EMS Chapter 26 Soft-Tissue Injuries

Questions and Answers

What should you be most concerned with in a patient rescued from a burning house with superficial and partial-thickness burns?

the potential for airway swelling.

Common signs and symptoms of an airway burn include all of the following, EXCEPT:

Singed nasal hairs

Chest pressure (correct)

Coughing

Sooty sputum

In order for electricity to flow through the body and cause damage, what must exist?

a complete circuit must exist between the electrical source and the ground.

Functions of the skin include all of the following, EXCEPT:

Production of key antibodies Signup and view all the answers

What should you be most concerned about in a patient with a cold, pale, deformed arm and absent radial pulse after a crushing injury?

compartment syndrome. Signup and view all the answers

Functions of dressings and bandages include all of the following, EXCEPT:

Immobilization of the injury Signup and view all the answers

What is an abdominal evisceration?

occurs when organs protrude through an open wound. Signup and view all the answers

What should you do for a patient who is pulseless and apneic with an impaled steel rod?

control the bleeding, begin CPR, stabilize the steel rod, immobilize his spine, and transport immediately. Signup and view all the answers

Burns are classified according to what criteria?

depth and extent. Signup and view all the answers

Which of the following statements regarding penetrating injuries is correct?

Internal injuries can be very extensive. Signup and view all the answers

What is the MOST significant risk associated with an open soft-tissue injury?

infection. Signup and view all the answers

When treating a partial-thickness burn, what should you avoid?

creams, lotions, or antiseptics. Signup and view all the answers

What percentage of body surface area is burned for a 5-year-old with burns to her head, face, and anterior trunk?

30% Signup and view all the answers

Which of the following statements regarding severe burns is correct?

They are typically a combination of various degrees of burns. Signup and view all the answers

What could indicate significant internal bleeding in a patient with multiple bruises?

the fact that her clinical signs could indicate that she is bleeding internally. Signup and view all the answers

Which is a sign of compartment syndrome?

pain upon passive movement of the injury site. Signup and view all the answers

What should be done for a 22-year-old male with widespread contusions, a rapid weak pulse, and cool clammy skin?

administer oxygen and prepare for rapid transport. Signup and view all the answers

What does the germinal layer of the epidermis contain that affects skin color?

pigment granules. Signup and view all the answers

A hematoma develops when what occurs?

large blood vessels beneath the skin are damaged. Signup and view all the answers

In contrast to animal bites, what does a human bite carry?

a wide variety of virulent bacteria and viruses. Signup and view all the answers

Which part of the skin lies below the germinal cells?

dermis. Signup and view all the answers

Which of the following is NOT a true statement about the skin?

The skin of the very young and very old is thicker than the skin of a younger adult. Signup and view all the answers

Which of the following is NOT considered a type of soft-tissue injury?

A fractured femur Signup and view all the answers

What is an injury that separates various layers of soft tissue so they become either completely detached or hang as a flap?

avulsion. Signup and view all the answers

Study Notes

Soft-Tissue Injuries Overview

Superficial and partial-thickness burns can lead to airway swelling; concern arises with respiratory complications.
Common signs of airway burns exclude chest pressure; primary signs include soot and cough.

Electrical and Crushing Injuries

Electricity requires a complete circuit for bodily harm, highlighting safety in electrical environments.
Crushing injuries may lead to conditions like compartment syndrome, evident through deformity, coldness, and absent pulses.

Burns and Their Classifications

Burns categorized by depth and extent affect treatment strategies.
Superficial and partial-thickness burns encompass significant body surface area, such as 30% in pediatric cases.

Management of Open Wounds

Open soft-tissue injuries heighten infection risks, necessitating prompt care and dressing.
Avoid creams on partial-thickness burns to prevent irritation and complications.

Internal Bleeding and Contusions

Large bruises can indicate internal bleeding, warranting immediate medical attention.
Signs of compartment syndrome include severe pain on passive movement at the injury site.

Skin Anatomy and Function

The germinal layer in the epidermis contains pigment granules affecting skin color; the dermis lies beneath this layer.
Blood vessel damage leads to hematomas, localized swelling from blood accumulation beneath the skin.

Consequences of Bites and Injuries

Human bites pose significant infection risks due to diverse pathogens, contrasting with animal bites.
An avulsion injury results in detachment or flaps of various soft-tissue layers, requiring careful management.

Misconceptions about Skin and Injuries

The skin of very young and very old individuals is actually thinner than that of younger adults.
Not all injuries are soft-tissue; a fractured femur is classified differently, illustrating the importance of precise injury assessment.

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Description

Test your knowledge on soft-tissue injuries with this quiz based on EMS Chapter 26. Focus on burns, airway complications, and assessment techniques critical for emergency response. Perfect for EMT and paramedic students preparing for real-life scenarios.