Emsonline (January 2015 - B)

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| By Bfeinzimer
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Bfeinzimer
Community Contributor
Quizzes Created: 3 | Total Attempts: 595
| Attempts: 162
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  • 1/5 Questions

    Your main priority in the focused assessment of a conscious patient with visibly blood-soaked clothing should be geared towards:

    • Obtaining a complete medical history, including current medications
    • Rapidly locating and managing any and all sites of ongoing/active bleeding
    • Preparing for aggressive airway management in case patient becomes unresponsive
    • None of the above
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About This Quiz

The 'emsonline (January 2015 - B)' quiz assesses key skills in emergency bleeding control techniques, including direct pressure application, tourniquet use, and management of hemodialysis fistulas. It is crucial for emergency responders and healthcare professionals.

Emsonline (January 2015 - B) - Quiz

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  • 2. 

    Tourniquets (of any type) are an appropriate intervention for use in:

    • Extremity hemorrhage not controllable by other means

    • Groin or neck wounds requiring high sustained pressure to control

    • Patients on chronic anticoagulation with mild oozing of blood, since it might worsen unexpectedly

    • None of the above

    Correct Answer
    A. Extremity hemorrhage not controllable by other means
    Explanation
    Tourniquets are an appropriate intervention for extremity hemorrhage not controllable by other means. This means that when other methods of controlling bleeding, such as direct pressure or elevation, are ineffective, a tourniquet can be used to apply pressure to the bleeding extremity. Tourniquets are not recommended for groin or neck wounds requiring high sustained pressure to control, as these areas are more sensitive and may be injured further by the application of a tourniquet. Additionally, tourniquets should not be used on patients on chronic anticoagulation with mild oozing of blood, as it may unexpectedly worsen the bleeding.

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  • 3. 

    “Direct pressure” to control bleeding is BEST provided:

    • With multiple bulky dressings able to “soak up” ongoing bleeding

    • With a small area (finger) as close as possible to the identified origin of bleeding

    • By having the patient hold a dressing themselves to keep the pressure from being uncomfortable

    • None of the above

    Correct Answer
    A. With a small area (finger) as close as possible to the identified origin of bleeding
    Explanation
    Direct pressure is the most effective method to control bleeding. By applying pressure directly to the bleeding site, it helps to close off the blood vessels and reduce blood flow. The answer suggests that providing direct pressure with a small area (such as a finger) as close as possible to the identified origin of bleeding is the best approach. This allows for targeted pressure on the source of bleeding, increasing the chances of stopping it effectively.

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  • 4. 

    Which of the statements regarding fistulas used for hemodialysis is true?

    • They are generally under low pressure due to the venous structures involved

    • They are easy for a surgeon to create and don’t require much maintenance or protection

    • They should generally not be accessed by non-dialysis personnel, although may be considered in a resuscitation emergency

    • None of the above

    Correct Answer
    A. They should generally not be accessed by non-dialysis personnel, although may be considered in a resuscitation emergency
    Explanation
    Fistulas used for hemodialysis should generally not be accessed by non-dialysis personnel because they require specialized knowledge and skills to handle. However, in a resuscitation emergency, accessing the fistula may be considered as a last resort to save the patient's life. This is because the fistula provides direct access to the bloodstream and can be used for rapid administration of fluids or medications in emergency situations.

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  • 5. 

    Concerning general vital sign findings in patients reporting bleeding might include:

    • Persistent hypotension

    • Initial tachycardia in a visibly anxious patient, resolved after bleeding is controlled

    • Strong peripheral pulses

    • All of the above

    Correct Answer
    A. Persistent hypotension
    Explanation
    Persistent hypotension is a possible vital sign finding in patients reporting bleeding. This means that the patient's blood pressure remains low over time, which can be a sign of ongoing blood loss. It is an important finding to monitor as it indicates the need for immediate medical intervention to control the bleeding and stabilize the patient's condition.

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Quiz Review Timeline (Updated): Jan 24, 2023 +

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  • Current Version
  • Jan 24, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Jan 05, 2015
    Quiz Created by
    Bfeinzimer
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