Module 4 Escape Room

Module 4

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ESCAPE ROOM

Prove you’re a trauma whiz and win the four stars to beat the club record.Complete the missions to win the stars and reach the final prize.

introduction

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Newbie

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Trauma Llama

Trauma Junkie

Trauma Whiz

Two of the MOST common mechanisms of injury for blunt trauma are:

Falls & Motor Vehicle Collisions

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Gunshot Wounds and Vehicle Ejections

Low-Caliber Gunshot Wounds and Falls

Motor Vehicle Collisions & Stabbings

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Flail Chest

Forehead Lacerations

Extremity Fractures

Aortic Rupture

Which of the following injuries would MOST likely occur as a direcct result of the third collision in a motor vehicle crash?

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Spleen

Kidneys

Gallbladder

Pancreas

After blunt trauma to the abdomen, a 21-year-old female complains of diffuse abdominal pain and pain to the left shoulder. Your assessment reveals that her abdomen is distended and tender to palpation. Based on this, you are most suspicious of injury to the:

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4/5

Perform a neurologic exam

Palpate his radial pulses

Administer high-flow oxygen

Apply ice to the hematoma

A 39-year-old male was struck in the head by a baseball during a game. He is confused and has slurred speech. He has a large hematoma in the center of his forehead and cannot remember the events preceding the injury. After manually stabilizing his head and assessing his airway, you should:

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5/8

30%

36%

27%

18%

A 5-year-old female pulled a pot of boiling water from the stove. She has superficial and partial-thickness burns to her head, face and anteriror trunk. What percentage of her body surface area has been burned?

According to the rule of palm method for estimating the extent of a patient's burns, the palm of the patient's hand is equal to ______ of his or her total body surface area.

1%

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4%

2%

6%

Which of the following processes occurs during the inflammation phase of the healing process?

The immune system releases histamines, which cause vasodilation resulting in swelling

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Blood vessels in & around the injury site constrict forcing bacteria out and preventing infection

White blood cells are forced away from injury site, increase in red blood cells and blood flow

Veins & arteries at the site constrict, platelet aggregate, stops bleeding & increases wound size

Significant trauma to the face should increase the EMT's index of suspicion for a(n):

Spinal column injury

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Basilar skull fracture

Airway obstruction

Displaced mandible

Trauma Junkie

Trauma Whiz

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Newbie

Trauma Llama

A female patient with a suspected head injury has slow, shallow breathing. The most appropriate treatment for her includes:

ventilation assistance to maintain an ETCO2 of 30-35mmHg

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ventilation assistance to maintain an oxygen saturation of 90%

administering oxygen via a nonrebreathing mask

hyperventilating her at 30 breaths/min

During your primary assessment of semiconscious 30-yearold femaile with closed head trauma, you note that she has slow, irregular breathing and a slow, bounding pulse. As your partner maintains manual in-line stabilization of her head, you should:

instruct him to assest her ventilations while you perform a rapid assessment

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2/8

apply 100% oxygen via a nonrebreathing mask and obtain baseline vitals

perform a focused secondary assessment of the patient's head and neck

immediately place her on a long backboard and prepare for rapid transport

In the setting of a head injury, hypertension, bradycardia, and Biot respirations indicate:

herniation of the brain stem

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decreased cerebral blood flow

internal bleeding in the chest

an underlying skull fracture

Which of the following breathing patterns is most indicative of increased intracranial pressure?

Irregular rate, pattern and volue of breathing with intermittent periods of apnea

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slow, shallow occassional gasps that progress to prolonged periods of apnea

increased rate with normal inspiratory tie and a prolonged expiratory time

increased rate and depth with the distinct odor of acetone on the patient's breath

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BP: 200/100HR: 140RR: 28

BP: 80/40HR: 30RR: 32

BP: 190/110HR: 55RR: 30

BP: 90/50HR: 120RR: 10

Which of the following sets of vitals depicts Cushing's triad:

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Compression of the aorta and vena cava

Hidden bleeding in the thoracic cavity

Blood accumulation in the pleural space

A total collapse of the affected lung

You are transorting a stable patient with a possible pneumothorax. The patient is receiving high-flow oxygen and has an oxygen saturation of 95%. During your reassessment, you find that the patient is now confused, hypotensive, and profusely diaphoretic. What is the cause of this patient's deterioration?

