Paramedic 32 and 33

Paramedic 32 and 33 The progression of a chemical burn is MOSTLY dependent on - the length of time the corrosive chemical remains on the skin A 42-year-old female patient presents with burns involving their hands, feet, and face. Upon assessing the burns, you note that full-thickness burns cover about 12% and partial-thickness burns cover about 26% of TBSA. The burns would be classified as: - major Skin is thickest on which part of the body? - Heel During the initial evaluation and resuscitation phases of burn care, what is the treatment objective? - To achieve accurate fluid resuscitation When a recently burned patient comes before you, your first action should be to: - Extinguish any flames It is important to closely observe the nasal hair, eyebrows, and eyelashes in patients who have experienced burns, because damage to them may indicate: - Airway injury Dry powder chemicals: - should be brushed off the skin before irrigation with water. Which type of burn will heal spontaneously in 2 to 3 weeks? - Superficial partial-thickness burns Nasotracheal intubation of a patient with upper airway burns: - is complicated procedure and should be avoided Burn shock is caused by: - fluid loss across damaged skin and volume shifts within the rest of the body. A 28-year-old male patient experienced partial-thickness chemical burns from battery acid. During your assessment, you should assess for which of the following injuries? - Coagulation necrosis A 4-year-old girl pulled a pot of boiling water off of the stove and experienced partial-thickness splash burns to her neck, anterior trunk, and both anterior arms. During your assessment, you note that the child is conscious but is not crying. She is tachypneic and tachycardic, and her skin is cool and moist. Other than the burns, there are no other gross injuries. Which of the following statements regarding this scenario is correct? - The child may be hypoglycemic and requires assessment of her blood glucose level. When a child, older adult, or person with disabilities presents with scald and contact burns, you should suspect: - abuse Which of the following statements regarding prehospital vascular access and fluid therapy in the severely burned patient is correct? - at least one large bore iv enroute A patient whose clothing caught on fire is mostly likely to experience: - flame burns Which of the following prehospital treatments are essential to avoid the devastating consequences of hypovolemic shock? - fluid resuscitation If an acutely burned patient is in shock in the prehospital setting: - you should look for another injury as the source of shock. Thermal burns are most commonly caused by exposure to: - an opened flame A 74-year-old man experienced partial- and full-thickness burns to his arms and chest resulting from a fire that started after he fell asleep while smoking his cigar. The patient's son, who arrived at the scene shortly after you, states that his father has congestive heart failure, rheumatoid arthritis, and atrial fibrillation. In addition to administering supplemental oxygen, it is most important for you to: - Ausciltate his breath sounds before administering IV fluids Which of the following symptoms or signs indicate potential airway involvement in a burn patient? - stridor Which of the following dressings should be used to treat an open injury to the neck? - occlusive dressing The use of wet dressings in the field is usually limited to: - superficial burns The skin is also referred to as the: - integument The first aspect to address in any patient with a soft-tissue injury is: - your safety How should you remove a patient's clothing when looking for bullet entrance and exit wounds? - Preserve the clothing as evidence and cut around bullet holes. When forming a general impression of a soft-tissue injury, you should note which of the following before assessing the patient's airway, breathing, circulation, disability, and exposure? - Life-threatening external bleeding When applying a bandage to an open wound that does not have active bleeding, what should you do first? - Irrigate the wound with normal saline or sterile water. Which of the following bandages can be wrapped into an appropriate-sized strip to be used as a tourniquet? - Triangular Primary treatment in the prehospital setting for an abrasion involves: - covering it lightly with a sterile dressing. Upon assessing a patient who accidentally shot themselves with a nail gun, you see that the nail is still lodged in their foot. What is your priority when transporting the patient? - Immobilize the extremity with a splint to prevent motion. Which of the following is the most common cause of necrotizing fasciitis? - Hemolytic streptococci When a patient has multiple open wounds to an extremity, you should consider the use of which of the following to allow for constant pressure over large areas that may not be possible using hands alone? - air splint How long should ice be applied to an injury to help decrease the extent of the swelling and speed up the rehabilitation time for the injury? - 20 minutes on and 20 minutes off The most significant immediate threat to a patient with a soft-tissue injury is: - hemorrhage. The swelling that occurs in conjunction with a contusion is caused by: - leakage of fluid into spaces between the damaged cells. When a part of a patient's body is completely avulsed, what is the priority? - Wrap the part loosely in saline-moistened sterile gauze. Which of the following interventions encourages drainage from the site of a closed wound and reduces swelling? - Group A Streptococcus A hemostatic agent would be used to: - control serious hemorrhage when application of a tourniquet is not possible. Which of the following statements regarding soft-tissue injuries is correct? - They are often the most obvious, but are seldom the most life-threatening injuries. During the process of wound healing, hemostasis: - temporarily stops bleeding via vasoconstriction and platelet aggregation.