You respond to a residence for a 40-year-old female who was assaulted by her husband; the scene has been secured by law enforcement. Upon your arrival, you find the patient lying supine on the floor in the kitchen. She is semiconscious with severely labored breathing. Further assessment reveals a large bruise to the left anterior chest, jugular venous distention, and unilaterally absent breath sounds. As your partner is supporting her ventilations, you should:
A. insert an oropharyngeal airway.
B. obtain a set of baseline vital signs.
C. perform a focused secondary exam.
D. immediately request ALS support.
Answer: D. immediately request ALS support.
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When a stretcher with a patient secured to it is elevated, what occurs?
A) The center of gravity is raised and this causes a tip hazard. B) The patient feels more comfortable being at near normal height. C) The stretcher is more stable and easily pushed. D) The EMTs lessen the possibility of injury from being bent over the patient.
Your patient is a 9-month-old boy who was a restrained passenger in a motor vehicle collision. Prior to your arrival, his mother took him out of the seat and is now holding him. Which of the following is the best way to transport this patient?
A) Place him back in the car seat and transport with the car seat on the gurney. B) Allow the mother to hold the child during transport. C) Secure the child to your gurney as you would an adult. D) Place the child on a long backboard with a folded towel under his shoulders, then place the backboard on the gurney.
What effect would upper airway obstruction have on ventilation-perfusion ratio, PAO2 and PACO2?
A. The V/Q ratio and PACO2 will decrease and PAO2 will increase. B. The V/Q ratio and PAO2 will decrease and PACO2 will increase. C. The V/Q ratio and PAO2 will increase and PACO2 will decrease. D. The V/Q ratio and PACO2 will increase and PAO2 will decrease.
Which type of bone fracture occurs most often in children because their bones are still soft and pliable?
A. Greenstick B. Comminuted C. Closed D. Open E. Complete