TRAUMA FISDAP- QUESTIONS AND ANSWERS.

TRAUMA FISDAP- QUESTIONS AND ANSWERS. 1. 53 yo F hit by car. Unresponsive w/ deformity to the left femur and pelvic instability. Diminished lung sounds on L side. You should? o *Perform detailed physical assessment/stabilize left femur with traction splint/immobilize long backboard/transport to nearest emergency room 2. 28 yo M, blunt trauma to R anterior chest. Pale, cool, diaphoretic and responsive to verbal. R 38 and shallow with paradoxical movement. What should you do? o ALS back up/02 non rebreather/stabilize chest with bulky dressing/02 with positive pressure ventilations 3. What is the most likely cause of periorbital ecchymosis? o Basicular skull fracture/ blow out fracture/ subdermal hematoma/ epidural hematoma 4. 30 yo M shot in mid thigh. Bleeding continues after partner applies direct pressure. You should? o Tourniquet/ continue pressure and transport rapidly/ elevate leg and place pressure dressing/ check for PMS 5. 28 yo Pt driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with copious amount of blood around face. Gurgling and R 4 per min. Most appropriate? o Jaw thrust without head tilt/ head tilt and jaw thrust/ chin lift without head tilt/ head lift with chin lift 6. M fell while water skiing. Unconscious. Suspect? o Head and spine injury/ hypothermia/anaphylaxis/heat related injury 7. Appropriate care for amputated extremity? o Wrap in dry gauze, seal in plastic bag, and place in cool water/ice cooler and immediate trans/moist gauze keep cool with cold packs/immerse in cool water for improved tissue preservation 8. 28 yo Pt driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with copious amount of blood around face. Gurgling and R 4 per min. Most appropriate? o Suction airway/ BVM/ C-collar/ control bleeding 9. 18 yo M holding right shin after sports related injury. Deformity and swelling; pedal pulse present. You should? o Apply board splint in position found/ stabilize limb at hip and ankle/ traction, realign limb/ ice pack and elevate limb 10. Pedestrian hit by car. Pale, cool, and diaphoretic. Oriented to name only and has difficulty breathing. BP 80/40, P 120, R 28 and shallow. 90% SPO2. You should? o BVM/ nonrebreather/ NPA/ long backboard 11. 81 yo F healthcare facility fell out of bed. Nurse suspects hip fracture. Which medication should concern you the most? o Coumadin/ albuterol/ nitro/ insulin 12. You are treating a patient with agonal respirations and gunshot wound to the chest. You notice an open skull fracture leaking brain matter. There is no radial pulse, you should? o Discontinue treatment and protect crime scene/ collect the brain matter and transport rapidly/ assess a carotid pulse and assist ventilations / begin CPR and place airway adjunct.