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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. What is the best description of a topical hemostatic agent?
2. A patient has had part of his right thumb amputated in an industrial accident. Coworkers have retrieved the thumb and wrapped it in a towel. The EMT demonstrates appropriate handling of the amputated part when he:
3. 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?
4. A young female was involved in an altercation and stabbed in the abdomen with an ice pick. After being stabbed, she quickly removed the ice pick. She states that there was not much bleeding but does say it 'stings' quite a bit. Assessment reveals a small puncture wound to the lower right quadrant with some dried blood around the site. Which best describes the primary focus of the EMT in caring for this patient?
5. You are having a difficult time controlling bleeding from a small skin avulsion on a patient's ankle. Which statement made by the patient best explains why control has been difficult to achieve?
6. 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?
7. The EMT is by the side of a young female who was cut while washing dishes. She has a jagged laceration to her left forearm that is bleeding steadily and heavily. When attempting to control the bleeding, the EMT would first:
8. Which statement indicates an understanding of the EMT's prehospital role in caring for the patient in shock secondary to significant soft tissue trauma?
9. When assessing a patient, you note a bruise to his chest. On the prehospital care report, this injury is properly documented as:
10. Which statement shows that the EMT understands the use of a tourniquet in controlling bleeding?
11. 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?
12. A construction worker has a metal rod impaled in his right forearm. Assessment of the injury indicates heavy bleeding from around the impaled object. What should you do first?
13. When performing the primary assessment, which sign or symptom best suggests that the patient is in shock?
14. Which statement about dressings and bandages is true?
15. The EMT's initial concern when treating a patient with a gunshot wound to the chest is:
16. You have arrived at a scene where a young girl tripped while running, and pushed her arms through a plate glass window while falling. She is responsive to painful stimuli and has blood spurting from a large laceration on her right upper arm. Your partner yells for you to immediately apply direct pressure to the laceration to prevent further blood loss, while he works to control the airway. You have yet to apply gloves, but your uniform shirt has long sleeves, and you normally wear prescription glasses. What would you do next?
17. Which clinical finding is most suggestive of a patient who is decompensating?
18. A 66-year-old female patient has been struck by a car. Your assessment reveals gurgling respirations, rapid breathing, and cool, diaphoretic skin. You also observe bruising to the chest and abdomen. What should you do most immediately?
19. You are called for a 2-year-old boy who has a nosebleed. While you are en route to the call, the dispatcher informs you that the patient has hemophilia. As an EMT, you should recognize that:
20. You have just applied a pressure dressing to the leg of a woman who suffered a deep laceration to her calf from a piece of broken glass. What should you do next?
21. Direct pressure has failed to control an arterial bleed on a patient's lower leg caused by an industrial accident. What would the EMT's next action be?
22. What are the three main layers of the skin?
23. 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:
24. Severe external bleeding should be controlled during which phase of the patient assessment?
25. Which statement demonstrates an understanding of shock caused by internal bleeding?

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