Bleeding & Shock / Soft Tissue Trauma
What is the first step in managing a patient with life-threatening external bleeding?
Apply Direct Pressure to the Wound
Which of the following is a sign of a flail chest segment?
Paradoxical chest movement
Which of the following is a reliable sign of a basilar skull fracture?
Battle Sign's (Bruising behind the ears)
A patient presents with hot, dry skin, altered mental status, and a body temperature of 105°F (40.5°C). What condition is most likely?
Heat stroke
Which of the following is a sign that delivery is imminent?
Crowning and contractions 1-2 minutes apart lasting for 30 seconds to a minute
Which of the following signs is most indicative of hypovolemic shock in a trauma patient?
Restlessness and Tachycardia
A patient has a penetrating chest wound and is developing signs of a tension pneumothorax. What is the most appropriate EMT-level treatment?
Apply an occlusive dressing sealed on three sides
A patient involved in a car crash has a suspected spinal injury. When should spinal motion restriction (SMR) be initiated?
Immediately after the scene is safe and primary assessment is complete
When arriving at the scene of a possible HazMat incident, your FIRST action should be to:
Establish a safe zone and keep a safe distance
You’ve just delivered a newborn. She is not crying, has poor muscle tone, and a heart rate of 80 bpm. What is your immediate next step?
Provide positive pressure ventilation (PPV)
A patient has an abdominal evisceration. What is the appropriate EMT-level treatment?
Cover with a moist sterile dressing and occlusive dressing over it
Which abdominal injury is most likely to cause rapid, life-threatening internal bleeding?
Liver Laceration
What is the most important priority when managing a patient with a suspected traumatic brain injury (TBI)?
Maintain a patent airway and ensure adequate oxygenation
Which of the following best describes the role of the EMT during a hazardous materials incident?
Provide patient care after decontamination
A 7-year-old child is involved in a bike crash. What should be your first consideration during assessment?
Use of the pediatric assessment triangle (PAT)
Which type of bleeding is typically characterized by bright red, spurting blood that corresponds with the pulse?
Arterial
When splinting a painful, deformed extremity with absent distal pulses, you should:
Attempt one realignment to restore circulation before splinting
What is the best indication that a patient is experiencing neurogenic shock?
Warm, flushed skin below the level of injury with bradycardia
During a mass-casualty incident (MCI), what does the START triage system use to categorize patients?
Ability to walk, respiratory effort, perfusion, and mental status
When treating a patient with a hearing impairment, which of the following is the BEST communication technique?
Use hand gestures and facial expressions
You suspect a patient is in compensated shock. Which of the following is an expected finding?
Narrowing pulse pressure and anxiety
What is the primary concern with a pelvic fracture in a trauma patient?
Risk of Severe hemorrhage
A multisystem trauma patient presents with altered mental status, hypotension, and rapid shallow breathing. What is your immediate priority?
Secure the airway and support ventilation
You’re called to assist with a hypothermic patient. Which of the following is appropriate EMT-level care?
Remove wet clothing and insulate the patient with blankets
Which of the following is a common complication associated with geriatric trauma patients?
Delayed signs of shock due to medications or physiology