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29-year-old male falls 17 feet (5 m) to the ground from a tree. He complains of
pain with movement and pain on the right side of his chest when he breathes. You
note accessory muscle use, focal tenderness, bony crepitus, and absent breath
sounds on his right side. What should you suspect?
- answer-Simple pneumothorax
A 10-year-old male fell from his bicycle and sustained abrasions to his left leg and
left arm. He is alert and oriented. What should you do first?
- answer-Complete a primary and secondary assessment.
A 13-year-old male was a restrained passenger in a car crash at highway speed. He
is alert and oriented on-scene and walking around. What should you do?
- answer-Consider spinal motion restriction and assess his c-spine.
A 13-year-old male was riding on an all-terrain vehicle when he drove into a wire
fence. He is sitting on the ground with a towel over his lower face. He has an open
jaw fracture. What is your primary concern?
- answer-Obstruction of the airway
A 14-year-old male suffered from helmet-to-helmet contact during a football game
followed by a 30 second period of unconsciousness. Initial exam shows that he is
awake but slow to respond. He is nauseated and has a headache. He becomes
unresponsive during transport. Examination of the pupils reveals a left pupil that is
dilated and non-reactive. What type of hemorrhage should you suspect?
- answer-Epidural
A 16-year-old male complains of chest pain and difficulty taking a deep breath. He
was assaulted with a metal pipe. He has unilateral chest rise and crepitus over the
injured area. What should you do?
- answer-Apply high-flow oxygen.
A 20-year-old male was hit in the chest with a baseball bat. He complains of severe
pain and tenderness on the left side. He is unable to take a deep breath. Vital signs
, are BP 112/76, P 98, R 20, SpO2 98%, and ETCO2 38 mmHg. What should you
do?
- answer-Administer 100 mcg Fentanyl.
A 22-year-old male was involved in a car crash and hit a tree head-on. The patient
is on the ground outside the vehicle and is unconscious. His forearm is avulsed,
and you note a large pool of blood with active bleeding. His breathing is deep and
labored. What should you do?
- answer-Apply a tourniquet.
A 23-year-old male was skateboarding down a ramp when he flipped over and
landed on his head. He is clenching his jaw and you are unable to insert an oral
airway. He thrashes his head when you attempt to provide bag-mask ventilations.
His oxygen saturation is decreasing, and his ETCO2 is increasing. What is the best
option to secure his airway and provide effective ventilations?
- answer-Pharmacologically assisted intubation
A 24-year-old construction worker amputated his thumb. How should you manage
the amputation?
- answer-Wrap in moistened gauze.
A 25-year-old female has a gunshot wound to the abdomen. Vital signs are BP
80/40, P 122, R 18 with clear, equal lung sounds. What is the most appropriate IV
fluid to administer?
- answer-Warmed lactated Ringer's
A 26-year-old female was the unrestrained driver of a head on collision. Her
Glasgow Coma Scale score is 4 (E1, V1, M2). Vital signs are BP 156/78, P 66, R
12 and irregular, and her pupils are unequal. What should you do?
- answer-Assist ventilations at a rate of 20 breaths per minute.
A 26-year-old male is supine on the ground. He was assaulted and has obvious
head and facial trauma. He has snoring respirations at a rate of 8 per minute. What
should you do?
- answer-Perform a modified jaw thrust.
A 27-year-old female has multisystem trauma. Which life threat is your first
priority?
- answer-Significant external hemorrhage