Which type of surgical treatment is preferred for deep partial-thickness burns of the hands, arms, or legs?
a. Excisional debridement
b. Escharectomy
c. Tangential excision
d. Partial hyperbaric oxygen
ANS: C
The tangential excision procedure involves excising burned tissue until normal dermal tissue is reached below the depth of the wound. The wound is usually covered with a split-thickness autograft. Early excision and grafting can reduce mortality and septic complications.
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You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you only have 5 patients. Your closest unit is 30 minutes away. Triage this patient based on this scenario:
Patient #2 is an 8-year-old male with the following vital signs: respirations 10, pulse 102, and alert mental status with warm dry skin. A) Priority 4, black tag B) Priority 3, green tag C) Priority 1, red tag D) Priority 2, yellow tag
Guidelines developed by the National Highway Traffic Safety Administration (NHTSA) for quality improvement in EMS systems include all of the following, EXCEPT:
A) regulation and policy. B) financial auditing. C) communications. D) human resources training.
______ are treatments that may have a beneficial or negative impact on more people than just the one receiving the treatment.
Fill in the blank(s) with the appropriate word(s).
The presence of a skull fracture indicates:
A) that rapid transport is necessary. B) a significant mechanism of injury. C) need for specialized care. D) all of the above.