Questions and Answers
What is the most important consideration when treating a 50-year-old female with severe epistaxis?
the patient is at risk for vomiting and aspiration.
What is another name for hypoperfusion?
Shock.
Which statement regarding blood clotting is correct?
What should the EMT do for a conscious male with a suspected open-book pelvic fracture?
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What is the term for vomited blood?
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In which situation would external bleeding be most difficult to control?
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When does hypovolemic shock occur?
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What should you do when blood begins to saturate a pressure dressing applied to a laceration?
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A fractured femur can result in the loss of ______ or more of blood into the soft tissues of the thigh.
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What is a critical finding during the SAMPLE history phase for a bleeding emergency?
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How is perfusion most accurately defined?
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What is the approximate blood volume of an 80-kg adult male?
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Bleeding from the nose following head trauma is a sign of a skull fracture.
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What should you do for a patient who cut his wrist and is bleeding significantly?
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Which conditions might an EMT suspect as a possible cause for bleeding from the nose and mouth?
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What should you do when using a stick and square knot as a tourniquet for severe bleeding?
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Which part of the cardiovascular system is considered 'a container'?
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Which organs/body systems cannot tolerate lack of blood flow for more than a few minutes?
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What should you do during the transport of a female patient with acute abdominal pain who becomes diaphoretic?
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What is the most appropriate treatment for a male who was kicked in the abdomen multiple times and has significant bruising?
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Study Notes
Epistaxis and Risks
- Severe epistaxis poses a risk of vomiting and aspiration, requiring careful monitoring during treatment.
Shock Definitions
- Hypoperfusion is synonymously referred to as shock, indicating a critical condition due to inadequate blood flow.
Blood Clotting and Medications
- Patients on blood thinners experience slower blood clotting, increasing risks during bleeding emergencies.
Pelvic Fracture Management
- In cases of open-book pelvic fractures, applying a compression device around the pelvis is vital due to potential internal bleeding.
Hematemesis
- The medical term for vomited blood is hematemesis, indicating serious underlying conditions.
Challenging Bleeding Control
- External bleeding control is most difficult with a femoral artery laceration, especially when blood pressure is stable.
Hypovolemic Shock
- Hypovolemic shock occurs when the body cannot cope with rapid blood loss, leading to critical impairment of circulation.
Wound Dressing Protocol
- If blood saturates a pressure dressing, additional dressings should be placed over the wound to manage bleeding effectively.
Blood Loss from Fractures
- A fractured femur can lead to the loss of over 1 liter of blood into thigh tissues.
SAMPLE History Importance
- During the SAMPLE history assessment, it is crucial to note if the patient is on blood-thinning medications, as this can impact treatment decisions.
Definition of Perfusion
- Perfusion is defined as the circulation of blood within an organ, crucial for meeting its metabolic needs.
Average Blood Volume
- An adult male weighing 80 kg has an approximate blood volume of 5.60 liters, which is essential for understanding hemorrhage impacts.
Nosebleeds and Head Trauma
- Bleeding from the nose following head trauma signals a possible skull fracture and should not be halted by pressure.
Controlling Bleeding
- For significant wrist lacerations, apply direct pressure to control bleeding, which is the first critical response.
Causes of Nasal and Oral Bleeding
- Possible causes for bleeding from the nose and mouth include skull fractures, high blood pressure, and sinus infections.
Tourniquet Application
- When using a stick and square knot as a tourniquet for severe bleeding, stop twisting the stick once bleeding ceases.
Blood Vessels as Containers
- Blood vessels are considered "containers" in the cardiovascular system, crucial for understanding blood flow management.
Blood Flow Tolerance
- The heart and brain cannot tolerate a lack of blood flow for more than a few minutes due to their high metabolic demands.
Patient Assessment in Transport
- If a patient with abdominal pain becomes diaphoretic and unresponsive, repeat the primary assessment to reassess their condition.
Transport for Abdominal Trauma
- For patients with significant abdominal bruising and rapid pulse from assault injuries, immediate transport is the most appropriate action.
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Description
Test your knowledge of medical terminology and concepts related to epistaxis, hypoperfusion, and blood clotting. This quiz is essential for those studying healthcare and emergency response. Enhance your understanding of critical medical situations.