24 Questions
What is the correct technique for estimating the amount of 2nd and 3rd degree burns on a patient?
Rule of Nines
When splinting a suspected finger fracture, what is the recommended type of splint to apply?
Straight, flat, and rigid splint
In treating shock due to a tension pneumothorax, what is the initial recommended course of action?
Performing pleural decompression
When a factory worker has a laceration on his forehead that continues to bleed despite direct pressure, what is the recommended action?
Continue direct pressure and apply additional dressings
Which method can be used for estimating burn surface area, apart from the Rule of Nines?
Palm Rule
What percentage of the body is typically considered burned if a patient has burns on their chest, abdomen, and anterior side of one arm?
22.5%
When a 17-year-old male is struck in the abdomen with a wrench and demonstrates signs of abdominal rigidity and bruising, which quadrant most likely shows these symptoms?
Right upper quadrant
What is the proper management technique for an alert 17-year-old male who sustained an abdominal injury with signs of shock?
Start an IV line for fluid resuscitation
What is the appropriate initial management for a patient with a suspected tension pneumothorax?
Perform needle decompression
In a patient with a suspected flail chest, what is the most immediate concern?
Airway management
What is the recommended treatment for a patient with a suspected hip dislocation?
Attempt gentle traction to reduce the dislocation
During transport of a patient with a suspected femur fracture, which action would be contraindicated?
Assisting the patient to stand up
What is the primary concern when managing a patient with an ankle fracture?
Ensuring adequate circulation distal to the injury
What is the most appropriate initial treatment for a patient with a suspected spinal injury?
Apply a cervical collar and maintain spinal precautions
When assessing a patient with superficial burns using the rule of nines, what percentage of the body surface area is assigned to the genital region?
~4.5%
In treating a finger fracture with a splint, what is the primary goal?
Immobilize the finger completely
Which organ should you suspect injury to in a patient presenting with a narrow complex tachycardia?
Liver
What is the most appropriate first treatment for a patient with narrow complex tachycardia, a respiratory rate of 22, BP 117/68, radial pulse rate of 176, and pink, warm, and dry skin?
Vagal maneuvers
Which pacemaker in the heart has an intrinsic rate of 60-100 beats per minute?
SA Node
Why is epinephrine administered to a patient in cardiac arrest?
Increased blood flow to the heart and brain
Which of the following is NOT a component that affects stroke volume?
Heart Rate
What is a temporary occlusion caused by a coronary artery spasm known as?
Prinzmetal's angina
In a scenario where a 78-year-old male is experiencing chest pain, palpitations, shortness of breath, with pale, cool, and clammy skin, and an ECG showing a narrow complex at a rate of 200, what action should be taken?
Administer adenosine
What treatment should be initiated for shock from tension pneumothorax?
Performing needle decompression
Study Notes
Managing Wounds and Bones
- A 3/4 inch laceration on the forehead that bleeds through dressings despite direct pressure should be managed by continuing direct pressure and applying additional dressings.
Burns
- The Rule of Nines is a quick method for estimating the amount of 2nd and 3rd degree burns covering a patient.
- A 20 year old female with burns on her chest, abdomen, and right arm has 22.5% of her body burned.
Fracture Management
- When splinting a suspected finger fracture, apply a straight, flat, and rigid splint to the finger.
- A contraindication of a traction splint is a pelvic fracture.
Shock Management
- The first sign of shock that usually appears in patients is altered mental status.
- Shock resulting from a tension pneumothorax should be treated with pleural decompression.
Chest Injuries
- An open gunshot wound to the right anterior chest should be treated by applying an occlusive dressing.
- A flail chest occurs when portions of the chest move in the opposite direction when breathing.
Joint Injuries
- A hip dislocation may occur when a person falls and their leg is internally rotated and shortened.
Cardiac Arrest
- Adenosine 6 mg fast IV push is not the most appropriate first treatment for a patient with narrow complex tachycardia.
- Vagal maneuvers are the most appropriate first treatment for a patient with narrow complex tachycardia.
- The SA Node is the pacemaker in the heart with an intrinsic rate of 60-100 beats per minute.
- Epinephrine is administered to a patient in cardiac arrest to increase blood flow to the heart and brain.
Heart Function
- Stroke volume is not a function of heart rate.
- Prinzmetal's angina is a temporary occlusion caused by a coronary artery spasm.
Emergency Response
- A patient with a narrow complex at a rate of 200 should be treated with adenosine.
Test your knowledge on first aid management of a factory worker with a laceration on the forehead and a female with burns on the chest, abdomen, and arm. Determine the correct steps to take in each scenario.
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