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A 25-yr old woman is in active labor. The umbilical cord is presenting through the vagina. You
would:
a. Gently pull on cord
b. Massage uterus
c. Replace cord in vagina
d. Place mom supine with hips elevated, administer O2 and transport
D. place the mother in a supine position with hips elevated, administer oxygen, and transport
During breach delivery, what should you do if the baby's head is not delivered after the body
with a gloved hand, establish an airway for the baby
How would you describe bleeding from a vein
Dark red, flowing steadily
To control a nosebleed in a patient WITHOUT suspected spinal traujma, the EMS provider
should
pinch the patient's nostrils together and sit the patient leaning forward to allow drainage
All of the following cojnditions can lead to hypoperfusion (SHOCK) except:
A. dilated blood vessels/pooling blood in extremities
B. loss of fluid volume
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,C. inc fluid volume
D. dec cardiac output
increased fluid volume
A localized soft tissue injury characterized by swelling and bruising
a. Contusion
b. Avulsion
c. Laceration
d. Abrasion
contusion
Contusion
Avulsion:
Laceration:
Abrasion:
Definitions
Contusion Bruise
Avulsion: flap
Laceration: jagged cut
Abrasion: road rash
You are treating a male patient who has a penetrating chest wound and frothy bright-red blood
at the mouth. About 10 minutes after sealing the chest wall, you notice the patient's breathing
becoems much worse. At this point you should,
a) immediately place the patient on the uninjured side
b) lift one corner of the dressing
c) administer positive-pressure ventilation immediately
d) administer pure oxygen to aid respiration
b) lift one corner of the dressing
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,Which of the following best describes an evisceration
bowel loops protruding through the abdomen
tension pneumothorax
a type of pneumothorax in which air that enters the chest cavity is prevented from escaping
mediastinum includes
heart, aorta, esophagus, trachea, thymus gland
Which of the following BEST describes evisceration
Bowel loops protruding through the abdomen
Treatment: Cover with moist sterile dressing keep warm
A patient was pulled from a house fire and has burns involving arms, chest and back. You should
FIRST
assess for airway and respiratory distress
An adult has suffered partial thickness burns over the chest, abdomen, back, buttocks, and right
arm. According to rule of 9's, what percentage of body surface has been burned?
45%
Rule of 9's
Chest
Abdomen
Back
Buttocks
Right arm
Anterior of one arm?
Chest- 9,
Abdomen- 9
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, back- 9
buttocks-9
right arm- 9
anterior of right arm: 4.5
Which one of the following statements regarding burns is INCORRECT?
a) Full thickness burns inolving the hands, face or feet are considered critical burns
b) Burns occuring in patients w/ heart conditions should be considered critical
c) Electrical burns usually cause insignificant damage to the underlying soft tissues
d) Chemical antidotes should never be used to neutralize burns of the eyes
C- electric burns usually cause insignificant damage to the underlying soft tissues
An EMS provider is called to the scene where a victim has sustained an electrical burn. It is
important for the EMS provider to:
a. Immediately connect AED
b. Check patient for entry and exit wounds
c. Immediately pulls the patient from electrical source
d. Administer oxygen to the patient via nasal cannula
B. check the patient for entry and exit wounds
What should you do first for a victim who shows signs of an injured shoulder?
Manually stabilize the injury site
When the bone ends of a joint are out place, the injury is called a
dislocation
In the emergency care of extremity injuries, a splint should be applied because
a) immobilization lessens pain and prevents further damage to tissues
b) if left out of alignemnt, bone ends might grow together crookedly
c) splinting will permit a limited use of the broken limb
d) this will promote immediate healing
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