STUVIA 2024/2025
EMT CHAPTER 32
Compression - ✔✔A young intoxicated male patient cannot move his left arm and leg after diving
into the shallow end of a pool and hitting the bottom head first. The EMT would recognize which
mechanism as most likely responsible for this injury
Apply a properly sized cervical collar after initiating manual spine motion restriction - ✔✔A patient
complains of lower back pain after falling down five stairs. Assessment of the patient's cervical spine
reveals no displacement, tenderness, or instability. The patient does state that each leg has feelings
of "electrical shocks" shooting through them. How should the EMT care for this patient?
"I need you to flex both arms across your chest. - ✔✔Which response shows that the EMT is
correctly assessing motor function in the arms of a patient with a potential spine injury
The injury was the result of penetrating trauma to the head or torso - ✔✔Research by the American
College of Surgeons Committee on Trauma has shown a higher death rate for patients who were
immobilized to a backboard when:
The patient's car was struck from the side - ✔✔A young female driver, who was involved in a motor
vehicle collision, complains of cervical pain resulting from a lateral-type mechanism of neck injury.
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Based on this information, which type of collision most likely took place
After the patient has been properly secured with straps to the long board - ✔✔You are maintaining
manual cervical spine motion restriction for a patient who is being log rolled, transferred, and secured
to a long backboard. At which point will you release the manual spine motion restriction hold
Instruct him to hold his head in a neutral inline position - ✔✔At a scene where a vehicle was involved
in a single-car accident, you find the driver walking around at the scene. As you approach, the driver
states that he felt fine when he exited the vehicle but is now concerned that his legs feel like they are
"going to sleep." What is your first step in treating the driver
"Let's place a folded towel under his shoulders and back to help maintain head alignment." - ✔✔A
2-year-old boy fell down a flight of stairs, is crying loudly, and is very difficult to communicate with.
Because you are unable to clear the spine, you elect to initiate spine motion restriction precautions.
Which instruction would you provide to other EMTs who are initiating this care for the patient?
If the patient is reliable, he can self-restrict while the cervical collar is applied - ✔✔Which statement
is most accurate concerning spine motion restriction of an ambulatory patient?
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, STUVIA 2024/2025
Quickly but carefully provide full spine motion restriction precautions on scene prior to rapid transport
to the hospital - ✔✔Assessment of a young girl who was hit by a car while riding her bike reveals her
to be responsive to painful stimuli with flexion of the extremities; she is also in respiratory distress.
There is marked deformity to her thoracic spine and bruising noted to her anterior chest and
abdomen. She does not move her legs when a noxious stimulus is applied to the lower extremities.
Manual cervical spine motion restriction is being maintained and a cervical collar has been applied by
fire department EMRs. Given the critical nature of this patient, which action is most appropriate for
her care?
Remind the patient not to move his head or neck - ✔✔When applying a cervical collar to a young
boy who fell out of a tree, the EMT realizes the main purpose of the collar is to
Slowing of the heart rate - ✔✔The EMT is caring for a patient who has a problem with the autonomic
component of his nervous system. Which sign or symptom would most likely be caused by this
condition?
Warm and dry skin - ✔✔A window washer fell 20 feet from scaffolding while washing the windows on
an office building. He is alert and oriented, but states that he cannot move or feel his legs.
Additionally, because his blood pressure is 72/48 mmHg, you suspect spinal shock. Which other
assessment finding reinforces your suspicion of spinal shock?
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Secure the patient with the vest-type device to a long backboard - ✔✔A patient is being extricated
from a car using a short vest-type device. After the patient has been extricated, the EMT should
full vacuum mattress - ✔✔Which device can be used to replace the long spine board when providing
full spine motion restriction precautions to an adult
Paraplegia - ✔✔A patient dove into a shallow pool and struck his head on the bottom. Your
assessment findings indicate that he has no motor or sensation in his legs, but can move his arms.
The EMT should recognize this condition to be
The head is secured to the device after the torso has been secured - ✔✔Which statement shows
that the EMTs are correctly using a vest-type device while removing a patient from an entrapped
vehicle location?
Initiate spine motion restriction precautions - ✔✔You arrive on the scene of a motor vehicle collision.
Walking toward you is the unrestrained driver of the vehicle that sustained moderate front-end
damage. The patient complains of some back pain, but is walking around after the crash and does
not appear to be suffering from any neurologic deficits. Although he answers your questions
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