EMT Medical and Trauma Scenarios
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EMT Medical and Trauma Scenarios

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@FairDaffodil

Questions and Answers

What is the medical assessment scenario when a patient has recovered consciousness after fainting?

  • Basic Medical Assessment (correct)
  • Bleeding Control
  • Medical Patient with Abdominal Pain
  • Basic Trauma Assessment
  • What should the vital signs be in the scenario of an unconscious patient during a 'man down' call?

  • BP: 94/50, P: 110, R: 24
  • BP: 120/80, P: 80, R: 16
  • BP: 100/60, P: 90, R: 26 (correct)
  • BP: 90/50, P: 112, R: 30
  • What assessment should be made for a patient complaining of abdominal pain?

  • Medical Patient with Abdominal Pain (correct)
  • Gunshot Wound to Thigh
  • Fractured Clavicle
  • Adult Cardiac Arrest
  • What is the primary concern when responding to a victim of an assault?

    <p>Bleeding Control</p> Signup and view all the answers

    The patient in cardiac arrest is unresponsive for approximately _ minutes.

    <p>10</p> Signup and view all the answers

    Which of the following vital signs indicates respiratory distress for a child?

    <p>BP: 90/50, P: 130, R: 40</p> Signup and view all the answers

    In the scenario of a gunshot wound to the thigh, what is the patient's vital sign?

    <p>BP: 100/60, P: 120, R: 26</p> Signup and view all the answers

    Match the medical scenarios to their definitions:

    <p>Gunshot Wound to Chest = Patient has been shot and requires assessment and treatment. Fractured Clavicle = Patient fell while rollerblading and has bruising over clavicle. Anaphylaxis, with Epinephrine Autoinjector = Patient suffers from a bee sting and needs assistance with an autoinjector. Overdose Patient = Patient appears shocky and is unresponsive.</p> Signup and view all the answers

    What is the patient's appearance in a scenario involving chest pain with no medications?

    <p>Pale and diaphoretic</p> Signup and view all the answers

    The patient who suffered from a motorcycle crash with multiple trauma is stable and requires immediate transport.

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

    What should be monitored for a patient suffering from chest pain who has a history of angina?

    <p>Pain radiating to left shoulder and neck.</p> Signup and view all the answers

    What is a key indicator of a patient in respiratory distress who has a bronchodilator inhaler?

    <p>Peripheral and perioral cyanosis</p> Signup and view all the answers

    What is an impaled object?

    <p>An object that is penetrated into the body, causing trauma and bleeding.</p> Signup and view all the answers

    What should the patient's appearance be when responding to a trauma patient with an impaled object?

    <p>The patient should appear in shock.</p> Signup and view all the answers

    What vital signs are reported for the trauma patient with an impaled object?

    <p>BP: 110/70, P: 90, R: 24.</p> Signup and view all the answers

    What type of burns are assessed in the scenario of burns of the upper extremity?

    <p>2nd and 3rd degree burns.</p> Signup and view all the answers

    What significant information about the patient with burns should be noted?

    <p>The patient slipped and fell into a campfire and is in severe pain.</p> Signup and view all the answers

    What are the vital signs for the burned adult?

    <p>BP: 120/84, P: 80, R: 16.</p> Signup and view all the answers

    What should you do for a patient with a possible neck injury?

    <p>Stabilize the cervical spine and perform a log roll.</p> Signup and view all the answers

    What appearance and symptoms does the patient with a neck injury exhibit?

    <p>Patient has pain in neck, cannot feel or move below shoulders, and is lying on side.</p> Signup and view all the answers

    What vital signs are reported for the patient with a possible neck injury?

    <p>BP: 110/60, P: 56, R: 16.</p> Signup and view all the answers

    What should the focus be when responding to a motorcycle/ATV crash?

    <p>Assess and treat a patient wearing a helmet.</p> Signup and view all the answers

    What vital signs are noted for the motorcycle/ATV crash patient?

    <p>BP: 160/80, P: 70, R: 12 and noisy.</p> Signup and view all the answers

    What is the patient's condition who has respiratory difficulty?

    <p>The patient appears ashen gray and has a valid do not resuscitate order.</p> Signup and view all the answers

    What vital signs are associated with the patient having respiratory difficulty?

    <p>BP: 90/50, P: 140, R: 33 and noisy.</p> Signup and view all the answers

    What should you assess for a patient after a SCUBA diving accident?

    <p>Numbness and tingling in arms and legs.</p> Signup and view all the answers

    What vital signs reflect the SCUBA diving accident patient's condition?

    <p>BP: 110/70, P: 80, R: 24.</p> Signup and view all the answers

    What is indicated in a multiple casualty incident following an explosion?

    <p>Begin treatment and implement initial stages of incident command.</p> Signup and view all the answers

    What injuries might be present in a multiple casualty incident from an explosion?

    <p>Cardiac arrest, unconsciousness with compromised airway, severe bleeding, fractures, head injury.</p> Signup and view all the answers

    Study Notes

    Basic Medical and Trauma Assessments

    • Basic Medical Assessment: Patient revived after fainting, alert but anxious, history of cardiovascular disease, vital signs stable, denies pain.
    • Basic Trauma Assessment: Unconscious patient responds to pain, unequal pupils, no breath odors, should be lying on side, vital signs indicate low blood pressure and elevated respiration.

