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Paramedic Trauma FISDAP Exam/58 questions with complete solutions
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Paramedic Trauma FISDAP Exam/58questions with complete solutions
If you see a cracked windshield in a MVC... what will the pt represent with? -
-Bruised or lacerated head or face. Brain injury, *cervical spine injury (always
until proven otherwise), tracheal injury.
-If you see a deformed steering column in a MVC... what will the pt represent
with? - -Bruised neck, bruised chest. Sternal or rib fracture, flail chest,
myocardial contusion, *pericardial tamponade, pneumo/hemothorax, aortic
tear.
-If you see a deformed dashboard in a MVC... what will the pt represent
with? - -Bruised abdomen, bruised knee, misplaced kneecap. Ruptured
spleen, liver, bowel, diaphragm. Fractured patella, dislocated knee, *femoral
fracture, dislocated hip.
-Phases of Deceleration - -1) Deceleration of the vehicle, occurs when the
vehicle strikes another object & comes to a stop. 2) Deceleration of
occupant, which starts during sudden braking & continues through the whole
crash. 3) Deceleration of internal organs, that consist of internal organs that
continue forward momentum until they're stopped by anatomical restraints.
4) Secondary collisions, which occur when a vehicle occupant is hit by
objects moving within the vehicle (loose objects). 5) Additional impacts, that
the vehicle may receive when it is hit by a second vehicle or is deflected into
another.
-Seat Belt Use - -All arguments against seat belt use are unfounded.
-Primary Blast Injury - -Injuries due to the wave blast itself, usually causing
damage to the lungs, eardrums and other compressible organs (air filled
cavities). Burns also may occur.
-Secondary Blast Injury - -Injuries due to missiles being propelled by blast
force (struck by flying debris).
-Tertiary Blast Injury - -Injuries due to body impact with another object
(when a person is hurled by the force against stationary objects).
-Perfusion - -Circulation of blood within an organ or tissue in adequate
amounts to meet the cells needs.
-Autonomic Nervous System - -Monitors the body's needs from moment to
moment, adjusting the blood flow as required. Maintains homeostasis & is
, divided into the parasympathetic & sympathetic components that oppose
each other and keep vital functions in balance.
-Compensated Shock (Phase 1) - -Tachycardia, NORMAL BP, thirst, anxiety,
clammy/cool skin.
-Decompensated Shock (Phase 2) - -AMS, DROP IN BP, thready/absent
peripheral pulse, labored or irregular breathing.
-Wet Dressing - -Used for small, superficial burns.
-Rhabdomyolysis - -The destruction of muscle tissue leading to a release of
potassium and myoglobin.
-Chemical Burns - -Flush the area off with water, remove pt's clothing &
jewelry.
-Hydrofluoric Acid (HF) - -Is found in drain cleaner, and for etching glass,
and in industrial settings. Pt will complain of burning, and will not stop with
copious amounts of flushing. Calcium chloride will work to relieve the
pain/burning.
-How to assess a electrical injury...? - -The first thing is to protect yourself
and bystanders. If powerlines are down on a car, you tell your pt to remain in
the car and do not go near it.
-Le Fort 1 Fracture - -From the bottom of the nose down. Involves the
mandible and the maxilla.
-Le Fort 2 Fracture - -Involving the nasal bone and the maxilla.
-Le Fort 3 Fracture - -A fracture of all midfacial bones, seperating the entire
midface from the cranium. Includes the eyes.
-Foreign Body in the Eye - -Shards of metal, wood, etc. can become
embedded into the globe of they eye. It can cause irritation and
conjunctivitis. When this happens, attempt to flush out the eye from inside
(tear duct) to out (outer corner).
-Dysconjugate Gaze - -For paralysis of gaze or discoordination between the
movements of the two eyes.
-When a foreign body is impaled in the globe... you should? - -DO NOT
remove it! Stabilize it, cover the eye with a moist, sterile dressing, place a
cup or other protective barrier over the object & secure it in place with a
bulky dressing. Cover the unaffected eye to prevent movement.
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