You’re treating a patient with agonal respirations and gunshot wound to the ches

Question

You’re 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

Assess a carotid pulse and assist ventilation

Begin CPR and place an airway adjunct

Collect the brain matter and transport rapidly

Discontinue treatment and protect the crime scene

A 22 yr old male was ejected from his vehicle. He complains of numbness and tingling in his extremities. What should you do

Perform a detailed secondary assessment

Asess for change in the pupils

Stabilize the cervical spine

Obtain baseline vital signs

A patient has a chemical burn on her eye and is wearing contact lenses. You should?

Remove the contact lens and administer an irrigation solution

Remove her contact lens and apply cool saline-soaked gauze to the eye

Leave the contarct lens in and administer an irrigation solution

Leave the contact lens in and apply saline- soaked gauze to the eye

A 21 yr old baseball player was hit from the side and langed head first onto the ground. He was ambulatory on scene and is now oriented to name only. He refuses care and transport.

Call for police assistance

Have him sign the refusal form

Ask th team coach for assistance

Forcibly restrain him

A 45 yr old male crashed his snowmobile. His kin is cool and pale. Vital signs are bp 198/96, P 48, R slow and irregular

Traumatic brain injuery

Neurogenic shock

Hypothermia

Tension pneumothorax

An unresponsive 18 yr old female was found in the supine position with bleeding in the mouth and from the nose. Respiration are 20 per min

Suction the oropharynx

Insert the oral airway

Assist ventilations

Admin High-Flow oxygen

When treating an abdominal evisceration, you should

Replace the abdominal contents

Irrigate the tissue to remove contaminants

Apply an occlusive dressing

Cover with a moist sterile dressing

A snowmobile rider was thrown 15 ft from his vehicle. His finger is deformed and his sternum is tender to palpation. He says. “ I think it’ll be okay” and refuses transport

Document his refusal of transport

Splint the finger and apply an ice pack to the sternum

Ask him if you can perform a detailed assessment

Transport the patient to the nearest trauma center

A man has a knife impaled at the fourth intercostal space, left sternal border. He is pulseless and not breathing

Stabilize with a bulky dressing

Perform compressions with the knife in place

Remove the knife from the chest

Not attempt to perform compressions

A patient is found dead on the scene. What Glasgow coma score would he receive

0

3

1

2

Your patient has been stabbed in the right upper quadrant. Which organ is the most likely to be injured?

Liver

Spleen

Stomach

kidney

Explanation / Answer

1. Assess a carotid pulse and assist ventilation

2. Perform a deaytailed secondary assesment

3. Remove the contact lens and administer an irrigation solution

4. Ask the team coach for assistance

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