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10 Cards in this Set
- Front
- Back
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An unrestrained 32-year-old female motorist hit a utility pole head on at 35 mph. the car sustained extensive damage. She exhibits labored respirations and is responsive to painful stimuli with an open airway. she is breathing slowly at 32 breaths per minute. the radical pulse is rapid and weak, and her skin is cold and cyanotic. Breath sounds are decreased on the right side. EMR are maintaining manual in-line stabilization. your next action should be to |
Start positive pressure ventilation |
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When assessing a patient who sustained blunt trauma to the chest, which one of the following assessment findings is most inductive of an injury to the lung? |
Ability to speak if you words and then gasp |
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A construction foreman has been stabbed in the right anterior chest with a screwdriver by an angry worker. he is conscious and oriented and complaining of pain to the injury site. Prior to your arrival he removed the screwdriver. your initial assessment reveals a patent airway, adequate breathing, and strong radical pulse. based on these findings, you should: |
Aminister oxygen through a nonrebreather mask |
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A patient has been shot in the chest with a rifle. your assessment reveals a decreasing level of consciousness and inadequate breathing. positive pressure ventilation is being administered, and you have covered the entrance wound located midclavicular at the second intercostal space on the left side of the chest. Which one of the following should you do next? |
Look for an exit wound |
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You are on scene of a shooting. your assessment reveals a 23-year-old male who has been shot twice. the first one is to the left lower quadrant of the abdomen and is actively bleeding. The second wound is to the left lateral chest and makes a sucking sound every time the patient takes a breath. the initial action of the EMT should be which of the following? |
Cover the chest wound with a glove hand |
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The EMT showed that he understands the difference between a pneumothorax and a tension pneumothorax when he made which one of the following statements? |
A tension pneumothorax causes cardiac output to decrease; a simple pneumothorax does not affect cardiac output |
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Your patient was involved in a serious motor vehicle collision. which one of the following assessment findings best helps to determine the patient has a flail segment? |
Paradoxical chest wall movement |
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You are transporting a 19-year-old male who was shot in the chest. on scene you covered the wound with an appropriate dressing. now as you conduct your reassessment, you know that the patient is tachypneic and complaining of difficulty breathing . Breath sounds on the side of the injury or also diminished. which of the following should you do immediately? |
Lift the dressing from the wound for several seconds |
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A patient was stabbed in the right anterior chest and is in obvious respiratory distress. as you perform the secondary assessment, which of the following signs and symptoms would indicate that she is suffering from a tension pneumothorax? |
Absent breath sounds on the right, distended neck veins, tracheal deviation on the left |
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An unrestrained female driver hit a utility pole at a moderate rate of speed and struck the steering wheel with your chest. Her Airway is open, and she states that it is painful to breathe. Her pulse is moderate in strength and irregular. breath sounds are equal bilaterally, and there is no jugular venous distention noted. Assessment of her chest reveals bruising and instability to the sternum. When asked, she denies any past medical history. based on this mechanism and assessment findings, the EMT should be suspicious for what condition? |
Cardiac contusion |
