Emsonline (January 2015 - B)

5 Questions | Total Attempts: 141

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Emsonline (January 2015 - B)

Case of the Month - "Uncontrolled Bleeding"


Questions and Answers
  • 1. 
    “Direct pressure” to control bleeding is BEST provided:
    • A. 

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

    • B. 

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

    • C. 

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

    • D. 

      None of the above

  • 2. 
    Tourniquets (of any type) are an appropriate intervention for use in:
    • A. 

      Extremity hemorrhage not controllable by other means

    • B. 

      Groin or neck wounds requiring high sustained pressure to control

    • C. 

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

    • D. 

      None of the above

  • 3. 
    Which of the statements regarding fistulas used for hemodialysis is true?
    • A. 

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

    • B. 

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

    • C. 

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

    • D. 

      None of the above

  • 4. 
    Your main priority in the focused assessment of a conscious patient with visibly blood-soaked clothing should be geared towards:
    • A. 

      Obtaining a complete medical history, including current medications

    • B. 

      Rapidly locating and managing any and all sites of ongoing/active bleeding

    • C. 

      Preparing for aggressive airway management in case patient becomes unresponsive

    • D. 

      None of the above

  • 5. 
    Concerning general vital sign findings in patients reporting bleeding might include:
    • A. 

      Persistent hypotension

    • B. 

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

    • C. 

      Strong peripheral pulses

    • D. 

      All of the above

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