1. You arrive to find a 24-year-old male who was pinned under his car when the bricks he was using to hold the car up after he took the tires and wheels off gave away. He is still AAOx4 and tells you he thinks he has bee
...
1. You arrive to find a 24-year-old male who was pinned under his car when the bricks he was using to hold the car up after he took the tires and wheels off gave away. He is still AAOx4 and tells you he thinks he has been stuck there for at least 4 hours before someone found him.
- What types of injuries would you expect to find?
Compartment syndrome, crush injuries, broken bones, internal bleeding, open fractures.
- How are you going to treat this patient?
Large bore IV, high flow o2, monitor, sodium bicarb, focus on ABCs. Tourniquet the affected area if possible to reduce the flow of rhabdomylosis (toxins released in the blood from necrosis)
- What are you worried about when extricating this patient?
Rhabdomylosis, cardiac arrest, internal bleeding, renal failure. - ANSWER ...
2. You arrive on the scene of an assault. Your patient is 66 young who is found sitting on the couch in his living room. The pt. states that he was just watching TV when 2 men busted in his house wearing masks. During your physical assessment you find several lacerations of various depths. The pt. tells you that during the altercation one assailant had a knife and kept slashing at him.
- Why are some injuries more open than others? Think about tension.
The amount of force used when stabbing the pt.
- Since these are considered open wounds, what are some of the tissues you would need to think about during care?
Direct pressure, control bleeding, proper bandaging, focus on ABCs - ANSWER ...
3. You are called to a possible domestic violence issue. You arrive to find a 15 young. During your assessment of the pt. you find several discolorations of her skin. Some are black and blue and others are bluish and swollen. She does complain of tenderness over the affected areas.
- Whar are those areas of different colors? What does that mean?
Black and blue are contusions
Bluish and swollen are hematomas.
Suspect internal bleeding
-what are your concerns in a scene like this?
Scene safety - ANSWER ...
4. You arrived at an industrial site where a 34 yof was working with a table saw. While cutting a piece of wood she was distracted by a co-worker and cut off her left index finger. How would you treat this patient, package the finger and where would you transport her?
- Clean with sterile water, control bleeding, bandage the finger, IV, O2.
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