A 45-year-old male crashed his snowmobile. His skin is cool and pale. Vital signs are BP 198/96, P 48, R slow and irregular.
Possible diagnoses:
- Traumatic brain injury
- Neurogenic shock
- Hypothermia
- Tension pneumothorax
An unresponsive 18-year-old female was found in the supine position with bleeding in the mouth and from the nose. Respiration is 20 per minute.
Actions to take:
- Suction the oropharynx
- Insert the oral airway
- Assist ventilations
- Administer High-Flow oxygen
When treating an abdominal evisceration, you should:
- Replace the abdominal contents
- Irrigate the tissue to remove contaminants
- Apply an occlusive dressing
- Cover with a moist sterile dressing
A snowmobile rider was thrown 15 feet from his vehicle. His finger is deformed and his sternum is tender to palpation. He says, "I think it'll be okay" and refuses transport.
Actions to take:
- Document his refusal of transport
- Splint the finger and apply an ice pack to the sternum
- Ask him if you can perform a detailed assessment
- Transport the patient to the nearest trauma center
A man has a knife impaled at the fourth intercostal space, left sternal border. He is pulseless and not breathing.
Actions to take:
- Stabilize with a bulky dressing
- Perform compressions with the knife in place
- Do not attempt to remove the knife from the chest
- Do not attempt to perform compressions
A patient is found dead at the scene. What Glasgow Coma Score would he receive?
- 0
- 3
- 1
- 2
Your patient has been stabbed in the right upper quadrant. Which organ is the most likely to be injured?
- Liver
- Spleen
- Stomach
- Kidney