Trauma and Injury Scenarios Flashcards
7 cards from real EMD practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Trauma and Injury Scenarios flashcards as text
A caller reports a 10-year-old struck by a car at low speed who is now vomiting. What does repeated vomiting after head trauma indicate?
Answer: Possible increased intracranial pressure
Vomiting after pediatric head trauma is a classic sign of elevated intracranial pressure and warrants urgent ALS response.
A caller describes a male patient who was assaulted and has a deformed jaw and missing teeth. He is drooling blood. What is the MOST critical airway concern?
Answer: Risk of aspiration of blood and teeth fragments
Blood, bone fragments, and dislodged teeth can be aspirated, causing airway obstruction in a facial trauma patient.
During a call for an industrial explosion with multiple casualties, the EMD is told 6 patients have varying injuries. What is the EMD's primary responsibility at this point?
Answer: Declare a mass casualty incident and initiate MCI protocol
Six or more casualties from a single event meets MCI criteria, requiring the EMD to activate MCI protocol and mass resources.
A caller reports a farm worker entangled in a PTO (power take-off) shaft. Bystanders have shut off the tractor. What should the EMD warn the caller about BEFORE attempting to free the patient?
Answer: Do not attempt to spin the shaft back — wait for fire/rescue with appropriate tools
Attempting to reverse-spin a PTO can cause further degloving or amputation; trained rescue personnel with proper tools are required.
A caller reports a patient was struck by lightning and is now unresponsive. What is the correct EMD response regarding scene safety?
Answer: The scene may still be dangerous; advise caller to move to shelter before approaching
Lightning poses an ongoing scene hazard; callers should seek shelter while remaining on the line, and responders should approach only when safe.
A caller describes a patient with a traumatic eye injury — a metal fragment is visible in the eyeball. What pre-arrival instruction should the EMD provide?
Answer: Tell caller to cup a paper cup or similar object loosely over the eye without pressure
An impaled foreign body in the eye should be protected with a shield, never compressed or removed, to prevent further damage.
A caller reports a drowning victim who has been pulled from a pool. The patient is unconscious and not breathing. What is the FIRST instruction the EMD should give?
Answer: Begin rescue breathing or CPR immediately
Drowning victims in cardiac or respiratory arrest require immediate CPR; time to first breath or compression is the strongest predictor of survival.
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