A construction worker has a metal rod impaled in his right forearm. Assessment of the injury indicates heavy bleeding from around the impaled objet. What should you do first?
You have decided that you need to apply a tourniquet to the patient's left arm because he accidentally amputee his wrist with a circular saw while cutting planks for a building project. Which statement is MOST accurate?
You have just applied a bandage over a dressing that was used to cover an open laceration to the forearm. Following the application, you erases the PMS (Pulse, Motor, Sensation) findings and discern that there is no longer a distal pulse. The patient says that his hand is "tingling". What could be the reason for these findings?
Your patient has been traumatized in a fight. He is now lying supine with gurgling respirations and visible blood in the throat. What should be your initial action?
You and your partner arrived at the scene of a construction accident. The patient a 43 year old carpenter, was cutting the edge off a trim board when the knife slipped, avulsion a large section of his anterior lower arm, including underling musculature and veins. He is currently alert and oriented, and a coworker is successfully applying direct pressure over the avulsed flap to control bleeding. The patient's respirations are 12 and his right radial pulse is 84. Which form of bleeding control would you initially attempt to utilize?
You are working with a Paramedic on a patient who is hypotensive after a gunshot wound that resulted in a significant bleed. The bleeding is now controlled but the patient's systolic blood pressure is still in the 80s. The Paramedic states that she does not want to give too much fluid after starting the IV. Why do you think this is so?
A male paient was hit int he head by a fast pitch baseball. You can now palpate the large mass just beneath the patient's scalp where the ball hit. The patient has a headache but is currently alert and oriented. This is MOST likely what type of injury?
You have a patient who has a long laceration to his thigh after falling through a roof he was working on. The bleeding is a mixture of bright red and dark red. The bleeding is hard to stop and the patient is becoming increasingly pale and disoriented. How would you characterize this bleeding?
Which answer MOST accurately describes the cardiovascular effect resulting from the release of epinephrine and norepinephrine in a shock state from blood loss?
If you apply the PASG to a patient who is hypotensive from an abdominal bleed but he also has an upper extremity bleed, what should you be cautious of?
On the basis of the mechanism of injury and your initial assessment, you suspect that your patient is hypoperfused. In assessing for hypoperfusion you must remember that:
Your 35 yer old female patient has accidentally cut her forearm with a kitchen knife. Because the blood is bright red and spurting, you consider the bleeding to be from a/n:
Your patient's severe amputational bleeding has not responded to the standard interventions. As a last resort, you apply a tourniquet to the extremity. How often should you loosen the tourniquet to check for continued bleeding?
If hemorrhage continues beyond the body's ability to compensate by making changes in venous tone, arteriole resistance and heart rate, transition into the NEXT step in the compensatory mechanism, cellular ischemia?
You are called to treat a 13-year-old girl with a history of diabetes. Her mother said she began acting strange and then lapsed into unconsciousness. You treat her by administering: