PREHOSPITAL EMERGENCY CARE LATEST
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You are by the side of an 88-year-old male who fell.
... [Show More] He has a hematoma to his forehead as well as deformity to his left forearm. His daughter informs you that her father has severe dementia and she cares for him at home. As you assess him, he continually screams out, "Mary, help me. I need help!" At this time, which question is most appropriate to ask the daughter?
A) "Was Mary his wife?"
B) "Is this how he normally is?"
C) "Do you know what he means by this?"
D) "My mother suffers from dementia; it is a terrible disease, isn't it?" - B
An 83-year-old female fell down the basement stairs. Once at her side, she tells you that her left hip hurts and rates it as 10/10. Since the patient is downstairs, you recognize the need for assistance in extricating her from the residence. As you start the primary assessment, you note a dog at the top of the stairs starts growling at you. At this time, what is your primary concern? A) Airway
B) Pain
C) Need for additional help
D) Dog - D
A car swerved to miss a deer in the road and hit a utility pole at a low rate of speed. Damage to the car is minimal, but the 82-year-old male passenger was not wearing a seat belt and hit his head on the dashboard. He presents as confused and diaphoretic. His daughter, the driver, states that he has a history of dementia, high blood pressure, and diabetes, as well as coronary artery disease. She adds that he took his insulin about 2 hours ago. Which question to the daughter would be most important at this time?
A) "How far along is the dementia?"
B) "He seems sweaty. Was he feeling okay this morning?"
C) "Did he eat anything today?"
D) "Does he take medication for the high blood pressure?" - C
A 78-year-old male pedestrian was struck by a car at a convenience store. The patient is conscious but confused, and has sustained multisystem trauma. What would represent the best sequence of care for this patient?
A) Primary assessment, oxygen, secondary assessment, spine motion restriction precautions, and all other care en route to the hospital
B) Primary assessment, spine motion restriction, and all other care en route to the hospital
C) Primary assessment, oxygen, secondary assessment, and all other care en route to the hospital
D) Primary assessment, oxygen, secondary assessment, cervical collar, and all other care en route to the hospital - A
A 62-year-old female with severe kyphosis fell and hit the back of her head, which is now oozing blood from a small laceration. Family members state that she suddenly complained of a "very bad headache" before collapsing to the kitchen floor. She has snoring respirations and cyanosis in the extremities. Which intervention should you perform first?
A) Apply a cervical collar
B) Use a jaw-thrust maneuver
C) Start positive pressure ventilation
D) Cover the laceration - B
You are transporting an elderly female who fell in a nursing home and displays outward rotation of her left leg. She has a lengthy medical history, including dementia. Currently, she is very quiet and receiving oxygen through a nasal cannula at 6 liters per minute. She also is secured to a long spine board. During your reassessment, you note her to be alert but confused, with slightly accelerated respirations and a strong radial pulse. You also note that her SpO2 has dropped from 97% on scene to 91%. You should:
A) Perform a head-tilt, chin-lift maneuver
B) Request ALS assistance
C) Apply supplemental oxygen
D) Start positive pressure ventilation - C
An unresponsive 10-year-old male was struck by a car while riding his bike. He has blood on his face and presents with snoring respirations. Respirations are approximately 10 breaths per minute, with cyanosis noted to his extremities. Manual spine motion restriction to the neck is being held by Emergency Medical Responders. What should you do next?
A) Perform a jaw-thrust maneuver
B) Start positive pressure ventilation
C) Suction the airway
D) Quickly assess for life-threatening injuries - A
An elderly female fell and is now very confused. You are having a problem getting her past medical history. Her daughter states that she is typically alert and very well oriented. What is your next best action?
A) Transport the patient without delay
B) Contact the patient's doctor for the history
C) Transport her to a hospital that has cared for her before
D) Ask the patient's daughter for the history - D
You are presenting information on emergency care to a class of pregnant women. A participant asks you what the most frequent cause of injury is to a woman during pregnancy. What is the correct response?
A) "Motor vehicle collisions account for about half of all injuries sustained during pregnancy."
B) "Falls occur about two times as often as any other cause of maternal injury during trauma."
C) "Domestic violence, sadly enough, is the most common cause of injury to a pregnant female." D) "Sexual assault accounts for almost 80 percent of all injuries to females sustained while pregnant." - A
A female patient who is 36 weeks pregnant with twins tripped in a parking lot, hitting her head, her wrist, and her abdomen. She is alert and oriented and complains of a headache and abdominal and wrist pain. She denies shortness of breath and has an SpO2 of 96% on ambient air. Assessment reveals a large abrasion and hematoma to her forehead and abdomen as well as deformity to her left wrist. Which intervention would best treat the injuries the fetuses may have suffered?
A) Securing the patient to a long spine board
B) Covering the abdominal abrasion to prevent infection
C) Applying an ice pack to the wrist to decrease pain
D) Administering high-concentration oxygen through a nonrebreather mask - D
An unrestrained female patient, who was involved in a minor motor vehicle collision, refuses EMS care or transport. She is seven months pregnant and is alert and oriented. When asked, she denies any complaint. Your best action would be to:
A) Have her follow up with her obstetrician
B) Contact medical direction for instructions
C) Make contact with her obstetrician
D) Have the police witness her signing the refusal-of-care form - B
When assessing and treating a traumatically injured female in her third trimester of pregnancy, the EMT must remember which important point?
A) Securing her to a long spine board increases her risk for vomiting
B) The maternal heart rate naturally decreases as the due date approaches
C) Optimal care for the baby will come from caring for the mother
D) An increase in blood volume makes the pregnant woman naturally resistant to shock - C
A female who is 32 we [Show Less]