Chapter 27: Face and Neck Injuries
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Chapter 27: Face and Neck Injuries

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Questions and Answers

The superficial temporal artery can be palpated:

  • Over the mastoid process.
  • Just anterior to the tragus. (correct)
  • At the angle of the jaw.
  • Slightly above the ear.
  • When performing a full body scan, you should assess for ________.

  • OPQRST
  • DCAP-BTLS (correct)
  • AVPU
  • SAMPLE
  • Bleeding from soft-tissue injuries to the face is MOST effectively controlled with:

  • Pressure dressings and chemical ice packs.
  • Digital pressure to an adjacent pulse point.
  • Direct pressure using dry, sterile dressings. (correct)
  • Ice packs and elevation of the patient's head.
  • A 4-year-old female has a peanut lodged in the external auditory canal of her right ear. You should:

    <p>Transport her to the emergency department.</p> Signup and view all the answers

    Which of the following statements regarding anterior nosebleeds is correct?

    <p>They usually originate from the septum area and bleed slowly.</p> Signup and view all the answers

    A 6-year-old female was riding her bicycle and struck a clothesline with her throat. In addition to the appropriate airway management, the intervention that will MOST likely improve her chance of survival is:

    <p>Rapidly transporting her to the hospital.</p> Signup and view all the answers

    When transporting a patient with a facial injury, it is MOST important to be as descriptive as possible with the hospital regarding the patient's injuries because:

    <p>They may need to call a specialist to see the patient.</p> Signup and view all the answers

    Significant trauma to the face should increase the EMT's index of suspicion for a(n):

    <p>Spinal column injury.</p> Signup and view all the answers

    A 30-year-old female presents with redness, inflammation, and pain to her left eye. You should suspect that she is experiencing:

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

    If your patient swallows blood following facial trauma, there is an increased risk of ________.

    <p>Vomiting</p> Signup and view all the answers

    When caring for a patient with an open facial injury, the EMT's immediate priority should be to:

    <p>Wear gloves and facial protection.</p> Signup and view all the answers

    The upper jawbones are called the:

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

    You are assessing a 59-year-old male and note that his pupils are unequal. When obtaining his medical history, it is MOST pertinent to ask him if he:

    <p>Has a history of eye surgeries.</p> Signup and view all the answers

    When a light is shone into the pupil:

    <p>It should become smaller in size.</p> Signup and view all the answers

    Which of the following statements regarding the vitreous humor is correct?

    <p>It is a clear, jellylike fluid near the back of the eye that cannot be replaced if it is lost.</p> Signup and view all the answers

    A 52-year-old unrestrained female struck the steering wheel with her face when her truck collided with another vehicle. You should:

    <p>Fully immobilize her spine, attempt to locate the dislodged teeth, suction as needed, and transport.</p> Signup and view all the answers

    The MOST significant complication associated with facial injuries is:

    <p>Airway compromise.</p> Signup and view all the answers

    A factory worker was splashed in the eyes with a strong acid chemical. You should:

    <p>Irrigate both eyes continuously for 20 minutes with plain water.</p> Signup and view all the answers

    Following blunt trauma to the face, a 21-year-old male complains of a severe headache and decreased ability to move his eyes. This patient's clinical presentation is MOST consistent with:

    <p>A blowout fracture.</p> Signup and view all the answers

    The Adam's apple is:

    <p>The upper part of the larynx that is formed by the thyroid cartilage.</p> Signup and view all the answers

    The optic nerve endings are located within the:

    <p>The retina.</p> Signup and view all the answers

    A 22-year-old male was walking on the beach and had sand blown into his eyes. Treatment should include:

    <p>Irrigating his right eye laterally.</p> Signup and view all the answers

    A patient who is complaining of seeing flashing lights, specks, or 'floaters' in his or her field of vision has MOST likely experienced:

    <p>A detached retina.</p> Signup and view all the answers

    Following direct trauma to the superior aspect of the throat, a young male presents with labored breathing, loss of voice, and subcutaneous emphysema in the soft tissues around his neck. You should suspect a/an:

    <p>Laryngeal fracture.</p> Signup and view all the answers

    Approximately 80% of the eyeball is protected by the:

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

    The mastoid process is located approximately:

    <p>1&quot; posterior to the external opening of the ear.</p> Signup and view all the answers

    Study Notes

    Key Anatomy and Assessment

    • The superficial temporal artery is palpated just anterior to the tragus of the ear.
    • During a full body scan, DCAP-BTLS (Deformities, Contusions, Abrasions, Punctures, Burns, Tenderness, Lacerations, Swelling) should be assessed.
    • The maxillae are the upper jawbones.
    • The mastoid process is located approximately 1 inch posterior to the external ear opening.

    Managing Facial and Neck Injuries

    • Direct pressure using dry, sterile dressings is the most effective method for controlling facial bleeding from soft-tissue injuries.
    • Significant facial trauma raises suspicion for potential spinal column injuries.
    • For patients with facial injuries, detailed descriptions for hospital communication ensure informed care.

    Eye and Ear Injuries

    • Symptoms like redness and inflammation with difficulty keeping the eyes open indicate possible conjunctivitis.
    • When blood is swallowed after facial trauma, there is an increased risk of vomiting.
    • If an object is lodged in the ear canal of a child, immediate transport to the emergency department is crucial.

    Emergency Treatment Protocols

    • In cases of acid splashes to the eyes, continuous irrigation with plain water for at least 20 minutes is necessary.
    • Following blunt trauma with symptoms like a severe headache and limited eye movement suggests a blowout fracture.
    • Patients with labored breathing and subcutaneous emphysema after throat trauma require suspicion of a laryngeal fracture.

    Important Clinical Considerations

    • Inequality of pupils in a conscious patient necessitates a history of eye surgeries or associated symptoms.
    • Light shone into a pupil should cause it to constrict, indicating normal pupil reaction.
    • After facial trauma, airway compromise is the most significant complication to monitor closely.

    Common Observations and Findings

    • Flashing lights or floaters in vision may indicate a detached retina.
    • Children or females struck in the throat may exhibit symptoms of airway distress and cyanosis requiring rapid medical transport.
    • The Adam's apple, formed by the thyroid cartilage, is prominently located at the upper part of the larynx.

    Miscellaneous Information

    • Upwards of 80% of the eyeball's surface is protected by the orbit's bony structure.
    • For eye injuries like sand exposure, lateral irrigation of the affected eye helps alleviate pain and discomfort.

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    Description

    This quiz focuses on key concepts and terminology related to face and neck injuries as covered in Chapter 27. Test your knowledge on the superficial temporal artery, assessment techniques, and soft-tissue injury management. Perfect for medical students or first responders looking to refresh their skills.

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