A 53 year old femal was hit by a car. She is unresponsive with deformity to the

Question

A 53 year old femal was hit by a car. She is unresponsive with deformity to the left femure and pelvic instability she has dimished lung sounds on the left side. You should

Immobilize her onto a long backboard

Stabilize the left femur with a traction splint

Perform a detailed physical assessment

Rapidly transport to the nearest emergency room

A 23 year old soccer player was kicked in the chest. He is alert with rapid, shallow respirations and complains of chest pain. Skin is pale, cool and wet

Oxygenate via non-rebreather mask

Palpate the chest for tenderness

Insert a nasopharyngeal airway

Perform a rapid trauma assessment

What is the most likely cause of bilateral periorbital echymosis?

Epidural hematoma

Blow out fracture

Subdural hematoma

Basilar skull fracture

A 75 year old female was in motor vehicle collision and says she cant feel her legs. Vital signs are bp 80/40 P 60 R24. Suspect

Compensated shock

Cardiogenic shock

Neurogenic shock

Hemorrhagic shock

A 25 year old assault victim is spitting up light pink sputum. He has bright red blood spurting from a 2 inch laceration to his left forearm. What should you do?

Apply direct pressure to the wound

Administer oxygen by non-rebreather mask

Immediately suction his airway

Apply a tourniquet distal to the wound

Explanation / Answer

Basilar skull fracture-Periorbital ecchymosis can be defined as the condition in which dark circles surround the eyesIf the condition was caused by a basal skull fracture, the patients are advised against coughing, sneezing or straining, as this can aggravate the condition (further tearing of the meninges). The periorbital ecchymosis forms as the blood from the skull fracture infiltrates into the soft tissues around the eyes.

Neurogenic shock-Neurogenic shock is a distributive type of shockresulting in low blood pressure, occasionally with a slowed heart rate, that is attributed to the disruption of the autonomic pathways within the spinal cord. It can occur after damage to the central nervous system such as spinal cord injury.

Apply a tourniquet distal to the wound

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