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Questions and Answers
What trauma typically develops in a patient who experiences a lightning strike?
What trauma typically develops in a patient who experiences a lightning strike?
Trauma from air rushing out of and back in to the strike location
Which assessment finding should the EMT investigate further in an intoxicated patient struck by lightning who is conscious but confused?
Which assessment finding should the EMT investigate further in an intoxicated patient struck by lightning who is conscious but confused?
- Irregular heartbeat (correct)
- Mobility
- Pain level
- Consciousness level
What would be your most appropriate reply to a patient asking if she is going to die from a snake bite?
What would be your most appropriate reply to a patient asking if she is going to die from a snake bite?
"While you still need to get checked out, if venom was injected, the signs and symptoms of generalized reaction typically appear very quickly."
Which statement made by your EMT partner requires immediate correction when treating a patient with hypothermia?
Which statement made by your EMT partner requires immediate correction when treating a patient with hypothermia?
What causes heat cramps?
What causes heat cramps?
What should you emphasize in a presentation about cold-related emergencies?
What should you emphasize in a presentation about cold-related emergencies?
What care should be provided for a patient bitten by an insect with tremendous pain and a reddened area?
What care should be provided for a patient bitten by an insect with tremendous pain and a reddened area?
What priority care should the EMT provide for a patient struck by lightning who is in cardiac arrest but has a heartbeat after CPR?
What priority care should the EMT provide for a patient struck by lightning who is in cardiac arrest but has a heartbeat after CPR?
Who is experiencing generalized hypothermia?
Who is experiencing generalized hypothermia?
Which finding would present earliest in a patient with hypothermia?
Which finding would present earliest in a patient with hypothermia?
What does shivering indicate in a cold hunter who has an open airway and is weak?
What does shivering indicate in a cold hunter who has an open airway and is weak?
What is the best response when an EMR finds a patient with Alzheimer's who is not breathing and has no pulse?
What is the best response when an EMR finds a patient with Alzheimer's who is not breathing and has no pulse?
What item should be included in an emergency kit for patients stung or bitten by small marine life?
What item should be included in an emergency kit for patients stung or bitten by small marine life?
The majority of snakebites involve poisonous snakes.
The majority of snakebites involve poisonous snakes.
What condition did a patient with hypothermia displaying confusion and arm pain experience?
What condition did a patient with hypothermia displaying confusion and arm pain experience?
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Study Notes
Lightning Strike and Trauma
- Patients struck by lightning experience brain injury due to high voltage and amperage.
- Trauma from air rushing out of the strike location is a common consequence.
Assessment of Intoxicated Patients
- An intoxicated 24-year-old female patient struck by lightning may present with confusion.
- Irregular heartbeat should be prioritized for further investigation in her assessment.
Snake Bite Responses
- A 44-year-old female bitten by a snake should be reassured that if venom injected, generalized symptoms typically appear quickly.
- Recognizing puncture wounds and swelling is vital in the assessment following a snake bite.
Hypothermia Treatment Insights
- Immediate rewarming of a hypothermic patient should not exceed 1-2°F per hour, contrary to incorrect statements of 2-3°F.
- Emergency responders are crucial in the first 30 minutes of care for hypothermic patients.
Insect Bites Management
- For insect stings, applying a cold pack to the affected area can help alleviate pain and swelling.
CPR and Unresponsive Patients
- In cases of lightning strikes where patients are in cardiac arrest, performing the jaw-thrust maneuver is necessary to ensure airway management.
Identifying Hypothermia
- Generalized hypothermia can be recognized in a 21-year-old female rescued after being trapped in cold water for 10 minutes.
- Shivering is one of the earliest indicators of hypothermia, signaling the body's attempt to generate heat.
Assessing Confused Patients
- For a conscious but confused patient with a weak radial pulse, cold skin, and shivering, recognize shivering as a protective response against cold.
- A thorough re-assessment for breathing and pulse is crucial for patients who are unresponsive or potentially in critical condition.
Emergency Kits for Marine Life Stings
- Vinegar should be included in emergency kits for individuals stung or bitten by small marine life, as it can help neutralize toxins.
Snakebite Facts
- A substantial number of snakebites involve nonpoisonous species, highlighting the need for proper identification and assessment during treatment.
Additional Considerations for Hypothermia
- For alert and confused hypothermic patients, localized cold injuries may be present, necessitating careful monitoring and specific care strategies.
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