A) Many musculoskeletal injuries have a grotesque appearance, and the EMT cannot be distracted from life-threatening conditions by a deformed limb.
B) All musculoskeletal injuries are l ife threatening due to the bone bleeding, leading to hypoperfusion.
C) Splints do not adequately fi t the patient’s extremities and must be modif ied with padding to ensure immobil ization.
D) Most musculoskeletal injuries are simply splinted and not a life threat to the patient.
C) axial skeleton.
A) appendicular skeleton.
B) boney skeleton.
B) Carti lage
D) Carti lage
A) Smooth muscle
D) Hands and feet
C) Skull and neck
B) Lower extremities
A) Upper extremities
D) All of the above
B) Swel l ing
A) Nerve damage
B) Il ium
B) Explain to the patient that you cannot tel l if her ankle is sprained or fractured unti l she is X-rayed at the emergency department, then splint the ankle.
A) Explain to the patient that her ankle is fractured and you must splint her ankle to prevent further injury and reduce pain.
C) Transport the patient immediately to a trauma center, applying high-concentration oxygen en route.
D) Explain to the patient that her ankle is sprained and transport her with her ankle elevated on a pil low and a cold pack applied to the injury.
C) A serious condition caused by the bleeding and swell ing from a fracture or crush injury that becomes so strong that the body can no longer perfuse the tissues against that pressure.
D) A non life-threatening condition caused by orthopedic injuries in which blood flow is stopped when the bone ends compress the blood vessels.
B) A life-threatening condition caused by trapping the blood flow by a fracture when the bone ends cut the blood vessels
A) A serious condition caused by the amount of equipment that must be carried in the ambulance compartments.
B) Indirect force
A) Direct force
C) Sudden acceleration
D) Twisting motion
D) Both A and B
C) The joint capsule has been torn open during a dislocation.
B) Bone ends have lacerated the soft tissues and skin from the inside.
A) A gunshot wound has penetrated the skin and then fractured the bone.
B) A possible fracture of the femur
A) A possible fracture of the cervical spine
C) Suspected multiple fractures of the femur, tibia, and fibula
D) A possible fracture of the humerus
C) Comparing the injured side to the uninjured side
D) Seeing if you can elicit crepitus on palpation
B) Asking the patient to see if he can bear weight on the extremity
A) Gently attempting to flex the mid-portion of the bone to check for angulation
C) It restricts blood flow to the site of the injury to prevent swell ing.
D) It reduces pain.
B) It may prevent a closed injury from becoming an open injury.
A) It prevents neurological damage due to movement of bone ends or fragments.
A) Provide manual in-l ine stabi l ization of the cervical spine along with assessment of breathing, pulse, and the presence of significant hemorrhage; apply high-concentration oxygen; perform a rapid trauma exam; immobi l ize to a long backboard; transport; and splint the extremity en route if time and resources al low.
B) Open the airway; assess breathing; check the carotid pulse; spl int the forearm injury; immobil ize the patient to a long backboard; apply high-concentration oxygen; and transport.
C) Provide immediate manual in-l ine stabi l ization of the cervical spine; apply high-concentration oxygen by nonrebreather mask; perform a focused history and assessment; apply the cervical collar; apply a padded board splint, sling, and swathe to the forearm injury; and transport.
D) Provide manual in-l ine stabi l ization of the cervical spine along with assessment of breathing, pulse, and the presence of significant hemorrhage; apply high-concentration oxygen; perform a rapid trauma exam; immobi l ize to a long backboard; and check with medical control about the need to splint the forearm injury prior to transport.
D) Pain, pal lor, paresthesia, pulses, paralysis, and pressure
C) Pain, pal lor, position, pulses, placement, and pad
B) Pain, pal lor, paresthesia, pulses, placement, and pressure
A) Pain, pal lor, position, pulses, placement, and pressure
A) Check pulse, movement, and sensation distal to the injury before and after splinting.
B) Immobil ize from the shoulder to the wrist.
C) Use an upper extremity traction splint.
D) Do not attempt to real ign the extremity before splinting.
D) Gently replace protruding bone ends back beneath the skin to prevent further contamination.
C) Check the distal neurovascular function before and after splinting.
B) Splint an isolated extremity injury before moving the patient to the stretcher.
A) Immobil ize the site of an extremity injury from the joint above it to the joint below it.
C) The amount of traction appl ied should be roughly 10 percent of the patient’s body weight and not exceed 15 pounds.
D) The amount of traction appl ied should be 15 pounds.
B) Pull enough traction to give the patient some relief from the pain.
A) No traction splint applied in the field pulls true traction; they must pull 20 pounds of countertraction.
C) Ignoring life-threatening problems whi le focusing on an extremity injury
D) All of the above
B) Compromising circulation to the extremity
A) Converting a closed fracture to an open one
C) forearm; humerus
A) wrist; elbow
B) wrist; shoulder
D) fingertips; shoulder
D) During the secondary exam
C) During the primary exam
A) En route to the hospital
D) Immobil ize the patient to a long backboard without spl inting the extremities individual ly.
C) Use moldable spl ints for the upper and lower extremities, padding any voids to fully stabil ize the fractures.
B) Use padded board splints for the upper extremities and PASG for the lower extremities.
A) Use traction splints for the lower extremities and al low the upper extremities to be immobil ized by the long backboard.
B) Gently attempt to straighten the leg to regain a pulse before splinting.
A) Explain to the patient that, because you cannot detect circulation in his foot, his leg wil l most l ikely have to be amputated above the site of the injury
C) Splint the leg in the position in which it was found and transport without delay.
D) Transport rapidly to the nearest trauma center.
A) Placing the arm in a sling and using a triangular bandage to secure it to the body
B) Using an upper extremity traction splint
C) Placing two long padded board splints on either side of the extremity, extending from the shoulder to the wrist
D) Using a long-arm air splint
C) Fractured pelvis
D) None of the above
B) Compression fracture of the lumbar or sacral spine
A) Hip dislocation
B) pelvic trauma/fracture.
A) spinal fracture or injury.
C) pelvic dislocation syndrome.
D) All of the above
C) Damage to the nerves of the lower extremities
B) Damage to internal organs
B) Check distal CSM, apply a sl ing and swathe, and transport the patient.
A) Contact medical control for input into the best treatment for this patient.
C) Check distal CSM, apply a traction splint, and transport the patient.
D) Continue splinting and report the popping sound to the triage nurse when you arrive at the hospital.