STCW First Aid at Sea 3

Question 1

A casualty is bleeding heavily from a deep laceration on the thigh. Direct pressure has been applied but bleeding is uncontrolled. What is the next step?

Accepted Answer

Apply a tourniquet 2–3 inches above the wound

Answer

When direct pressure fails to control life-threatening extremity hemorrhage, a tourniquet applied above the wound is the next intervention.

Question 2

Which of the following is a classic sign of a tension pneumothorax in a trauma patient?

Accepted Answer

Tracheal deviation away from the affected side and absent breath sounds

Answer

Tension pneumothorax causes tracheal deviation to the opposite side and absent breath sounds on the affected side due to air under pressure.

Question 3

When using an AED on a casualty who is lying in water, what should you do first?

Accepted Answer

Move the casualty to a dry surface before attaching pads

Answer

The casualty must be moved to a dry surface to prevent current dispersion through water and protect rescuers from shock.

Question 4

A crew member complains of sudden crushing chest pain radiating to the left arm. You suspect a myocardial infarction. If he is not allergic, what medication should be given while awaiting medical advice?

Accepted Answer

300 mg aspirin chewed slowly

Answer

300 mg aspirin chewed (not swallowed whole) inhibits platelet aggregation and reduces clot progression in suspected myocardial infarction.

Question 5

A casualty has a closed fracture of the forearm. What is the primary goal of splinting before transfer?

Accepted Answer

Immobilize the injury to prevent further damage and reduce pain

Answer

Splinting immobilizes the fracture to prevent movement that could worsen injury, damage vessels/nerves, and increase pain.

(STCW) Standards Certification and Watchkeeping for Seafarers Practice Test

(STCW) Standards Certification and Watchkeeping for Seafarers Practice Test

STCW First Aid at Sea 3