EMTB9e: Assessment in Action: All Chapters

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Interactivities: Assessment in Action: All Chapters

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Interactive Skill Drills

Assessment in Action

Ambulance Calls

9-1-1 Scenarios

Videos: Skills in Action

Cover

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

Scenario:

On the first nice weekend of April, two young men take their mountain bikes to the Elk Ridge Trails. With taunts as to who is "King of the Mountain," they race off down the trail. One of the cyclists loses control of his bike and crashes into the underbrush. He is launched over the handlebars and lands on the ground, shaken and confused.

His friend quickly rides back to the ranger station to call 9-1-1.

You and your partner arrive to find a 23-year-old man still down on the trail. He is wearing shorts, sandals, and sunglasses but no helmet. The patient is confused and disoriented but responds to pain by withdrawing when you move his arms or legs. Vital signs include a pulse of 60 beats/min, respirations of 28 breaths/min and irregular, and a blood pressure of 166/98 mm Hg. Additional examination shows multiple abrasions over his entire body and an angulated fracture of his left tibia.

1: Based on the patient's presenting signs and symptoms, which presents the most likely threat to his life?
	A: Fractured tibia
	B: Multiple abrasions
	C: Possible spinal cord injury
	D: Head injury

2: Whenever possible, in what position should you immobilize a patient's head and cervical spine?
	A: Slight flexion
	B: Moderate extension
	C: Moderate flexion
	D: Neutral

3: Just as you finish securing the patient to the long spine board, he starts to retch in preparation for vomiting. You should immediately:
	A: leave him supine but prepare to suction the airway.
	B: remove all the straps and roll him over onto his stomach.
	C: keep the patient strapped to the board and turn him on his side.
	D: remove the head strap and turn the patient's head to the side.

4: En route, you notice a watery, blood-tinged fluid leaking from the patient's nose. You should:
	A: place loose sterile dressing over the area.
	B: apply direct pressure with sterile dressings.
	C: pack the nostrils and apply direct pressure.
	D: pack the nostrils with tight, sterile dressings.

5: The presence of irregular respirations in this head-injured patient indicates which part of the brain is involved?
	A: Cerebrum
	B: Cerebellum
	C: Brain stem
	D: Meninges

6: In this case, with the signs of confusion/disorientation, irregular respirations, and watery, bloody fluid from the nose, this patient is at risk for which of the following problems?
	A: Aspiration
	B: Seizures
	C: Uncontrollable speech
	D: Tachycardia and low BP

7: Which of the following is the best way to administer oxygen in this patient, provided that the patient accepted any method you chose?
	A: Mask, nonrebreathing at 12 to 15 L/min
	B: BVM at a rate of 24 to 30/min
	C: Mask, nonrebreathing at 6 to 10 L/min
	D: BVM at a rate of 12 to 16/min

All Learning Resources for Chapter 30

Assessment in Action for All Chapters