Platinum Trauma

Which of the following would be the BEST description of environmental emergencies?
A medical condition caused by the weather or other local factors

According to the Centers for Disease Control and Prevention, which ranking does drowning have in the causes of accidental death in the United States?
fifth

Which of the following is considered to be a risk factor for experiencing an environmental emergency?
Renal failure patients are at greater risk

What is the most common environmental emergency related to the cold?
Frost nip.
Hypothermia

Which of the following core temperatures is MOST likely to result in ventricular fibrillation secondary to rough handling?
86

Which of these is a peripheral thermoreceptor location?
Mucous membranes

Which of the following components of neurological anatomy is directly responsible for thermoregulation?
Hypothalamus

Which of the following are the body’s principle methods of heat dissipation?
Sweating and vasodilation

Which of the following mechanisms for reducing heat loss used by the body is intended to reduce the effects of convection?
Piloerection.

Which of these substances presents a predisposing risk factor for only cold emergencies?
Aspirin

Which of the following BEST differentiates an emergent heat illness from one that is merely urgent?
The loss of the body’s ability to cool itself

Which of the following would be an abnormal sign associated with a heat emergency?
Elevated blood pressure

What is the name of the medical term related to the reversible change in body structure and function that allows the body to become adjusted to a change in the environment?
Acclimatization.

You are called to a local factory for a patient who has passed out. The patient was in an overheated room and your assessment findings reveal a 28-year-old male with cool, diaphoretic skin. The patient has a pulse of 124 and a blood pressure of 88/40. Which of the following would you suspect based on the above assessment findings?
Heat exhaustion

Which of these is more common in a patient with a fever due to illness, rather than in a patient with a fever due to heatstroke?
A productive cough.

Your 27-year-old male patient was involved in a running event and suddenly developed leg and abdominal pain. Which of the following BEST describes this situation?
Heat cramps secondary to an electrolyte imbalance

You are assessing a patient with a heat emergency who is presenting with hot, moist skin, seizure activity, deep, rapid respirations, a rapid pulse, an increasing core temperature, and low blood pressure. Which of the following would best describe this patient’s condition?
Heat stroke where the patient has lost the ability to cool himself

Which of the following BEST describes why dehydration contributes to the likelihood of a heat emergency?
Inhibits vasodilation

Which of the following people described below would MOST likely risk suffering from exertional heat stroke?
A 26-year-old shoveling snow on a cold day.

You are called to the scene of a patient with a head injury who has a temperature of 104 degrees Fahrenheit. Other than head injury, what other condition should be a part of your field diagnosis for this patient?
Heat exhaustion.

You are called to the residence of a patient who has been ill with vomiting and diarrhea for the past few days. She is now unresponsive; has hot, moist skin, rapid, deep respirations, and a rapid, full pulse; is hypotensive; and is no longer sweating. Which of the following is the patient MOST likely suffering from?
Pyrexia

Which of the following would be the most likely factor that would allow you to differentiate between a patient suffering from heat stroke versus a patient with a fever due to pyrogens?
The history of the present illness.

In a patient with heat cramps, which of the following would be the most appropriate?
An electrolyte fluid orally.

You are called to a football practice field on a hot afternoon. Your patient is a disoriented football player with hot, clammy skin and his history indicates dehydration. Which of the following is the MOST likely problem?
Exertional heatstroke

As you are assessing your hypothermic patient, you observe a lack of shivering, an unobtainable blood pressure, a pulse of 50, respirations of 10, and an ECG tracing of atrial fibrillation. What is the significance of these findings?
This patient is at risk of progressing into ventricular fibrillation.-

Careful handling of the hypothermic patient is needed to avoid causing:
Ventricular fibrillation.

