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Read the scenario and ask yourself, What would I do?

Scenario:

Thirty minutes before shift change, you and your partner are dispatched to a duplex for a "man hemorrhaging." When you arrive you find a 31-year-old man lying on the floor next to a shattered glass coffee table. According to his wife, your patient tripped over a rug and fell onto the glass coffee table. The wife stated that she heard a crash and ran into the room to see what happened.

When she saw her husband bleeding on the floor, she called EMS. She stated that he did not lose consciousness. However, she admitted that she was only focusing on controlling the bleeding from her husband's neck wound. Your assessment reveals that the man is alert and oriented. He is talking in complete sentences but is spitting blood. He has suffered multiple lacerations to the face and neck. He has a laceration to the right cheek about 2" long and a 4"-long laceration to the right side of his neck, just below the ear, and down the shoulder. The bleeding from the neck appears to be controlled, but there is a significant amount of blood on the towel that the wife used to apply pressure to the wound. Vital signs include a pulse of 110 beats/min, respirations of 22 breaths/min, and a blood pressure of 132/82 mm Hg.


1:  What is the highest priority in caring for this patient?
A: Administering low concentrations of oxygen.
B: Treating potential or actual airway obstruction.
C: Applying sterile dressings and bandaging the wound.
D: Providing complete immobilization to a long spine board.

2:  Which of the following interventions is acceptable for controlling bleeding of his neck injury?
A: A wide band as a tourniquet
B: A circumferential pressure dressing
C: Direct pressure with a sterile dressing
D: A pressure point

3:  In most cases, a patient who sustains trauma to the face or throat should be placed in which of the following positions?
A: Prone
B: Supine
C: Sitting up
D: Turned to the side

4:  Which of the following tools is considered an essential treatment adjunct for this patient, who has sustained face and neck trauma and is spontaneously breathing?
A: PASG
B: BVM device
C: Portable suction
D: Hemostats

5:  Which of the following statements about airway obstruction related to blunt trauma to the neck is true in this patient situation?
A: Immediate transport is necessary because of the danger of possible obstruction.
B: Airway obstruction is not likely to develop for at least 2 to 3 hours after the injury.
C: Complete airway obstruction secondary to trauma is easily managed in the field by EMT-Bs.
D: Airway obstruction rarely occurs as a complication of blunt trauma to the neck.

6:  Additional injuries that you should suspect in this patient include:
A: internal abdominal injuries.
B: head and spinal injuries.
C: injury to the respiratory system.
D: disturbance with hearing and sight.

7:  Assessment of this patient's neck should involve which of the following?
A: Palpation for subcutaneous emphysema
B: Palpation of the anterior cervical vertebra
C: Listening over the carotid artery for abnormal sounds
D: Listening over the wound site for subcutaneous emphysema

All Learning Resources for Chapter 26

Assessment in Action for All Chapters