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29 terms

BMTCP Mod 5 chapter 29

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