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Prehospital Emergency Care Practice Test: Handing Burns
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Emergency Medical Services (EMS) or EMTs typically provide the following first aid to burn patients at the scene of the injury: Remove heat sources Remove clothing that is burned, covered with chemicals, or constricting Cool the burn with water for up to 30 minutes Wrap the burn in a clean, dry cloth Assess the burn for swelling, color, pain, blisters, capillary refill, bleeding, and overall appearance Elevate burned areas if possible  Here are some other first aid steps for burn patients: Don't apply ice or ice-cold water Blot dry, gently Don't break blisters or remove... Show more
Prehospital Emergency Care Practice Test: Handing Burns
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25 Questions

1. An intoxicated patient has suffered a burn to his left lateral thigh after passing out with his leg touching the side of a kerosene heater. Close examination of the burn reveals tough leathery tissue in the center of the burn, with red skin with blisters surrounding it. Regarding the burn, what would the EMT agree to be true?
2. You have been called for a 44-year-old male who was burned on the right hand and arm after falling against the hot door of an industrial incinerator. When you arrive on the scene, a nurse employed by the company informs you that he sustained a partial-thickness burn. Based on this information, the EMT should expect which characteristics at the burn site?
3. You have arrived on the scene of a large structure fire. Emergency Medical Responders (EMRs) are by the side of a patient who is responsive to verbal stimuli and has significant burns to his body. They report that the patient fell down a flight of stairs while trying to escape and was trapped for several minutes. Their assessment findings include partial- and full-thickness burns to his right arm, right leg, and right side of the face. The EMRs also report that the patient's unburned skin is cool, clammy, and pale, with a delayed capillary refill. His pulse is 144 beats/min, respirations are 22 breaths/min, and blood pressure is 88/50 mmHg. Which instructions would be most appropriate?
4. A 21-year-old male sustained a severe burn to his left leg while working on an industrial furnace. Coworkers immediately doused his flaming pants and removed them. Your primary assessment reveals no threats to the airway, breathing, or circulation. While performing the secondary assessment on his leg, which finding would be most critical?
5. A 27-year-old male fell down a full flight of stairs while escaping his burning apartment. Which assessment finding in this patient should demand your immediate attention?
6. A 24-year-old man was shocked while working on his house's electrical system. Assessment reveals a minor burn to the fingers on his left hand. Aside from being slightly shaky, the patient states he feels fine and does not see the need to be treated further or transported to the hospital. Which statement would you make before allowing him to refuse additional care and transport?
7. A patient has experienced partial- and full-thickness thermal burns to the anterior chest, abdomen, and arms in an industrial accident. Which action would be appropriate in the care of this patient?
8. An intoxicated 28-year-old female has suffered burns to both legs after passing out next to a space heater, which ignited her pants. Emergency Medical Responders have removed her clothing and cooled the burns. Which action is most appropriate in the continued care of this patient?
9. A patient has suffered a superficial burn to the chest, arms, and face after pouring gasoline on a smoldering campfire and accidently inhaling the plume of smoke and fire that erupted suddenly. He is now coughing. Which statement indicates that the EMT is properly caring for him?
10. An industrial worker sustained partial- and full-thickness burns to his right hand after accidentally touching an electric furnace used to incinerate medical waste. Assessment reveals no threats to the airway, breathing, or circulation. Which action would the EMT perform next?
11. Which statement concerning a flash burn is accurate?
12. A male patient was injured when a steam valve opened, causing hot steam to contact his face. Which statement made by the patient would be of most concern to the EMT and require immediate assessment or treatment?
13. An awake but confused patient with a history of diabetes accidentally spilled a pot of hot water on himself while cooking. He has a partial-thickness burn on his right anterior leg. Following an unremarkable primary assessment, which action seems most appropriate?
14. You have been called for a patient who had a large bag of lime powder tear as he was unloading it from a truck. On your arrival, the patient complains of burning to both legs. You note that, aside from the shorts he is wearing, lime dust has covered both legs. Your immediate action would be to:
15. You are assessing a patient who was burned when she dropped a hot iron on her bare foot. Her foot is red and has a small partial-thickness burn to the anterior portion of the foot. When completing the prehospital care report, which mechanism of injury would you document?
16. What is an advantage of the Lund and Browder system of BSA estimation?
17. A 44-year-old electrician has been shocked. He now responds to verbal stimuli with garbled speech. His airway is open and he is breathing poorly at a rate of 8 times per minute. His pulse is slow and irregular. Which action would the EMT perform next?
18. Which layer of the skin contains the larger blood vessels?
19. Which assessment finding would best indicate that a patient has suffered a full-thickness burn to his leg?
20. A patient has been pulled from a house fire. Assessment reveals him to be lethargic with stridorous respirations, minimal chest wall motion, and a rapid but strong radial pulse. Firefighters are dousing his body with water to cool him and ensure he is extinguished. Which action would the EMT perform immediately once the fire on the patient is adequately extinguished with water?
21. Which statement shows that the EMT understands the palm method of estimating the BSA burned?
22. A female who had hot coffee thrown at her has a superficial burn to the right side of her face. After transferring the patient to the hospital emergency department for continued care, a new EMT asks you if the patient will have a permanent scar on her face. Which is your best reply?
23. When triaging multiple burn patients, the EMT would recognize which patient as having the most critical burn?
24. The release of myoglobin into the blood, caused by an electrical burn, can result in failure of:
25. Which statement made by the EMT indicates an understanding of the prehospital calculation of body surface area (BSA) burned?

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