Chapter 23 - Bleeding Quiz
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Questions and Answers

A fractured femur can result in the loss of ______ or more of blood into the soft tissues of the thigh.

  • 250 mL
  • 500 mL
  • 2 L
  • 1 L (correct)
  • A young male was shot in the abdomen. As you control the external bleeding, your partner should:

  • Apply a non-rebreathing mask.
  • Obtain baseline vital signs.
  • Perform a secondary assessment. (correct)
  • Assist the patient's ventilations. (correct)
  • An infant with a total blood volume of 800 mL would start showing signs of shock when as little as ______ of blood is lost.

  • 50 mL
  • 200 mL
  • 100 mL (correct)
  • 150 mL
  • Bleeding from the nose following head trauma:

    <p>Is usually due to hypertension caused by the head injury.</p> Signup and view all the answers

    Blood stasis, changes in the vessel wall, and certain medications affect the:

    <p>Systolic blood pressure exclusively.</p> Signup and view all the answers

    Circulation of blood within an organ or tissue in adequate amounts to meet the cells' oxygen, nutritional, and waste-removal needs is termed _______.

    <p>Perfusion.</p> Signup and view all the answers

    During transport of a 40-year-old female with acute abdominal pain, you note that she has stopped talking to you and has become extremely diaphoretic. You should:

    <p>Repeat the primary assessment.</p> Signup and view all the answers

    Early signs and symptoms of intra-abdominal bleeding include:

    <p>Bruising only.</p> Signup and view all the answers

    Following blunt trauma to the abdomen, a 21-year-old female complains of left upper quadrant abdominal pain with referred pain to the left shoulder. You should be MOST suspicious of injury to the:

    <p>Spleen.</p> Signup and view all the answers

    Gastrointestinal bleeding should be suspected if a patient presents with:

    <p>Hematuria.</p> Signup and view all the answers

    Hypoperfusion is another name for:

    <p>Shock.</p> Signup and view all the answers

    Hypovolemic shock occurs when:

    <p>The clotting ability of the blood is enhanced.</p> Signup and view all the answers

    If applying a dressing to control the bleeding of a patient's arm, the EMT should ________.

    <p>Apply direct pressure first.</p> Signup and view all the answers

    If direct pressure with a sterile dressing fails to immediately stop severe bleeding from an extremity, you should apply:

    <p>A tourniquet proximal to the injury.</p> Signup and view all the answers

    In which of the following situations would external bleeding be the MOST difficult to control?

    <p>Femoral artery laceration and a blood pressure of 140/90 mm Hg.</p> Signup and view all the answers

    Study Notes

    Blood Loss and Shock

    • A fractured femur can result in the loss of approximately 1 L of blood into the thigh’s soft tissues.
    • An infant with a total blood volume of 800 mL can show signs of shock after losing just 100 mL of blood.
    • Hypoperfusion refers to inadequate blood circulation, synonymous with shock.

    Assessment and Intervention

    • For a patient shot in the abdomen, while controlling external bleeding, assist with ventilations if the patient shows shallow breathing and is semiconscious.
    • In cases of severe abdominal pain during transport, repeat the primary assessment if the patient becomes diaphoretic and stops conversing.
    • Early indications of intra-abdominal bleeding include pain and distention.

    Specific Injuries

    • Bleeding from the nose post-head trauma suggests a skull fracture and should not be stopped.
    • Injury to the spleen is suspected if a patient presents with left upper quadrant pain and shoulder referred pain after blunt abdominal trauma.
    • Gastrointestinal bleeding is suspected if a patient exhibits hematemesis (vomiting blood).

    Clotting and Coagulation

    • Blood stasis, vessel wall changes, and certain medications impair the blood’s ability to clot effectively.
    • Applying direct pressure with a sterile dressing is the first step to control bleeding, covering the entire wound with the dressing.

    Bleeding Control Techniques

    • If direct pressure does not stop severe bleeding from an extremity, apply a tourniquet proximal to the injury.
    • External bleeding from a femoral artery laceration is especially difficult to manage, with a blood pressure of 140/90 mm Hg complicating control.

    Hypovolemic Shock

    • Hypovolemic shock occurs when the body cannot compensate for rapid blood loss, particularly significant when more than 10% of total blood volume is lost.
    • Indications of hypoperfusion and shock include low blood pressure and signs of tissue inadequacy such as cyanosis and hypoxemia.

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    Description

    Test your knowledge on bleeding management with this quiz based on Chapter 23. It covers scenarios such as traumatic injuries and blood loss in emergency situations. Perfect for students studying emergency medicine and first aid.

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