EMT Chapter 9 Flashcards
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Questions and Answers

A 39-year-old male sustained a stab wound to the groin during an altercation at a bar. As you approach the patient, you note that he is conscious. He is screaming in pain and is attempting to control the bleeding, which is bright red and spurting from his groin area. You should:

  • Ensure that his airway is patent.
  • Elevate his legs and keep him warm.
  • Apply direct pressure to the wound. (correct)
  • Administer 100% supplemental oxygen.

A palpable pulse is created by:

  • The pressure that is caused when venous blood returns to the heart.
  • Electrical conduction in the heart producing ventricular contraction.
  • Pressure waves through the arteries caused by cardiac contraction. (correct)
  • The pressure of circulating blood against the walls of the arteries.

An elderly patient has fallen and hit her head. Your initial care should focus on:

  • Airway, breathing, and circulation. (correct)
  • Gathering medical history data.
  • Obtaining baseline vital signs.
  • Providing immediate transport.

An injured patient is assigned a total score of 9 on the GCS. He is assigned a score of 2 for eye opening, a score of 3 for verbal response, and a score of 4 for motor response. Which of the following clinical findings is consistent with his GCS score?

<p>Opens eyes in response to voice, makes incomprehensible sounds, localizes pain. (D)</p> Signup and view all the answers

During an EMS call, you should take standard precautions:

<p>Before exiting the ambulance and before actual patient contact. (B)</p> Signup and view all the answers

In patients with deeply pigmented skin, changes in color may be apparent only in certain areas, such as the:

<p>Lips or oral mucosa. (A)</p> Signup and view all the answers

Reassessment is performed to determine all of the following, EXCEPT:

<p>The reason why the patient called EMS. (A)</p> Signup and view all the answers

The chief complaint is MOST accurately defined as the:

<p>Most serious thing the patient is concerned about. (C)</p> Signup and view all the answers

The rapid exam of a patient that occurs following the primary assessment should take no longer than:

<p>60 to 90 seconds. (D)</p> Signup and view all the answers

Treatment and transport priorities at the scene of a mass-casualty incident should be determined after:

<p>All the patients have been triaged. (A)</p> Signup and view all the answers

What maneuver should be used to open the airway of an unresponsive patient with suspected trauma?

<p>Jaw-thrust maneuver. (A)</p> Signup and view all the answers

When approaching a 32-year-old male who is complaining of traumatic neck pain, you should:

<p>Stand behind him and immediately stabilize his head. (D)</p> Signup and view all the answers

When you shine a light into one pupil, the normal reaction of the other pupil should be to:

<p>Become smaller. (C)</p> Signup and view all the answers

Which of the following actions would NOT be performed during the scene size-up?

<p>Rapidly assessing a patient's respiratory status. (B)</p> Signup and view all the answers

Which of the following conditions would be LEAST likely to cause an altered level of consciousness?

<p>Poisoning. (B)</p> Signup and view all the answers

Which of the following scenarios does NOT involve the presence of any symptoms?

<p>A 61-year-old female who is unconscious with facial cyanosis. (A)</p> Signup and view all the answers

Which of the following statements regarding the mechanism of injury (MOI) is correct?

<p>The MOI may allow you to predict the severity of a patient's injuries. (D)</p> Signup and view all the answers

Which of the following statements regarding the secondary assessment is correct?

<p>The secondary assessment should focus on a certain area or region of the body as determined by the chief complaint. (D)</p> Signup and view all the answers

You are assessing a 72-year-old man with abdominal pain. The patient is sitting in a chair; he is conscious, alert, and calm. As you are talking to the patient, your partner discreetly directs your attention to a handgun, which is located on a nearby table. You should:

<p>Position yourself in between the patient and the gun and ask your partner to request law enforcement assistance. (C)</p> Signup and view all the answers

You should suspect that a patient is experiencing respiratory failure if he or she:

<p>Has bradycardia and diminished muscle tone. (D)</p> Signup and view all the answers

Flashcards

Stab Wound Management

Apply direct pressure to a stab wound, especially if arterial bleeding is suspected.

Pulse Creation

A palpable pulse arises from pressure waves in arteries due to heart contractions.

Initial Care for Head Injuries

Prioritize airway, breathing, and circulation in patients with head trauma.

Glasgow Coma Scale (GCS)

A GCS score of 9 indicates eye opening to pain, inappropriate verbal responses, and pain withdrawal.

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Standard Precautions

Take precautions for personal safety before entering a scene and making patient contact.

