OEC Trauma Management & Injury Care 2

Question 1

A skier sustains a femur fracture on a remote slope. Which complication should you monitor for most urgently during the evacuation?

Accepted Answer

Hypovolemic shock from internal blood loss

Answer

A femur fracture can cause 1–2 liters of internal blood loss, making hypovolemic shock the most immediate life threat during evacuation.

Question 2

When applying a traction splint in the backcountry for a mid-shaft femur fracture, what is the primary purpose of applying traction?

Accepted Answer

To reduce muscle spasm and control internal bleeding

Answer

Traction realigns the bone ends, reducing the space muscle spasm creates, which helps control internal hemorrhage and relieves pain.

Question 3

A climber has an open fracture of the forearm with a bone end visible. Your priority after BSI is to:

Accepted Answer

Control bleeding with direct pressure around (not on) the wound, then splint

Answer

Control hemorrhage with pressure around the wound margin without disturbing the bone, then immobilize in position found.

Question 4

A hiker is found unresponsive after a fall with suspected cervical spine injury. There is no pulse. Your first action is:

Accepted Answer

Begin CPR using a modified jaw-thrust to open the airway

Answer

In cardiac arrest, CPR takes priority; use a jaw-thrust (rather than head-tilt) to minimize cervical spine movement while opening the airway.

Question 5

Which sign best indicates arterial bleeding rather than venous bleeding?

Accepted Answer

Bright red blood spurting in pulses with each heartbeat

Answer

Arterial blood is oxygenated (bright red) and flows in spurts synchronized with the heartbeat due to arterial pressure.

(OEC) Outdoor Emergency Care Certification Practice Test