Chapter 11



Handout 17-1 Student’s Name _________________________Chapter 17: Caring for Soft-Tissue Injuries and Bleeding--QuizCircle the letter of the best answer to each multiple-choice question. 1.The force of trauma applied over a large area is referred to as: a.blunt trauma.b.ecchymotic trauma.c.penetrating trauma.d.abrasive trauma.2.A(n) ________ is a cut to the skin and/or to the layers of the soft-tissue beneath the skin, caused by a sharp object.a.puncture b.lacerationc.abrasiond.avulsion 3.The covering for a wound, designed to control bleeding and to protect the wound, is called a(n):a.dressing. b.bandage. c.hemostatic application. d.adhesive compress. 4.Which of the following best describes how a dressing and bandage should be applied? a.Place the dressing loosely over the bandageb.Place the bandage over the dressing, securing it as tightly as possiblec.Place the dressing tightly over the bandage, but don’t restrict the flow of bloodd.Place the bandage tightly over the dressing, but don’t restrict the flow of blood5.Impaled objects usually should be secured in place—EXCEPT when the object is impaled in the: a.lung.b.eye. c.cheek.d.neck. 6.An open wound to the neck should be covered with an occlusive dressing to prevent what from occurring?a.Tension pneumothoraxb.Air embolismc.Blood occlusiond.Hemostatic reaction 7.Severity of burns is determined by all of the following EXCEPT: a.depth.b.area (size).c.heat source.d.location.8.A ________ burn involves both the epidermis and dermis layers of the skin.a.partial-thickness b.superficial c. full-thickness d.surface 9.A chemical burn should be flushed for at least ______ minutes.a.5b.10 c.15 d.20 10.Since electrical burns can have a serious impact on the ________, the Emergency Medical Responder should be on alert for further complications in the field.a.lungsb.heart c.brain d.sensory organs ?2012 by Pearson Education, Inc.EMR 9Handout 17-2 Student’s Name _________________________The Call: Burns from a Kitchen FireRead the scenario. Then, in the space provided, answer the questions that follow.You and your partner are riding back to the firehouse after your last call when you suddenly spot smoke coming from a small residence. Your partner immediately notifies dispatch for a full alarm assignment. Just as you bring your vehicle to a stop, the front door bursts open and a young man practically falls through onto the sidewalk. You and your partner, both Emergency Medical Responders, gather your first response bags and hurry over to him. He tells you that he was cooking and had a grease fire, which he tried to put out but could not. You and your patient move a safe distance from the house, and you very quickly begin a primary assessment. You see that the front of the man’s shirt and the shirtsleeves are scorched and still smoking. He also has what appear to be partial-thickness burns to his entire right arm including his hand, the front of his torso (both chest and abdomen), and his entire head and neck. 1.What is the first step in Emergency Medical Responder care of this patient? Why is this step so important?2. Consider the “rule of nines”. Approximately what percentage of this patient’s body surface area is burned? What is the severity of the burns??2012 by Pearson Education, Inc.EMR 9Handout 17-3 Student’s Name _________________________Chapter 17 ReviewIn the space provided, write the word or words that best complete each sentence. ___________________ occurs when the force of a trauma breaks open small blood vessels beneath the skin, resulting results in black and blue bruising. 2.A rubbing or scraping force that penetrates and destroys the outermost layer of skin is called a(n) ______________________. 3.Never remove a(n) ____________ object from a wound. 4.A(n) ___________________ dressing is typically a large and absorbent dressing designed for major wounds. 5.When applying a bandage to the arm, be sure to leave the _________________ exposed to help evaluate circulation. 6.Open wounds to the neck and chest should be covered with a(n) ___________________ dressing to prevent air from entering. 7.The three factors that usually determine severity of burns are ________________, _____________ __________, and ________________. 8.If a patient has a chemical burn to an eye, flush with ________-pressure water and be sure to flush __________ from the unaffected eye. 9.Electrical burns may show as small burns that are visible on the outside, but _______________ injury may have occurred internally. 10.To estimate the surface area of a burn, use the area of the ______________ palm as the unit of measure.?2012 by Pearson Education, Inc.EMR 9Handout 17-4 Student’s Name _________________________ListingComplete each listing activity on the lines provided.1.List four steps in providing emergency care for open wounds.2.List the five steps in the typical care of an amputated part.3.Fill in the percentages (percent) for the “rule of nines” as determined for an adult patient.Head and Neck:______ percentPosterior Trunk:______ percentAnterior Trunk:______ percentEach Upper Extremity:______ percentEach Lower Extremity:______ percentGroin Area:______ percent?2012 by Pearson Education, Inc.EMR 9Answer Key Handout 17-1: Chapter 17 Quiz1.a2.b3.a4.d5.c6.b7.c8.a9.d10.bHandout 17-2: The Call: Burns from a Kitchen Fire1. The first step is to assess scene safety. If you attempt to provide emergency care at an unsafe scene, you could be injured as well.2.applying the “rule of nines”:Head and neck: 9 percentAnterior trunk: 18 percentRight arm: 9 percentTotal body surface area burned: 36 percent.This patient is critically burned: The face, neck, chest, and possibly the eyes and one hand have all been affected. Handout 17-3: Chapter 17 ReviewEcchymosisabrasionimbeddedtraumafingersocclusiondepth, surface area, locationlow, awayseverepatient’sHandout 17-4: Listing 1.The steps are as follows:Control bleeding.Recognize and treat the onset of shock. Prevent infection.Dress and bandage the wound. 2.The steps are as follows:Gently clean the amputated part by removing loose debris.Wrap the amputated part in gauze lightly moistened with sterile saline and place in a sealed plastic bag.Cool the amputated part by placing it in a container with ice. Label the part with the patient’s name and arrange transport.Never give false hope to the patient about reattachment.3.Head and Neck: 9 percentPosterior Trunk: 18 percentAnterior Trunk: 18 percentEach Upper Extremity: 9 percentEach Lower Extremity: 18 percentGroin Area: 1 percent?2012 by Pearson Education, Inc.EMR 9 ................
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