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問題 #13
Which of the following would potentially complicate patient care during a helicopter transport?
答案:A
解題說明:
Comprehensive and Detailed Explanation From Exact Extract:
Theposition of the patient's headwithin the aircraft affectsaccess to airway managementandcrew maneuverability. If the head is oriented away from providers or toward a non-accessible bulkhead, this can delay critical interventions(airway suctioning, ventilations).
Use of air splints, maintaining oxygen saturation, or environmental humidity are not major complications relative tophysical positioningandin-cabin access limitations.
References:
NREMT EMS Operations - Air Medical Transport
NAEMSP (National Association of EMS Physicians): Air Medical Guidelines EMS Helicopter Safety Protocols - FAA Advisory Circulars
問題 #14
A 23-year-old male fell down a flight of stairs, struck his head, and briefly lost consciousness. He opens his eyes when you ask him questions, knows his name, but doesn't know where he is or what happened.
He is able to squeeze your hands on command. What is his Glasgow Coma Score?
答案:C
解題說明:
Comprehensive and Detailed Explanation From Exact Extract:
Use theGlasgow Coma Scale (GCS)to calculate:
* Eye Opening (E):Opens to speech = 3
* Verbal Response (V):Confused but appropriate words = 4
* Motor Response (M):Obeys commands = 6Total = 3 + 4 + 6 = 13
However, thequestion states he opens eyes to voice, knows name (orientation to person), and follows commands- this would mean:
* Eye = 3
* Verbal = 5(Oriented to person, but disoriented to place/time)
* Motor = 6
Correct Total: 14
References:
NREMT Trauma Guidelines - Neurological Assessment
Glasgow Coma Scale - CDC and AHA Standards
AAOS Emergency Care Textbook - Head Injury Chapter
問題 #15
Which of the following components can be determined by assessing the mechanism of injury? Select the two correct options.
答案:A,B
解題說明:
Comprehensive and Detailed Explanation From Exact Extract:
Mechanism of Injury (MOI)assessment is a cornerstone of trauma care. It helps providers determine:
* Extent of injury: High-speed collisions, falls from height, or penetrating trauma suggest internal injuries even if external signs are limited.
* Need for additional resources: MOI may indicate the necessity ofALS backup,air transport, or technical rescue.
MOI cannot determine a patient'smedical historyor guarantee survival predictions. Thedestination facility depends on multiple factors including triage protocols, vital signs, and local trauma system regulations.
References:
NREMT Trauma Assessment Skills Sheet
National EMS Education Standards - Trauma Module
AAOS Emergency Care and Transportation (11th ed.), Chapter: Mechanism of Injury and Trauma Assessment
問題 #16
A 30-year-old patient has a stab wound to the left forearm that is bleeding profusely. Which of the following interventions should the EMT perform first?
答案:D
解題說明:
Comprehensive and Detailed Explanation From Exact Extract:
Thefirst step in hemorrhage controlfor external bleeding is alwaysdirect pressureusing gloved hands or dressing. Only if this fails or the bleeding issevere and life-threatening(especially from extremities) should a tourniquetbe applied.
Assessing the airway is critical in overall trauma care but not thefirst priorityin isolated extremity hemorrhage. Severity assessment is secondary tobleeding control.
References:
NREMT Trauma Skills: Bleeding Control/Shock
Tactical Combat Casualty Care (TCCC) Guidelines - Hemorrhage Management National EMS Education Standards - Soft Tissue Injuries
問題 #17
You have achieved ROSC (Return of Spontaneous Circulation) in a 77-year-old female. She remains unresponsive and her vital signs are BP 94/58, P 82, and R 18. In what position should she be placed?
答案:C
解題說明:
Comprehensive and Detailed Explanation From Exact Extract:
AfterROSCin an unresponsive patient, theleft lateral recumbent position(also called the recovery position) is preferred to:
* Maintain an open airway
* Prevent aspiration if vomiting occurs
* Promote drainage of secretions
Supine or Trendelenburg positions increase the risk of aspiration. Elevating the head to 45° may reduce intracranial pressure, but it's not standard post-ROSC care in an unresponsive patient unless airway protection is ensured.
References:
NREMT Cardiology Guidelines - Post-Resuscitation Care
American Heart Association BLS/ACLS Algorithms - ROSC Protocol
EMS Education Standards - Transport Positioning
問題 #18
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