An injury resulting in some freezing in the epidermal tissue, with no tissue destruction, is referred to as which of the following?
Frostnip

You are evaluating a patient whose hand was exposed to the cold and it was initially red, but it is now blanched. The patient is also complaining of diminished sensation in that hand. Which of the following do you suspect?
Superficial frostbite involving the epidermis

Which of the following would predispose a person to experience frostbite?
Taking aspirin

5-10-49 You are called to treat a patient with deep frostbite involving the entire right arm. Which of the following describes the MOST important clinical significance of this injury?
Rewarming may cause hypothermia.—-Correct

5-10-50 What water temperature is utilized when a frostbitten part must be rewarmed?
102-108.—–Correct

5-10-51 Which of the following best explains why we avoid rubbing a frostbitten extremity?
Ice crystals within the tissue may cause further injury.—–Correct

Which of the following accurately represents the pathophysiology of a near drowning/submersion?
Freshwater near drowning/submersion washes away surfactant, which leads to shunting

Which of the following signs, symptoms, or sequelae would you expect to develop in a dry near drowning/submersion incident?
Laryngospasm.

You are called to provide treatment for an unresponsive, apneic patient with a pulse who was just pulled from the water. Your initial attempt to ventilate the patient is unsuccessful. After oral suctioning and reattempting ventilation, which of the following would be the MOST appropriate action?
Attempt to squeeze the BVM more slowly to break the laryngospasm

You are attempting to ventilate a potential near-drowning/submersion incident patient who was just removed from the river. You observe lung compliance is poor; however, lung sounds are clear. Which of the following is MOST likely the cause of the poor compliance?
Fluid in the tissue of the lungs.-

You are attempting to ventilate a near drowning/submersion patient who was just pulled from the water. Your ventilation efforts are unsuccessful. Which of the following is the MOST likely cause?
The larynx is having a spasm

Which of the gas laws indicates the total pressure of a mixture of gases is equal to the sum of the partial pressures of the individual gases?
Dalton’s Law.

Regarding underwater diving accidents, which gas law is responsible for the bends?
Henrys law

How do the gases that are dissolved in the blood and tissues escape the body when a diver ascends appropriately?
through exhalation

if a person who is scuba diving ascends too quickly to the surface after being at sufficient depths, he will MOST likely develop:
Decompression illness.-

Which of the following terms is the general term used to refer to diving injuries that occur as a result of changes in pressure?
Which of the following terms is the general term used to refer to diving injuries that occur as a result of changes in pressure?

When diving, which of these can occur as a result of a pulmonary over-pressure accident due to ascending too rapidly?
Arterial embolism.

Which of the following dive emergencies typically requires the LEAST intervention from EMS personnel?
Arterial gas embolism-

Which of the following types of dive emergencies would most likely present with joint pain as the principle complaint?
Decompression illness

You are assessing a patient who was involved in a diving emergency who has severe substernal chest pain, an irregular pulse, abnormal heart sounds, a reduced blood pressure, and a narrow pulse pressure. Which of the following is MOST likely occurring in this situation?
The patient has a pneumomediastinum, causing a reduction in returned blood

Which of these is a pre-existing condition that can aggravate the response to exposure to high altitudes?
Hypertension

which of the following methods of preventing high altitude illness is the easiest to perform and has the least complications?
Limiting exertion

The most common cause of acute mountain sickness is:
Ascending too rapidly

assessment of nosebleed precepting factors, duration of current bleed, history of prior bleeds, current meds, chronic conditions, exam of bleed, VS, evidence of trauma, Labs for H&H, platelets, WBC’s, Liver function (bilirubin, AST, ALT,LDH) and kidney function (creatinine, BUN) Nursing …

Advanced Trauma Life Support ATLS A program established by the American College of Surgeons for protocols and training in trauma medicine. Algorithms Treatment pathways established to allow systematic and consistent methods of medical and surgical management. WE WILL WRITE A …

What is a quick test used to evaluate blunt trauma to the abdomen? A quick method to evaluate blunt trauma to the abdomen is Focused Assessment with Sonography for Trauma (FAST). Ultrasonography of the abdomen is done at the bedside …

A nurse is reviewing a CT scan of the brain, which states that the client has arterial bleeding with blood accumulation above the dura. Which of the following facts of the disease progression is essential to guide the nursing management …

1. The emergency department nurse is caring for a patient who has been brought in by ambulance after sustaining a fall at home. The patient is exhibiting an altered level of consciousness. Following a skull x-ray, the patient is diagnosed …

Which of the following descriptions BEST characterizes deep​ frostbite? The tissue becomes frozen. Which of the following combinations of findings makes a patient with a potential​ with a related emergency the HIGHEST priority for​ transport? Hot skin and altered mental …

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