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Ligaments

Bursa

Tendons

Cartilage

Bones are connected to other bones by bands of tough fibrous tissues called:

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applying traction to maintain distal pulses

applying chemical hot packs to the leg

immobilizing the leg with an air splint

keeping the leg at the level of the heart

Care for a patient with a fractured tibia and suspected compartment syndrome includes:

Newbie

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Trauma Whiz

Trauma Llama

Trauma Junkie

In moving joints, the ends of the bones are covered with:

articular cartilage

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gliding cartilage

synovial tendons

muscular fascia

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into a fist

in an extended position

in a straight position

in a functional position

When splinting an injury of the wrist, the hand should be placed:

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warm air is exhaled into the atmosphere

the core body temperature is greater than 98F

air temperature is greater than body temperature

cool air is inhaled and displaces warm air

Heat loss from the body through respiration occurs when:

During your assessment of a atinet who experienced a blast injury, you note that he has a depressed area to the front of his skull. This injury MOST likely occured:

when the patient was hurled against a stationary object

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as a result of flying objects

by inhaling toxic gases

as a direct result of the pressure wave

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10

8

7

9

During your assessment of a patinet with a head injury, you note that he opens his eyes when you pinch his trapezius muscle, is mumbling, and has his arms curled in toward his chest. You should assign him a GCS score of:

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6/8

Low-velocity bullets will cause the greatest amount of trauma

The size of a bullet has the greatest impact on the injury produced

High-velocity bullets will cause less severe internal injuries

The speed of a bullet has the greatest impact on the injury produced

Which of the following statements regarding gunshot wounds is correct?

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Femoral artery laceration and a BP of 140/90

Jugular vein laceration and an SBP of 90

Antecubital vein laceration and a BP of 138/92

Carotid artery laceration and an SBP of 60

In which of the following situations would external bleeding be the most difficult to control?

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8/8

pediatric patients are more prone to hyperthermia

pediatric patients have a proportionately larger volume of blood

most burns in children are the result of child abuse

pediatric patientshave more surface area relative to total body mass

Burns to pediatric patients are generally considered more serious than burns to adults because:

Newbie

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Trauma Llama

Trauma Junkie

Trauma Whiz

Following blunt trauma to the face, a 21-year-old male complains of a severe headache and decreased ability to ove his eyes. This patient's clinical presentation is most consistent with:

a blow-out fracture

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a lacerated globe

optic vessel copression

a ruptured eyeball

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esophargeal tear

crushed cricoid

collapsed trachea

laryngeal fracture

Following direct trauma to the upper part of the anterior neck, a young male presents with labored breathing, loss of voice, and subcutaneous emphysema in the soft tissues around his neck. You should suspect:

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3/8

rupture of the tympanic membrane following diffuse impact to the head

a linear skull fracture & a significant increase in intracranial pressure

factures to the internal structures of the ear following direct trauma

significant pressure and bleeding in between the skull & dura mater

When assessing a patient with a head injury, you note the presence of thin, bloody fluid draining fro his right ear. This indicates:

A 19-year-old male is unresponsive, apneic, and pulseless after being struck in the center of the chest with a softball. Based on the mechanism of injury, what most likely occurred?

Ventricular fibrillation when the impact occured during a critical portion of the cardiac cycle

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Collapse of both lungs due to fractured ribs that perforated the lung tissue & caused cardiac arrest

Asystole r/t massive intrathoracic hemorrhage due to traumatic rupture of aorta

Fracture of the sternum that caused a rupture of the myocardium

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5/8

Engorged jugular veins

Widening pulse pressure

Diminished breath sounds

Rapid, irregular pulse

Following a stab wound to the left anterior chest, a 25-year-old ale presents with a decreased level of consciousness and signs of shock. Which of the following additional assessment findings should increase your index of suspicion for cardiac tamponade?

You have sealed the open chest wound of a 40-year-old male who was stabbed in the anterior chest. Your reassessment reveals that he is experiencing respiratory distress and tachycardia, and is developing cyanosis. You should:

partially remove the dressing

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begin ventilatroy assistance

call for a paramedic ambulance

begin rapid transport at once

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alteration in his mental status

injury to the cervical spine

damage to internal structures

potential airway compromise

30-year-old male sustained a stab wound to the neck when he was attacked outside a nightclub. During your assessment, you should be MOST alert for:

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8/8

bruising of the heart muscle

traumatic rupture of the aorta

a lacerated coronary artery

underlying cardiac disease

While assessing a young male who was struck in the chest with a steel pipe, you note that his pulse is rapid and irregular. You should be MOST suspicious for:

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