock and breathing compromise.
Calculate total body surface area burned - ANSWER Rule of
nines for adults- Head is nine anterior chest And abdomenis 18,
Back is 18, Arms are nine genitals are one and legs are 18.
Rule of nines for pediatric patients Dash head is 12, anterior
chest and abdomen is 18, Back is 18 arms are nine genital is one
and legs are 16.5 each.
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Rule of nines for infants - - head is 18 anterior chest and
abdomen is 18, Back is 18, arms Are nine, genitals are one, and
legs are 13.5.
The trick to remembering the rule of nines for infants,
pediatrics and adults is to remember that only the head and
legs change. As the head gets smaller in proportion to the body
the legs get bigger. Remember head size as nine for adults 12
for pediatrics and 18 for infants. You can then work out the legs
through process of Elimination.
Categorize burn severity - ANSWER Major burns include - any
burns involving hands, feet, face, major joints, genitalia, or
circumferential burns of other areas. 25% of TBSA If age 10-15
years. 20% of the total body surface area if younger than 10
years or older than 50. Any burns associated with Respiratory
injury. Burns complicated by fractures or trauma. Hi voltage
burns, chemical burns and burns on Patience younger than five
years or older than 55 years that would be classified as
moderate on young adults.
Most burn questions deal with major burns therefore to save
time those are the only ones listed