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which of the following is a true statement regarding the skins status in the case of a closed chest injury

this skin is not penetrated

which of the the following is a startegy to amintain an occlusive dressings to bloody or diaphoretic skin

manually maintain pressure

some drawbacks to using sterile alunimum foil as an occlusive dressings include

skin lacerations may occur from the sharp edges

which of the following is required in the management of all open soft-tissue injuries?

the use of standard precautions by the EMT

in addtion to lacerations, blunt trauma resulting in a closed chest injury creates the potential for which of the following internal injuries

contusion

you nare dispatched to a 42 year old male who was shot in the abdomen and thrown from a vehicle. the patient is critical and a high-category trauma; however, due to the emch of illness, it is necessary to backboard the patient prior to transport. what is an important assessment before securing the patient

examining the patient for entrance and exit wounds

which of the following is a vascular organ in the abdomen that canproduce blood loss quickly enough to result in life-threatening hemorrhage following high mech of injury blunt trauma

liver

you'are an off duty EMT who encounters a patient sitting behind the wheel of a vehicle that ran off the road along an isolated county road. it appears the patient was unrestrained, or not wearing a seat belt, and struck the steeering wheel with his chest. on assessment, you notice a paradoxical motion to the patient's chest on inspirationand expiration. when you radio for dispatch of an ambulance, which of the following pieces of information would be sure to include

the patient may have a flail chest

which of the folloiwng us BEST describes an evisceration

an open wound of the abdomen from which organ protrude

bleeding from open abdominal injuries initially be controlled with which on of the following techniques

applying direct pressure to the wound

which of the following is NOT an open tissue injury

contusion

a 36 year old male was accidently shot with a nail gun to the chest. you see the nail, which protrudes about 2to 3 centimeters from the thorax, when you visualize the injury site. under which of the following circumstances should you remove a nail from the chest

when respirations is being disrupted or patient is dead

which of the following does produce distended neck veins

traumatic asphyxia, tension pneumothrax, cardiac tamponade

which of the following injuries requires the use of an occlusive dressing

an open wound to the chest, neck, abdomen

which of the following describes the proper application of an occlusive dressing for an open chest wound

tape the dressing securely on 3 sides

which of the following BEST describes an evisceration?

a n open wound of the abdomen from which organ protrude

bleeding from the open abdominal injuries initially be contolled with which on of the following techniques`

appluying direct pressure to the wound

which of the following is NOT an open tissue injury

contusion

you are on ems standby for a boxing tournament. during one of the matches, one of the female boxers delivers a forcible uppercut to the chest of her opponent, who falls down to the ground. the match is declared over on the basis of a TKO. however, the opponent fails to arise following a 1-2 min interval. EMS is summoned to the ring. you find the patient pulseless and bretahing agonal gasps. you suspect which of the following traumatic condtions

commotio cordis

while palpating the radial pulses of a patient who was involved in a motor vehicle crash, you notice a difference in the strength of the pulses bilaterally. this is a finding that you suspect may be associated with

aortic dissection

common signs and symptoms following an injury to a hollow abdominal organ include

irritation and peritonitis

which of the following patients is at greater risk of respiratory failure and should be carefully monitored for ventilatory status thoughout treatment and transport

tension pneumothorax

which of the following types of bandage should NOT be used by the EMT providing wound care

tourniquet

which of the following is a desirable characteristic of dressings used in the prehospital management of most open wounds

sterile

you caring for a 27 year old who has a puncture wound to the right upper chest. the patient was stabbed with a serrated steak knife by his ex girlfriend. you have placed an occlusive dresing to the site and began emergant transport to the closest trauma center. however, while en route the patient begins to complain of increasing shortness of breath. you notice a decrease in ventilatory volume and an increase in toracic diameter. which of the following options would be best to perform next

free a corner or edge of the dressing to release pressure buildup

which of the follwoing is NOT appropriate in caring for a patient with a closed soft tissue injuries and a significant mech of injury

treat for shock for internal injuries, anitcipate vomiting, splint any swollen, deformed extremities

which of the following is true concering lacerations

may be caused by blunt truama, penetrating trauma, may indicate deeper underlying tissue damage

which of the following is of a concern with a puncture wound

the object that remains impaled in the body, stron possiblility of contamination, hidden internal bleeding with minimal external bleeding

which of the following is an accurate definition of a flail chest

a section of the chest wall that is unstabel, leading to breathing problems

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