Chapter 1 Book-specific Clinical Case Activity The emergency medical technician
ID: 281832 • Letter: C
Question
Chapter 1 Book-specific Clinical Case Activity The emergency medical technician (EMT) is on the way to the emergency room with a young victim of street violence. A knife with a 6-inch blade had been found next to the bleeding, unconscious man. "We have a young male with multiple stab wounds. He has lost a lot of blood and we can barely get a blood pressure the EMT radios the triage nurse in the emergency room as the ambulance squeals through traffic. "We started an IV and we are pouring in fluid as fast as we can. Where are the wounds?" asks the receiving nurse. He has a deep wound in his right upper quadrant, just inferior to the diaphragm. I can see bruising from the hub of the knife around the wound, and there is another wound in his anterior right thigh. His pulse is 120 and weak. His blood pressure is 60 over 30. How long has he been down? questions the nurse. "Less than a half hour. We intubated him [inserted a breathing tube] and started a large bore IV as soon as we got there. We are 10 minutes out now Keep the fluids going wide open keep pressure on the thigh and take him directly to Trauma Room 1 come the nurse s instructionsExplanation / Answer
The nurse in the question said that the wound is in right upper quadrant inferior to diaphragm which means the wound are below diaphragm on right hand side of the body.
Another wound is told to be in right thigh which means the patient is affected in thigh region
Answer 1 Option 2 i.e. abdominal region of appendicular division
This is correct because the wound is below diaphragm i.e. in the abdomen and secondly in thigh which comes under appendicular division
Answer 2 Option 3 i.e. Organ systems affected are integumentary, muscular, digestive and cardiovascular systems
This is correct option because integumentary (skin), muscular (muscles) and cardiovascular (arteries and veins) system are present everywhere in the body. Organs of digestive system like head of pancreas, gall bladder, liver etc. are present in upper right quadrant.
Option 1 and 2 have respiratory system which are not the part of right quadrant which is also the case with nervous, urinary and reproductive system in option 4
Related Questions
drjack9650@gmail.com
Navigate
Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.