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Trauma
EMT Trauma
| Question | Answer |
|---|---|
| What is the difference between a strain and a sprain? | A strain is stretching or tearing of a muscle while a sprain is damage to the supporting ligaments of a joint. |
| How should an open chest wound be treated? | Seal the wound with an occlusive dressing to prevent more air from entering the chest cavity. If a patient is having more trouble breathing, lift one corner of the dressing and see if breathing improves. Provide or request rapid transport. |
| What is flail chest? How should it be treated? | Flail chest is when three or more ribs are broken in at least two places, causing the injured portion of the chest wall to bulge on exhalation and fall inward on inhalation. Support ventilation and consider BVM |
| Describe the process that can lead a sucking chest would to develop into an open pneumothorax. | A sucking chest wound is a wound in which the chest wall has been opened, and air is moving between the environment and chest wall, creating a sucking noise. |
| Describe the process that can lead a sucking chest would to develop into an open pneumothorax. 2/3 | The buildup of air can cause separation between the lung tissue and the chest wall, collapsing the lung, and causing hypoventilation, which decreases profusion and oxygenation within the body. |
| Describe the process that can lead a sucking chest would to develop into an open pneumothorax. 3/3 | This lung collapse is a result of an open wound is called an open pneumothorax. |
| How should a spinal injury be treated? | Manual in-line stabilization of the head and neck Jaw thrust to maintain an open airway Ventilatory support Monitor circulation |
| How should a spinal injury be treated? 2/2 | CMS assessment Treat all life threats Immobilize and do not move patient unless it is absolutely necessary to treat other life threats. Prompt transport |
| What type of injury is paralysis typically a symptom of? | A head or spinal cord injury |
| What is CMS? | CMS stands for circulation, movement and sensation. |
| How is it assessed? Why is it important to determine early on? | Circulation is assessed typically with detecting the pulse and/or capillary refill distal to the injury. Movement is assessed by having the individual move the hand or foot. Lastly, sensation is determined by seeing if the patient is able to feel |
| Why is it important to determine early on? | This test gives information about what systems could potentially be suffering damage, and give you an idea of how extensive that damage is. |
| What are some signs and symptoms of head injuries? | Confusion Unusual behavior Unconsciousness Nausea and/or vomiting Blood from an ear |
| What are some signs and symptoms of head injuries? 2/2 | Decreasing levels of consciousness Unequal pupils Paralysis Seizures External head trauma |
| How do a closed and open injury differ? | A closed injury has bleeding, swelling, and possible broken bones within the the body, while an open injury occurs when skin breaks and there is bleeding (and possible protruding bone) outside of the body. |
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