Question

A 45 yr old male crashed his snowmobile. His kin is cool and pale. Vital signs are bp 198/96, P 48, R slow and irregular

Traumatic brain injuery

Neurogenic shock

Hypothermia

Tension pneumothorax

An unresponsive 18 yr old female was found in the supine position with bleeding in the mouth and from the nose. Respiration are 20 per min

Suction the oropharynx

Insert the oral airway

Assist ventilations

Admin High-Flow oxygen

When treating an abdominal evisceration, you should

Replace the abdominal contents

Irrigate the tissue to remove contaminants

Apply an occlusive dressing

Cover with a moist sterile dressing

A snowmobile rider was thrown 15 ft from his vehicle. His finger is deformed and his sternum is tender to palpation. He says. “ I think it’ll be okay” and refuses transport

Document his refusal of transport

Splint the finger and apply an ice pack to the sternum

Ask him if you can perform a detailed assessment

Transport the patient to the nearest trauma center

A man has a knife impaled at the fourth intercostal space, left sternal border. He is pulseless and not breathing

Stabilize with a bulky dressing

Perform compressions with the knife in place

Remove the knife from the chest

Not attempt to perform compressions

A patient is found dead on the scene. What Glasgow coma score would he receive

0

3

1

2

Your patient has been stabbed in the right upper quadrant. Which organ is the most likely to be injured?

Liver

Spleen

Stomach

kidney

Answer 1

1. Neurogenic Shock.

The common cause of Neurogenic shock is a trauma to the spinal cord from motor vehicle accidents.

The symptoms of Neurogenic shock are

• Bradycardia i.e. low heart rate (in this case, it is 48)
• Hypothermia i.e. decreased body temperature (in this case, the injured person's skin is cool and pale)
• skin feels cold and clammy to touch
• fainting
• filling of anxiety due to which blood pressure may be irregular.

2. Insert the oral airways

In unconscious patients, one of the most common cause is airway obstruction which is due to tongue. Once a person loses consciousness, the toungue may fall to the back of the throat and block the patient's airways. In such cases, use of an oral airways is an effective way to maintain an open airway to improve the respiration or breathing of a patient. Also, it allows you to ventilate further the patient effectively if needed.

3. Cover with a sterile moist dressing in abdominal evisceration

Till the emergency service arrive, we can give an advanced first aid treatment for abdominal evisceration to the patient. you can cover the exposed organ and wound opening with sterile plastic wrap. If available, a sterile dressing wrap which is soaked in sterile saline solution should be used to cover the protruding organs. This prevents the internal organs, tissues and organs from drying off.

4. Splint the finger and apply an ice pack to the sternum

A splint can be applied to the deformed finger to get in regular form and compress the tender area with ice which will help to reduce the swelling.