A 14 yo male suffered from helmet to helmet contact during a football game followed by a 30 second period of unconsciousness. Initial exam shows that he is awake but slow to respond. He is nauseated and has a headache. He becomes unresponsive during transport. Examination of the pupils reveals a le...
A 14 yo male suffered from helmet to helmet contact during a football game followed by a 30
second period of unconsciousness. Initial exam shows that he is awake but slow to respond. He
is nauseated and has a headache. He becomes unresponsive during transport. Examination of
the pupils reveals a left pupil that is dilated and non-reactive. What type of hemorrhage should
you suspect? - ANS Epidural
A 28 yo fell from his motorcycle during a low speed accident. He has an open left femur fracture
with severe external bleeding from the wound. What should you do? - ANS Apply direct
pressure to the wound.
Where is the preferred landmark for needle decompression? - ANS Anterior axillary line,
5th intercostal space.
An anxious 54 yo male complains of chest pain. He hit the steering wheel after a car crash at
highway speeds. His sternum is red and tender. Vital signs are BP 100/68, P 112, R 28 clear,
Spo2 92%. What should you suspect? - ANS Cardiac contusion
A 33 yo female has a GCS score of 3 (E1, V1, M1) after being ejected from a motor vehicle.
How should you prepare to intubate? - ANS Maintain spinal precautions and use a video
laryngoscope if available.
Which is an early finding in compartment sybdrome? - ANS Pain
Upon examining a 43 yo male you note unequal breath sounds. What is a sign or symptom of a
simple pneumothorax? - ANS Shortness of breath, decreased lung sounds on affected side
A 13 yo male was riding on an all terrain vehicle when he drove into a wire fence. He is sitting
on the ground with a towel over his lower face. He has an open jaw fracture. What is your
primary concern? - ANS Obstruction of airway
Which of the following physiological changes associated with aging may contribute to an
decreased incidence of falls among the elderly? - ANS Declining visual activity
An adult patient was involved in a motorcycle accident. Why should you remove his or her
helmet? - ANS To manage the airway
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