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Paramedic Trauma FISDAP Exam 2023/2024 already graded A+
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Paramedic Trauma FISDAP Exam 2023/2024 already graded A+
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Paramedic Trauma FISDAP ExamIf you see a cracked windshield in a MVC... what will the pt represent with? - ANSBruised 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? - ANSBruised
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? - ANSBruised
abdomen, bruised knee, misplaced kneecap. Ruptured spleen, liver, bowel, diaphragm.
Fractured patella, dislocated knee, *femoral fracture, dislocated hip.
Phases of Deceleration - ANS1) 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 - ANSAll arguments against seat belt use are unfounded.
Primary Blast Injury - ANSInjuries 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 - ANSInjuries due to missiles being propelled by blast force (struck by
flying debris).
Tertiary Blast Injury - ANSInjuries due to body impact with another object (when a person is
hurled by the force against stationary objects).
Perfusion - ANSCirculation of blood within an organ or tissue in adequate amounts to meet the
cells needs.
Autonomic Nervous System - ANSMonitors 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) - ANSTachycardia, NORMAL BP, thirst, anxiety, clammy/cool
skin.
Decompensated Shock (Phase 2) - ANSAMS, DROP IN BP, thready/absent peripheral pulse,
labored or irregular breathing.
Wet Dressing - ANSUsed for small, superficial burns.
Rhabdomyolysis - ANSThe destruction of muscle tissue leading to a release of potassium and
myoglobin.
Chemical Burns - ANSFlush the area off with water, remove pt's clothing & jewelry.
Hydrofluoric Acid (HF) - ANSIs 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...? - ANSThe 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 - ANSFrom the bottom of the nose down. Involves the mandible and the
maxilla.
Le Fort 2 Fracture - ANSInvolving the nasal bone and the maxilla.
Le Fort 3 Fracture - ANSA fracture of all midfacial bones, seperating the entire midface from the
cranium. Includes the eyes.
Foreign Body in the Eye - ANSShards 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 - ANSFor paralysis of gaze or discoordination between the movements of
the two eyes.
When a foreign body is impaled in the globe... you should? - ANSDO 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.
When an impaled object is in the neck... you should? - ANSNot remove the object, but try to
stabilize it and control the bleeding from it. The ONLY exception for removing the object is if it
interferes with your ability to manage the airway. In some cases, an emergency cric may be
necessary.
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