Podcast
Questions and Answers
What is the most appropriate treatment for a patient with an avulsion to the penis?
What is the most appropriate treatment for a patient with an avulsion to the penis?
Abdominal pain, vomiting, and fever are most likely due to _______.
Abdominal pain, vomiting, and fever are most likely due to _______.
infection
Which of the following is NOT a hollow abdominal organ?
Which of the following is NOT a hollow abdominal organ?
Prompt transport to the hospital is essential because the depth of an open abdominal wound is often difficult to determine.
Prompt transport to the hospital is essential because the depth of an open abdominal wound is often difficult to determine.
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Compression injury is most likely due to which of the following?
Compression injury is most likely due to which of the following?
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Difficulty breathing and a sunken appearance of the anterior abdominal wall is MOST indicative of a ruptured _______.
Difficulty breathing and a sunken appearance of the anterior abdominal wall is MOST indicative of a ruptured _______.
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In pediatric patients, the liver and spleen are _______.
In pediatric patients, the liver and spleen are _______.
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Injuries to the external male genitalia are rarely life-threatening.
Injuries to the external male genitalia are rarely life-threatening.
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Placing a pregnant patient in a supine position during the third trimester of pregnancy _______.
Placing a pregnant patient in a supine position during the third trimester of pregnancy _______.
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When a hollow organ is punctured during a penetrating injury to the abdomen, peritonitis may not develop for several hours.
When a hollow organ is punctured during a penetrating injury to the abdomen, peritonitis may not develop for several hours.
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When a patient stiffens the muscles of the abdomen, it is known as _______.
When a patient stiffens the muscles of the abdomen, it is known as _______.
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When should you visually inspect the external genitalia on your patient?
When should you visually inspect the external genitalia on your patient?
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Which of the following is true regarding injury to the kidneys?
Which of the following is true regarding injury to the kidneys?
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Which of the following organs would MOST likely bleed profusely when injured?
Which of the following organs would MOST likely bleed profusely when injured?
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The protruding organs in cases of abdominal eviscerations should be kept warm and moist.
The protruding organs in cases of abdominal eviscerations should be kept warm and moist.
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During transport of a patient with blunt abdominal trauma who is unstable, after treating the patient appropriately, you should _______.
During transport of a patient with blunt abdominal trauma who is unstable, after treating the patient appropriately, you should _______.
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You should suspect a kidney injury anytime the patient presents with _______.
You should suspect a kidney injury anytime the patient presents with _______.
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Your documentation on a sexual assault victim should _______.
Your documentation on a sexual assault victim should _______.
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What should you do if a sexual assault patient has an impressive amount of blood on her clothes?
What should you do if a sexual assault patient has an impressive amount of blood on her clothes?
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Study Notes
Abdominal and Genitourinary Injuries
- An avulsion to the penis requires applying direct pressure with a dry, sterile dressing to manage bleeding.
- Symptoms like abdominal pain, vomiting, and fever are typically indicative of an infection.
- The spleen is the only solid organ listed among typically hollow abdominal organs.
- Prompt transport to a hospital is critical when dealing with an open abdominal wound due to uncertain depth.
- Compression injuries may result from improperly placed seatbelts.
- Difficulty breathing and a sunken abdomen suggest a ruptured diaphragm.
Pediatric Considerations
- In children, the liver and spleen are proportionally larger than in adults, increasing injury risk during trauma.
- Injuries to the external male genitalia are usually not life-threatening.
Pregnant Patient Care
- Positioning a pregnant woman on her back during the third trimester can reduce blood return to the heart, potentially causing complications.
Abdominal Trauma Assessment
- After a hollow organ puncture, peritonitis may take several hours to manifest.
- Guarding refers to involuntary muscle stiffening in response to abdominal pain.
- Visual inspection of external genitalia should only occur with reported severe pain or injury.
Kidney and Organ Injuries
- Kidney injuries often accompany damage to nearby organs, indicating the need for thorough examination.
- The liver is prone to severe bleeding when injured, making it critical to monitor.
- Eviscerations require that protruding organs remain warm and moist to prevent further complications.
Patient Monitoring and Care
- In cases of blunt abdominal trauma with decreased consciousness and shallow respirations, inserting an airway adjunct and using a bag-valve-mask (BVM) are essential interventions.
- For unstable patients with blunt trauma showing signs of shock, close monitoring and frequent reassessment are crucial during transport.
- A hematoma in the flank region should raise suspicion for kidney injury.
Documentation and Response Protocols
- Documentation for sexual assault cases must remain objective, factual, and precise to maintain integrity and accuracy.
- In managing a conscious sexual assault victim with significant groin bleeding, control external bleeding, administer oxygen, and prepare for immediate transport.
Studying That Suits You
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Description
Test your knowledge on abdominal and genitourinary injuries with this flashcard quiz. Focus on appropriate treatments and assessments for various trauma cases. Perfect for EMT students and professionals looking to reinforce their skills.
