Emsonline (January 2015 - B)

5 Questions | By Bfeinzimer | Updated: Jan 24, 2023 | Attempts: 157

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