Summary EMT FISDAP Trauma Exam Study Guide

Summary EMT FISDAP Trauma Exam Study Guide 53 yo F hit by car. Unresponsive w/ deformity to the left femur and pelvic instability. Diminished lung sounds on L side. You should? Immobilize long backboard 28 yo M, blunt trauma to R anterior chest. Pale, cool, diaphoretic and responsive to verbal. R 38 and shallow with paradoxical movement. What should you do? 02 with positive pressure ventilations What is the most likely cause of periorbital echymosis? Basilar skull fracture 30 yo M shot in mid thigh. Bleeding continues after partner applies direct pressure. You should? Tourniqet 28 yo PT driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with copious amount of blood around face. Gurgling and R 4 per min. ANOTHER most appropriate action? Jaw thrust without head tilt M fell while water skiing. Unconsciouse. Suspect? Head and spine injury Appropriate care for amputated extremity? Wrap in dry gauze, seal in plastic bag, and place in cool water 28 yo pt driving motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with copious amount of blood around face. Gurgling and R 4 per min. Most appropriate? Control bleeding 18 yo M holding right shin after sports related injury. Deformity and swelling; pedal pulse present. You should? Apply board splint in position found Pedestrian hit by car. Pale, cool, and diaphoretic. Oriented to name only and has difficulty breathing. BP 80/40, P 120, R 28 and shallow. 90% SP02. You should? BVM 81 yo F helthcare facility fell out of bed. Nurse suspects hip fracture. Which medication should concern you the most? Coumadin You are treating a patient with agonal respirations and gunshot wound to the chest. You notice an open skull fracture leaking brain matter. There is no radial pulse, you should? Asses a carotid pulse and assist ventilations a 45 year old male fell asleep outisde while doing yard work. His face and lower legs are bright red with blisters and painful on examination. You should suspect Both superficial and partial thickness burns a 35 year old patient has fallen and has a deformed right lower leg. The distal extremity is pulsless and the skin is cool and cyanotic. You should Realign the injured extremity You arrive on scene of a car crash. The driver is alert and complaining of severe chest and abdominal pain. His radial is weak and rapid. Skin is cool, pale, and moist. The patient has a history of cardiac problems. You should? Rapidly extricate onto a long spinal board and transport 47 male shot in back has cool and clammy skin with arm weakness. BP 130/90, P 76, R 24. You should suspect Spinal cord injury Injury that is most likely to require routine assessment and transport Deformed Wrist Injury After securing pt on long board, you should immediately assess PMS 23 yo soccer player was kicked in the chest. He is alert with rapid, shallow R and complains of chest pain. Pale, cool, and wet. You should? Non Rebreather 25 yo in R distress after being stabbed in the chest. Blood is bubbling from 2 cm laceration to L chest wall. Lung sounds diminished on L side. You should? Apply occlusive dressing Early signs of decompensated shock? Low blood pressure Pt stabbed in RUQ. What organ is injured? Liver Pt with chemical burn on eye and is wearing contact lenses. You should? Remove contact lenses and administer irrigation solutions A baseball player was hit by a baseball in the left eye and complains for double vision. What should you do? Restrict spinal movement First concern with conscious pt who received partial thick burns to the face is treating? airway problems 22 yo F had an accident on moped. She is lying on ground; breathing well. Still wearing helmet. You should? Leave helmet in place while she is stabilized 32 yo M is unconscious after being struck in the head by a baseball bat. Has pulse but breathing is slow. Minor bleeding from a laceration at the left temple. Partner is maintaining manual C-spine stabilization. You should? Measure and apply a rigid c collar We have an expert-written solution to this problem! 28 yo M is fleeing from police and sustained 1 cm laceration shallow on forearm while climbing a rusted chain link fence. Refusing transport. What should you be concerned with? Infection Which is an open wound? abrasion Woman struck in face with softball bat. Unconscious. BP 74/50, P 60, R 8. What do you do? Insert an oral airway and admin 02 via BVM 21 yo football player hit from the side and landed head first onto the ground. Was ambulatory on scene and oriented to name only. Refusing transport and care. What should you do? Ask the team coach for assistance Pt is bruising around the eyes and behind ears. What should you suspect? Brasilar skull fracture Pt cut wrist. Wound is bleeding rapidly and is spurting with each heartbeat. Pt most likely severed? Artery Pt presents with pain and bruising to RUQ following motor vehicle collision. You should suspect injury to the? Liver 50 yo M has obvious deformed right lower leg after falling from the roof. You notice a tear in the skin over the deformity. What should you do? Realign and splint the leg 35 yo driver collided into telephone pole and is unconscious and unresponsive with severe bleeding in the mouth. You should? rapid extrication to long spine board