STOP THE LEAK!
A 29-year-old has bright-red blood spurting from a deep forearm laceration. Direct pressure has not controlled it. What should the EMT do next?
Apply a tourniquet proximal to the wound
After a motorcycle crash, a patient is anxious, pale, cool, and tachycardic. Blood pressure is 118/76 mm Hg. What is the best interpretation?
What is the patient may be in compensated shock.
A patient has a superficial abrasion contaminated with gravel. After life threats are addressed, what is the best care?
What is irrigate the wound and cover it with a sterile dressing?
A patient has a dry, red, painful sunburn without blisters. How should this burn be classified?
what is superficial burns?
A tourniquet is required for severe lower-leg bleeding. Where should it be placed?
What is proximal to the wound and not over a joint?
A patient has a painful, deformed lower leg with a small open wound and slow bleeding. What should occur before splinting?
What is control bleeding and assess distal neurovascular status?
A patient has a deep groin wound with severe bleeding. The wound is too proximal for a standard extremity tourniquet. What is the best intervention?
What is pack the wound with hemostatic gauze and maintain firm direct pressure.
A trauma patient has weak radial pulses, altered mental status, cool clammy skin, and a blood pressure of 84/50 mm Hg. Which intervention should occur first?
What is managing airway and breathing while controlling major bleeding?
A patient has an open neck wound with bubbling air but no severe external bleeding. What is the best initial dressing?
What is apply an occlusive dressing and closely monitor breathing?
A patient has blistering burns to the entire anterior chest and abdomen. Using the adult rule of nines, what percentage of total body surface area is burned?
What is 18%
After applying a tourniquet, severe bleeding continues. What should the EMT do next?
What is tighten it until bleeding stops; add a second tourniquet proximal to the first if needed?
A patient has a large open chest wound with respiratory distress. What is the best initial treatment?
What is apply an occlusive dressing and reassess breathing?
A patient has an impaled metal fragment in the thigh with steady bleeding around it. Distal circulation is present. What is the best care?
What is stabilize the object and control bleeding around it.
A patient with a suspected pelvic fracture is tachycardic, pale, and restless with no visible bleeding. What is the most likely cause of shock?
What is an occult internal hemorrhage?
A patient’s abdominal organs protrude through an open wound. What is the best management?
What is cover the organs with moist sterile dressings and an occlusive covering?
A patient rescued from a house fire has facial burns, soot around the mouth, hoarseness, and singed nasal hair. What is the EMT’s greatest immediate concern?
What is airway edema and obstruction?
A patient has severe leg bleeding. A bystander placed a narrow improvised cord around the limb, but bleeding continues. What is the best action?
What is replace or supplement it with a properly applied commercial tourniquet?
A trauma patient is pale and confused with a weak radial pulse. A rapidly expanding thigh is noted, but external bleeding is minor. What is the best transport decision?
What is rapidly transport while treating for shock and immobilizing as feasible?
A patient on apixaban has persistent oozing from a scalp laceration after a fall. Mental status is normal. Which finding should most increase the EMT’s concern?
What is the patient takes an anticoagulant.
A patient with a cervical spine injury is hypotensive with warm, dry skin and a pulse of 58. Which type of shock best fits these findings?
What is neurogenic shock?
A patient has a circumferential crush injury to the forearm. The hand becomes pale and cool with a weakening radial pulse. What should the EMT suspect?
What is developing distal neurovascular compromise?
Dry chemical powder is burning a patient’s lower leg. What should the EMT do first?
What is brush off the dry chemical before irrigation?
A patient with a traumatic lower-leg amputation has no active bleeding on arrival. What is the best approach?
What is prepare for immediate hemorrhage control and closely monitor?
A burn patient is shivering after cool-water irrigation. The burn is no longer hot. What should the EMT do?
What is stop cooling, cover the burns, and prevent hypothermia?
A patient has partial traumatic amputation of the lower leg. A tourniquet stops the bleeding, but no distal pulse is present. What should the EMT do?
What is leave the effective tourniquet in place and document the application time.
An older patient taking a beta blocker has abdominal tenderness after a collision. Pulse is 76, blood pressure is 92/60, skin is pale, and mental status is worsening. What is the best conclusion?
What is medication may blunt the expected tachycardia?
A patient’s hand was trapped in industrial machinery for 45 minutes and has just been freed. The hand is swollen and painful, but external bleeding is minimal. What is the highest priority concern?
What is hidden tissue damage and systemic effects of crush injury?
A patient has an electrical burn after contacting a high-voltage line. Entry and exit wounds are small, and the patient feels well. What is the best disposition?
What is transport for significant internal injury and dysrhythmia may be present?
A bleeding-control dressing is saturated. What should the EMT generally do?
What is add dressings over the original and continue firm pressure?
A patient with penetrating abdominal trauma is restless, tachycardic, and pale. Blood pressure is 104/70. Which action is most appropriate?
What is provide rapid transport and treat for compensated hemorrhagic shock?