In chest wounds, the crackling sensation produced by air flowing into the surrou
ID: 99606 • Letter: I
Question
In chest wounds, the crackling sensation produced by air flowing into the surrounding tissues is called subcutaneous
Emphysema
Asphyxia
Pneumothorax
Bronchitis
A patient presents with pain and bruising to the right upper quadrant following a motor vehicle collision. You should suspect injury to which of the following organs.
Pancreas
Liver
Stomach
Spleen
A 30 year old male was shot in mid-thigh. Bleeding continues after your partner applies direct pressure. What should you do?
Elevate the leg and place a pressure dressing
Continue pressure and transport rapidly
Apply a tourniquet to the affected leg
Check for distal pulse, movement, and sensation
A woman struck in the face with a softball bat. She is unconscious. Vital signs are BP 74/50 P60 R8. Should do?
Apply modified jaw thrust and immobilize
Suction and insert an oropharynx airway
Insert and oral airway and administer oxygen via BVM
Administer oxygen by non-rebreather mask
Explanation / Answer
Please find the answers below:
Answer 1: Subcutaneous emphysema: This is a patho-physiological condition in which a gaseous bubble of air or a gaseous pocket is trapped below the skin in response to a stress/stimulus. This condition can give rise to sensation of painon touch and can rise upto the neck and face as well.
Answer 2: When the mid-thigh has been damaged, it is very likely that a huge volume of blood might be lost from the damage. Under such conditions, the primary important point to take care is to prevent loss of blood so that the blood pressure might be regulated. Elevating the leg upwards and then putting a pressure dressing will help the patient in this regard. Thus choice 1 is correct.
Answer 3: Since the patient has suffered from an impact on the face directly, she might be suffereing from any internal damage as well. Thus, in order to avoid any internal injury, using a bag-valve mask or BVM will be advisable. Thus, choice 3 is correct.
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