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Summary TNC WRITTEN EXAM PREHOSPITAL EMERGENCY CARE 10TH EDITION CHAPTER 33

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TNC WRITTEN EXAM
PREHOSPITAL EMERGENCY CARE
10TH EDITION CHAPTER 33
as an EMT you must remain aware that injuries to the eyes, face, or neck have a high
probability of: - correct answer--causing airway compromise, severe bleeding, and
shock
additionally injury to the face and neck is likely to be associated with spinal injury
always maintain a high index of suspicion for spinal injury and give first priority to care
for life-threatening compromise of the airway and circulation

the eye: - correct answer--the eyeball is 1 inch in diameter
it is covered with a tough outer coat called sclera: the exposed portion of the sclera is
the white of the eye
the clear front portion of the eye the cornea covers pupil: and the iris: the colored
portion

cornea: - correct answer--clear front portion of the eye
is the window through which light enters the eye
it is extremely sensitive and susceptible to injury
a superficial scratch or the smallest foreign object can cause extreme pain with redness
and a flow of tears

the pupil: - correct answer--is the opening that expands and contracts to allow more or
less light into the eye through the lens just behind the pupil

the lens: - correct answer--focuses light on the retina or the back of eye

the conjunctiva: - correct answer--the inner surface if the eyelids and the exposed
portion of the sclera are line with a paper-thin covering
does not cover the cornea

the interior of the eye contains: - correct answer--the anterior chamber (front), which is
anterior to the iris and is filled with watery fluid called the aqueous humor
behind the lens is the large vitreous body which is filled with a clear jelly called the
vitreous humor

the orbits: - correct answer--the bony structures that surround the eyes

, all of the structures in the eyes: - correct answer--the muscles that hold the eyes in
position and the orbits of the eyes are suceptible to trauma ranging from minor abrasion
and irritation to impaled objects that invade the interior of eye to extrusions in which the
eye is pulled out of its socket

the face: - correct answer--14 bones comprise the face
only movable bone is the mandible
the face is extremely vascular
facial injuries even minor ones may bleed profusely
blood and pieces of broken bone, teeth, and other tissues may cause airway
compromise when the face is injured
facial bones provide minimal protection for the airway and allow points of attachment for
muscles and control facial expression and the manipulation of food

compromise of the facial structures can cause: - correct answer--a closed or an open
brain injury with possible leakage of cerebrospinal fluid from the nose or ears
a mechanism of injury that causes trauma to the face may cause injury to the spine or
spinal cord

the neck: - correct answer--contains numerous vital structures in a very small space
body systems represented within the neck include:
cardiovascular
musculoskeletal
central nervous
respiratory
digestive
endocrine
the neck contains major arteries and veins: carotid artery and jugular vein
that carry blood to and from the head
contains trachea and larynx
injuries can cause life-threatening bleeding and airway compromise that can be difficult
to control
the posterior neck contains the cervical spine which houses and protects the proximal
spinal cord, any injury to the neck should automatically be assumed to have caused a
spinal injury

eye,face and neck injury similarities: - correct answer--eye, face, and neck can
hemorrhage profusely: take standard precautions including gloves and eye-wear
many injuries to the eyes, face, and neck are the result of assault: in addition there may
be injuries to the neck may be caused by accidental or intentional hanging
you may need to treat emotional trauma as well as physical trauma: you will need to
display a calm and reassuring manner to gain the patients confidence so you can begin
care and treatment of the physical trauma

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