An adult was pinned was pinned between two vehicles. He is conscious but confuse

Question

An adult was pinned was pinned between two vehicles. He is conscious but confused and unable to follow commands. He has bruising on both sides of his anterior chest. He has a weak carotid pulse, no peripheral pulses, clear breath sounds in all fields, and distended neck veins

Hemothorax

Pericardial tamponade

Torn aorta

Tension pneumothorax

A pedestrian was struck by an automobile. His skin is pale, cool, and diaphoretic. He is oriented to name only and complaining of difficulty breathing. Vital signs are bp 80/40, p120, R 26 and shallow, SP02= 90

Administer oxygen via nonrebreather mask

Administer oxygen via BVM

Insert an nasopharyngeal airway

Immobilize onto a long backboard

A 42 year old male has a piece of metal impaled in his lower right leg. He has an obvious open fracture and no pulse in his right foot. What should you do

Stabilize with bulky dressings prior to transport

Reposition his leg to restore the pulse in his foot

Apply traction splint, stabilize, and transport

Remove the object carefully after splinting

What is the appropriate care for an amputated extremity

Wrap in moist gauze and keep cool with cold packs

Immerse in cool water for improved tissue preservation

Wrap in dry gauze, seal in a plastic bag and place in cool water

Place directly into an ice cooler for immediate transportation

You arrive on scene of a car crash. The driver is alert and complaining of severe chest and abdominal pain. His radial pulse is weak and rapid, and his skin is cool, pale, and moist. Patient has a a history of cardiac problems. You should

Rapidly extricate onto a long spinal board and transport

Assist the patient in self- administering their nitroglycerin

Auscitate lung sounds and obtain a blood pressure

Remove the patient from the vehicle and place in shock position

Explanation / Answer

1. Torn aorta because he has anterior chest abrasions.

2.Administer oxygen via bvm because it's an emergency

3. Apply traction splint stabilize and transport.

4.Wrap in moist gauze and keep cool with cold packs.

5. Rapidly extricate onto a long spinal board and transport

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