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Skin Assessment in Darker Pigmentations

Skin color changes are best observed in areas like lips and oral mucosa for deeply pigmented skin.

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Reassessment Importance

Reassessments evaluate patient response and identify new problems, not the reason for the EMS call.

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Chief Complaint Definition

The chief complaint is the patient's primary concern and most serious issue.

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Rapid Exam Timeframe

A rapid exam should be conducted within 60 to 90 seconds post-primary assessment.

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Mass-Casualty Incident Protocol

Treatment priorities in mass-casualty incidents are set after triaging all patients.

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Airway Maneuvers for Trauma Patients

Use the jaw-thrust maneuver to open the airway for unresponsive trauma patients.

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Assessing Neck Pain

Stabilize the head of a patient with traumatic neck pain before any movement or assessment.

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Pupil Response

Shining light in one pupil causes the opposite pupil to constrict, showing consensual reflex.

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Scene Size-Up Components

A scene size-up assesses environmental risks and conditions, not detailed evaluations.

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Altered Consciousness Causes

Acute anxiety is a less likely cause of altered consciousness compared to drug overdose or inadequate perfusion.

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Symptomless Scenarios

An unconscious patient with facial cyanosis shows a scenario without self-reported symptoms.

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Mechanism of Injury Understanding

Understanding the mechanism of injury helps predict severity but not specific injuries' locations.

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Secondary Assessment Focus

During the secondary assessment, focus on the area of complaint identified from the chief complaint.

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Gun Presence in Patient Assessments

Position yourself between the patient and any firearm during assessment while calling for law enforcement.

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Indicators of Respiratory Failure

Signs of respiratory failure include bradycardia and diminished muscle tone, needing urgent intervention.

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Study Notes

Stab Wound Management

  • Direct pressure should be applied to the wound in cases of active bleeding, especially when arterial bleeding is suspected.

Pulse Creation

  • A palpable pulse results from pressure waves in arteries caused by cardiac contraction.

Initial Care for Head Injuries

  • Prioritize airway, breathing, and circulation for patients who have experienced head trauma.

Glasgow Coma Scale (GCS) Findings

  • A patient scoring 9 on the GCS may exhibit eye opening in response to pain, inappropriate verbal responses, and withdrawal from pain.

Standard Precautions

  • Always take standard precautions before entering a scene and making patient contact, ensuring personal safety.

Skin Assessment in Darker Pigmentations

  • Changes in skin color can be more clearly observed in areas like the lips or oral mucosa for patients with deeply pigmented skin.

Reassessment Importance

  • Reassessments help to evaluate a patient's response to treatment and identify any new problems but are not for determining the reason for EMS call.

Chief Complaint Definition

  • The chief complaint is the primary concern of the patient, reflecting the most serious issue they face.

Rapid Exam Timeframe

  • The rapid exam following the primary assessment should be completed within 60 to 90 seconds.

Mass-Casualty Incident Protocol

  • Priorities for treatment and transport in mass-casualty incidents are set only after triaging all patients.

Airway Maneuvers for Trauma Patients

  • Use the jaw-thrust maneuver to open the airway for unresponsive patients when trauma is suspected.

Assessing Neck Pain

  • For patients with traumatic neck pain, stabilize their head before any other assessment or movement.

Pupil Response

  • When light is shone in one pupil, the opposite pupil should constrict as part of the consensual reflex.

Scene Size-Up Components

  • A scene size-up involves assessing environmental risks and conditions, not detailed patient respiratory evaluations.

Altered Consciousness Causes

  • Acute anxiety is less likely to cause an altered level of consciousness compared to drug overdose or inadequate perfusion.

Symptomless Scenarios

  • A patient who is unconscious with facial cyanosis exemplifies a scenario without self-reported symptoms.

Mechanism of Injury Understanding

  • The mechanism of injury can help predict potential severity of injuries, but does not guarantee the specific locations of injuries.

Secondary Assessment Focus

  • Focus during the secondary assessment should relate specifically to the area of complaint as discerned from the chief complaint.

Gun Presence in Patient Assessments

  • If a firearm is noted during an assessment, position oneself between the patient and the weapon while requesting law enforcement assistance.

Indicators of Respiratory Failure

  • Signs of respiratory failure may include bradycardia and diminished muscle tone, indicating a critical need for intervention.

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Test your knowledge with these flashcards from EMT Chapter 9. This chapter focuses on trauma care and emergency medical response. Perfect for EMT students looking to reinforce their learning.

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