First Aid Quiz: Laceration and Burns Management
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Questions and Answers

What is the correct technique for estimating the amount of 2nd and 3rd degree burns on a patient?

  • Rule of Twelves
  • Rule of Tens
  • Rule of Eighteens
  • Rule of Nines (correct)

When splinting a suspected finger fracture, what is the recommended type of splint to apply?

  • Soft, flexible splint
  • Curved splint
  • Straight, flat, and rigid splint (correct)
  • Air splint

In treating shock due to a tension pneumothorax, what is the initial recommended course of action?

  • Administering a fluid challenge
  • Performing pleural decompression (correct)
  • Performing cricothyrotomy
  • Endotracheal intubation and hyperventilation

When a factory worker has a laceration on his forehead that continues to bleed despite direct pressure, what is the recommended action?

<p>Continue direct pressure and apply additional dressings (C)</p> Signup and view all the answers

Which method can be used for estimating burn surface area, apart from the Rule of Nines?

<p>Palm Rule (D)</p> Signup and view all the answers

What percentage of the body is typically considered burned if a patient has burns on their chest, abdomen, and anterior side of one arm?

<p>22.5% (D)</p> Signup and view all the answers

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?

<p>Right upper quadrant (D)</p> Signup and view all the answers

What is the proper management technique for an alert 17-year-old male who sustained an abdominal injury with signs of shock?

<p>Start an IV line for fluid resuscitation (C)</p> Signup and view all the answers

What is the appropriate initial management for a patient with a suspected tension pneumothorax?

<p>Perform needle decompression (A)</p> Signup and view all the answers

In a patient with a suspected flail chest, what is the most immediate concern?

<p>Airway management (C)</p> Signup and view all the answers

What is the recommended treatment for a patient with a suspected hip dislocation?

<p>Attempt gentle traction to reduce the dislocation (C)</p> Signup and view all the answers

During transport of a patient with a suspected femur fracture, which action would be contraindicated?

<p>Assisting the patient to stand up (B)</p> Signup and view all the answers

What is the primary concern when managing a patient with an ankle fracture?

<p>Ensuring adequate circulation distal to the injury (C)</p> Signup and view all the answers

What is the most appropriate initial treatment for a patient with a suspected spinal injury?

<p>Apply a cervical collar and maintain spinal precautions (B)</p> Signup and view all the answers

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?

<p>~4.5% (B)</p> Signup and view all the answers

In treating a finger fracture with a splint, what is the primary goal?

<p>Immobilize the finger completely (A)</p> Signup and view all the answers

Which organ should you suspect injury to in a patient presenting with a narrow complex tachycardia?

<p>Liver (C)</p> Signup and view all the answers

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?

<p>Vagal maneuvers (A)</p> Signup and view all the answers

Which pacemaker in the heart has an intrinsic rate of 60-100 beats per minute?

<p>SA Node (D)</p> Signup and view all the answers

Why is epinephrine administered to a patient in cardiac arrest?

<p>Increased blood flow to the heart and brain (B)</p> Signup and view all the answers

Which of the following is NOT a component that affects stroke volume?

<p>Heart Rate (D)</p> Signup and view all the answers

What is a temporary occlusion caused by a coronary artery spasm known as?

<p>Prinzmetal's angina (B)</p> Signup and view all the answers

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?

<p>Administer adenosine (C)</p> Signup and view all the answers

What treatment should be initiated for shock from tension pneumothorax?

<p>Performing needle decompression (A)</p> Signup and view all the answers

Flashcards

Rule of Nines

A method used to estimate the percentage of body surface area affected by burns based on anatomical regions assigned specific numerical values.

Straight, Flat, and Rigid Splint

A type of splint used to immobilize a suspected finger fracture, characterized by its straight, flat, and rigid construction.

Pleural Decompression

A procedure to relieve pressure in the chest cavity caused by air trapped between the lung and chest wall, typically performed in cases of tension pneumothorax by inserting a needle into the pleural space.

Direct Pressure

The continuous application of pressure to a wound to control bleeding, often used in conjunction with dressings.

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Palm Rule

A method to estimate the surface area of burns using the size of the patient's palm as a unit of measurement.

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Burn Surface Area

The area of the body that is typically considered burned when the chest, abdomen, and the anterior side of one arm are affected.

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Right Upper Quadrant

The region of the abdomen where symptoms of abdominal rigidity and bruising are most likely to appear after an injury to the abdomen with a wrench.

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IV Line

A medical procedure involving the insertion of an intravenous line to deliver fluids and medications, often used in cases of shock.

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Needle Decompression

A procedure used to quickly relieve pressure caused by trapped air trapped between the lung and the chest wall, often performed in cases of tension pneumothorax.

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Flail Chest

A condition characterized by the instability of a section of the rib cage, often caused by multiple rib fractures, posing a significant threat to breathing.

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Hip Dislocation Reduction

A medical procedure involving the repositioning of a dislocated hip joint, usually done by applying gentle traction to the affected leg.

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Assisting a Patient to Stand Up

Assisting a patient with a suspected femur fracture to stand up during transportation, as this action could potentially worsen the injury.

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Circulation

The crucial aspect in managing an ankle fracture, ensuring blood flow is not compromised below the injury site.

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Cervical Collar

A vital step in the initial treatment of suspected spinal injuries, involving the application of a cervical collar to stabilize the neck and limit further potential damage.

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Genital Region

The percentage of body surface area assigned to the genital region when assessing burns using the Rule of Nines.

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Finger Immobilization

The primary objective when splinting a finger fracture, aiming to keep the injured finger immobile to promote healing and prevent further damage.

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Liver

An organ suspected of being injured in a patient presenting with a narrow complex tachycardia, characterized by a fast heart rate with a narrow QRS complex on an electrocardiogram.

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Vagal Maneuvers

A series of maneuvers aimed at slowing down the heart rate, often used as a first-line treatment for patients with narrow complex tachycardia.

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SA Node

The pacemaker of the heart, responsible for generating the electrical impulses that regulate the heart's rhythm.

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Epinephrine

A medication used to stimulate the heart during cardiac arrest, increasing blood flow to the heart and brain.

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Stroke Volume

The amount of blood pumped out of the heart with each beat, influenced by various factors such as heart rate, contractility, and preload.

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Prinzmetal's Angina

A temporary narrowing or blockage of a coronary artery caused by a spasm, leading to chest pain.

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Adenosine

A medication used to slow down the heart rate in cases of rapid heart rhythms, often used in the treatment of narrow complex tachycardia.

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Needle Decompression

A procedure used to relieve pressure in the chest cavity caused by air trapped between the lung and chest wall, often performed in cases of tension pneumothorax.

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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.

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Description

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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