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Prehospital Emergency Care Practice Test: Handing Bleeding and Soft Tissue Trauma
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Emergency Medical Services (EMS) or EMTs should follow the RICER method for the first 24 to 48 hours after treating a soft tissue injury. RICER stands for Rest, Ice, Compression, Elevation, and Referral. The sooner you treat a soft tissue injury, the greater the chance of a complete recovery.  Here are some general guidelines for treating bleeding wounds: Bleeding: Use a gloved hand and sterile gauze to apply direct pressure to the wound Venous bleeding: Use a latex gloved hand and sterile gauze to apply direct pressure to the wound Lacerations: Use surgical tape or medical adhesive to... Show more
Prehospital Emergency Care Practice Test: Handing Bleeding and Soft Tissue Trauma
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25 Questions

1. A patient was building a bomb in his garage when it accidentally detonated. Assessment findings from the rapid secondary assessment reveal part of the intestines and a portion of the liver protruding from the right side of the abdomen. Proper care of this injury would include:
2. A young man fell down a flight of stairs and is now restless and confused. His airway is open, and he is breathing adequately at 18 times per minute. He has a radial pulse of 102 beats per minute, a blood pressure of 96/78 mmHg, and his skin is cool and diaphoretic. Your next action would be to:
3. Which statement made by the EMT shows an understanding of how an open wound should be bandaged?
4. While cleaning a gun, a 44-year-old man accidentally shot himself in the abdomen. On your arrival at the scene, the patient is responsive to painful stimuli and lying on his side, with his legs drawn to his chest. Blood is evident on his shirt and pants. The vital signs are minimally acceptable and the pulse oximeter reading is 94%. What is the correct sequence of events when caring for this patient?
5. You have been dispatched to a residence where a woman lacerated her arm after falling while holding a drinking glass. She informs you that when she initially cut herself, blood spurted from the wound; then, within a second or two, it subsided to a mere trickle. She asks why this would happen. What is the correct response?
6. Another crew has called for your assistance in extricating an obese male with a nosebleed from a third-floor bedroom. As you enter the room, which observation indicates proper management of the patient's condition?
7. You are called for an 8-year-old boy who has fallen. At the scene, the boy's mother states that her son was running while flying a kite and tripped, striking his face on a rock. Assessment reveals a large reddish-blue lump with intact skin under his left eye. When alerting the hospital emergency department of your arrival, you should inform them that the patient has which type of injury?
8. Assessment findings for a driver who was ejected from his vehicle in a rollover-type collision include unresponsiveness and bruising to the abdominal and pelvic areas, along with an open femur fracture. The patient has an open airway and is breathing at 32 times per minute with absent alveolar breath sounds. His skin is cool and diaphoretic; the radial pulses are weak. Manual cervical spine motion restriction is being maintained. The EMT's next action would be to:
9. Which observations would cause the EMT to classify a patient's soft tissue injury as an abrasion?
10. You are called for a 78-year-old female who fell earlier in the day. As you enter her kitchen, you observe her sitting in a chair with ecchymotic areas to her left cheek and left arm. There also appears to be blood on her pants. She is on home oxygen for COPD and is breathing in a moderately labored manner. The patient states that she fell a few hours ago, and now the pain and swelling in her arm are unbearable. She has also developed significant lower neck pain. What should you do first?
11. Which statement about dressings and bandages is true?
12. Prior to your arrival on the scene of a motorcycle crash, an Emergency Medical Responder contacts you via radio and reports that there is one patient who has an avulsion to her left arm. As a knowledgeable EMT, which kind of injury should you anticipate?
13. A patient has suffered a small but jagged laceration to her left hand. When cleaning the wound, it is important that the EMT:
14. A patient sustained a crush injury after being pinned by a car that fell off jack-stands while the patient was underneath the car working on it. The injury occurred to the left upper quadrant of the abdomen. Assessment shows bruising to that area, with instability noted to the lowest rib. The EMT's highest concern regarding this injury should be:
15. Which clinical finding is most suggestive of a patient who is decompensating?
16. A 24-year-old female was an unrestrained driver of a car that struck a guardrail, causing her to sustain blunt trauma to the chest and abdomen. Vital signs obtained by Emergency Medical Responders are pulse 120 beats/min, respirations 22 breaths/min, blood pressure 100/78 mmHg, and SpO2 96%. As you transport her to the hospital, which finding indicates that the patient is deteriorating?
17. When providing prehospital care to a female patient with a soft-tissue injury, which statement is true?
18. Which statement shows that the EMT understands the use of a tourniquet in controlling bleeding?
19. You are transporting a male patient who was stabbed in the left upper quadrant of the abdomen. On scene, the patient was alert and oriented, with a patent airway and adequate respirations. There was minimal hemorrhage from the stab wound, which was covered with a sterile dressing. Oxygen was applied and transport was initiated. During the reassessment, which assessment finding should the EMT consider to be of the greatest concern?
20. A patient is confused and anxious after falling 20 feet from a ladder onto the grass below. Which clinical finding described is most suggestive of shock?
21. Which statement made by the EMT shows an understanding of dressing and bandaging a wound?
22. A 48-year-old male is in shock from injuries sustained in a motor vehicle collision. Which assessment finding(s) is (are) most suggestive that the patient may have internal bleeding?
23. A man has been bitten in his arm by his dog. He states that the bite occurred several hours earlier, when he accidentally stepped on the dog's paw. When asked, he tells you that the dog is up-to-date on all her shots, including the rabies vaccine. Assessment reveals two small puncture wounds to the hand with some bruising in the surrounding tissue. The patient wants to refuse treatment and transport. Given these assessment findings, what is the primary reason this patient should be seen in the emergency department?
24. A small metal rod was thrown from a metal lathe while it was in operation and is now impaled in a man's inner thigh. Assessment indicates that there is no active bleeding from the site, but the surrounding tissues are ecchymotic. The paramedic asks you to stabilize the rod with bulky dressings. You recognize this action is important because it will:
25. The EMT's initial concern when treating a patient with a gunshot wound to the chest is:

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