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Questions and Answers
What condition should you suspect in a 30-year-old female with redness, inflammation, and pain to her left eye?
conjunctivitis
What should you do if a 4-year-old female has a peanut lodged in the external auditory canal of her right ear?
transport her to the emergency department
What is the appropriate action for a 52-year-old female who struck her face in a collision and has dislodged teeth?
fully immobilize her spine, attempt to locate the dislodged teeth, suction as needed, and transport
What intervention will MOST likely improve the chance of survival for a 6-year-old female with difficulty breathing and facial cyanosis?
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What should you do if a factory worker was splashed in the eyes with a strong acid chemical but your ambulance does not carry sterile saline or water?
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What is the MOST effective way to control bleeding from soft-tissue injuries to the face?
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What condition is consistent with severe headache and decreased ability to move eyes following blunt trauma to the face in a 21-year-old male?
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If your patient swallows blood following facial trauma, there is an increased risk of ________.
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What should EMTs be aware of with significant facial trauma?
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What is the Adam's apple?
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What is the MOST significant complication associated with facial injuries?
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Where can the superficial temporal artery be palpated?
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What are the upper jawbones called?
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What happens when a light is shone into the pupil?
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What should the EMT's immediate priority be when caring for a patient with an open facial injury?
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When performing a full body scan, you should assess for ________.
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Which statement regarding anterior nosebleeds is correct?
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Which statement regarding the vitreous humor is correct?
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When assessing a 59-year-old male with unequal pupils, what is the MOST pertinent question?
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Why is it important to be descriptive when transporting a patient with a facial injury?
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Study Notes
Conjunctivitis and Eye Injuries
- Conjunctivitis is characterized by redness, inflammation, and pain in the eye.
- Early recognition is crucial, especially if the patient has difficulty keeping her eyes open.
Ear Blockage
- A peanut lodged in the external auditory canal of a child requires emergency transportation to the hospital.
Facial Trauma
- A facial impact can lead to dislodged teeth, swelling, and hemorrhaging.
- Spine immobilization is essential, alongside suctioning and transporting the patient to appropriate medical facilities.
Airway Management in Neck Injuries
- In instances of throat trauma and breathing difficulty, rapid transport to the hospital is critical for survival.
Chemical Eye Injuries
- In cases of strong acid exposure to the eyes, continuous irrigation with plain water for 20 minutes is necessary when saline is unavailable.
Facial Soft-Tissue Bleeding
- Direct pressure using dry, sterile dressings is the most effective method to control bleeding from facial injuries.
Blowout Fracture Symptoms
- Severe headache and difficulty moving the eyes post-blunt facial trauma typically indicate a blowout fracture.
Risks of Swallowing Blood
- Patients who swallow blood after facial trauma are at increased risk of vomiting.
Spinal Injury Concerns
- Significant facial trauma raises suspicion for possible spinal column injuries.
Anatomy of the Neck
- The Adam's apple is the prominent thyroid cartilage forming the upper part of the larynx.
Airway Compromise
- Airway compromise is the most significant risk associated with facial injuries.
Superficial Temporal Artery Location
- This artery can be palpated just anterior to the tragus of the ear.
Maxillae
- The upper jawbones are medically referred to as maxillae.
Pupil Reaction
- When light is shone into the pupil, it should constrict (become smaller in size).
Safety Precautions with Open Facial Injuries
- EMTs must wear gloves and facial protection when caring for patients with open facial injuries.
Full Body Assessment
- When performing assessments, look for DCAP-BTLS: Deformities, Contusions, Abrasions, Penetrations, Burns, Tenderness, Lacerations, and Swelling.
Anterior Nosebleeds
- Typically originate from the septum area and usually exhibit slow bleeding.
Vitreous Humor
- This clear, jellylike fluid found near the back of the eye cannot be replaced if lost.
Unequal Pupils
- In assessing patients with unequal pupils, inquire about previous eye surgeries to understand potential underlying conditions.
Communication with Medical Facilities
- Providing detailed descriptions of facial injuries during transport is vital, as hospitals may need to consult specialists.
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Description
Test your knowledge on face and neck injuries as covered in EMT Chapter 27. This quiz covers essential topics such as conjunctivitis and foreign objects in the ear. Perfect for EMT students looking to reinforce key concepts.