    Abdominal Pain and Bleeding Control

    • Medical Patient with Abdominal Pain: Patient looks shocky, significant pain starting an hour ago, no medications, denies blood in vomit/stools, vital signs show hypotension and tachycardia.
    • Bleeding Control: Assault victim with significant forearm bleeding from a knife cut, being controlled with direct pressure, stable vital signs.

    Cardiac Emergencies and Respiratory Distress

    • Adult Cardiac Arrest: Patient in cardiac arrest for 10 minutes, CPR initiated, signs of vomiting during resuscitation.
    • Sick Child with Respiratory Difficulty: Young child with cyanosis, drooling and tripod positioning, history of upper respiratory infection, unable to intake fluids.

    Trauma Scenarios

    • Gunshot Wound to Thigh: Patient alert but with significant bleeding, stable vascular status distal to the wound, approximately 1 liter of external blood loss.
    • Chest Injuries Following Fall: Visible bruising over ribs, irregular heartbeat, slight denial of pain, point tenderness remains during assessment.

    Other Trauma Situations

    • Fractured Clavicle: Bruising over the clavicle, stable vital signs, alert patient denies other injuries.
    • Conscious Patient with Head Injuries: Assault victim, alert but under the influence of alcohol, no loss of consciousness, denies pain.

    Unresponsive Patients and Critical Injuries

    • Unresponsive Head Injury Patient: Bleeding from ears/nose after assault, unequal pupils, significantly altered vital signs.
    • Pediatric Poisoning: Child with a possible vitamin overdose, stable condition, advised to give activated charcoal.

    Cardiac Pain and Respiratory Assist

    • Cardiac Chest Pain with No Nitroglycerin: Patient reports severe chest pain after several hours, pale and diaphoretic, no previous history of similar pain.
    • Adult Respiratory Distress: Patient with flu symptoms, coughing and difficulty breathing, presenting with diminished lung sounds.

    Advanced Trauma Assessment

    • Fractured Femur and Multiple Trauma: Motorcycle crash with a fractured femur, unstable vital signs indicating severe shock.
    • Gunshot Wound to Chest: Critically injured patient with shock-like symptoms, no breath sounds on one side, urgent intervention required.

    Emergency Care Practices

    • Impaled Object: Shocked patient with an object impaled in the chest, necessary to stabilize for transport.
    • Burns of Upper Extremity: Severe burns from campfire, over both arms and hands, assessing the extent of burn surface area.

    C-Spine Stabilization

    • C-Spine Immobilization, Neurological Deficit: Response to potential neck injury in a high school gym, providing necessary spinal stabilization and documentation.### Card 30: Motorcycle/ATV Crash
    • Patient was involved in a high-speed motorcycle/ATV crash while wearing a helmet.
    • Vital signs indicate elevated blood pressure at 160/80, pulse of 70, and noisy respiration at 12.
    • Patient is unconscious and lying supine with a compromised airway, exhibiting snoring.
    • Scene is confirmed safe for responders.

    Card 31: Patient with Respiratory Difficulty

    • Scenario involves a patient experiencing respiratory difficulties with a 'Do Not Resuscitate' order.
    • Patient is ashen gray in appearance, indicating distress.
    • Vital signs show low blood pressure at 90/50, elevated pulse at 140, and rapid respiration at 33 with noisy airflow.
    • A family member will inform the medical team of the valid DNR on-site.
    • Patient has a documented terminal illness (cancer).

    Card 32: SCUBA Diving Emergency

    • Incident involves a SCUBA diving accident; patient is being assessed after dive-related issues.
    • Vital signs reveal stable blood pressure at 110/70, pulse of 80, and respiratory rate of 24.
    • Patient was on a second dive of the day, having just completed a previous dive an hour prior.
    • Both dives reached a depth of 80 feet, with a rapid ascent occurring after 30 minutes.
    • Patient is experiencing numbness and tingling in limbs and lost consciousness ten minutes before emergency medical technicians arrived.

    Card 33: Multiple Casualty Incident

    • Response to an explosion with five patients already evacuated, scene is considered safe.
    • Initial incident command procedures are being implemented.
    • First patient has suffered cardiac arrest.
    • Second patient is unconscious with a compromised airway, presenting vital signs of BP: 90/50, P: 90, R: 0.
    • Third patient has severe upper extremity bleeding but is controllable; vital signs are BP: 100/60, P: 100, R: 24.
    • Fourth patient has fractures in the femur and forearm; vital signs consist of BP: 120/90, P: 90, R: 20.
    • Fifth patient is exhibiting signs of a head injury with increased intracranial pressure, presenting vital signs of BP: 190/100, P: 50, R: 12.

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    Description

    Test your knowledge on various medical scenarios encountered by EMTs. This quiz covers situations such as fainting patients and includes vital signs assessment. Perfect for EMT students or professionals looking to refresh their skills.

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