A 37-year-old male was struck on the driver side of his vehicle by another car traveling at 45 mph. Your primary assessment reveals that the patient is semiconscious and in respiratory distress. When extricating this patient from his car, you should:
A. apply a C-collar and rapidly remove him on a long backboard.
B. apply a vest-style extrication device and remove him from the car.
C. manually stabilize his head and quickly pull him from the car.
Answer: A. apply a C-collar and rapidly remove him on a long backboard.
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Your patient is a 21-year-old football player who was struck in the lateral aspect of the left knee by another player's shoulder. The patient is in extreme pain, and the knee is significantly deformed and swollen. The pedal pulse is weak, but present, and capillary refill is less than 2 seconds. The patient is screaming at you to "fix" his knee. You are 10 minutes from the emergency department
You should: A) splint the knee as found, start an IV, consider narcotic analgesia. B) apply gentle axial traction and realign the limb, splint in alignment. C) flex the knee to a 45-degree angle, splint in position of function. D) start an IV, administer narcotic analgesia, apply firm axial traction until the pulse returns to normal or resistance is met, then splint.
A patient with copious amounts of secretions has required nasotracheal suctioning for the past 36 hours and has now developed mild epistaxis. Which of the following should the respiratory therapist recommend?
A. Insert a laryngeal mask airway (LMA) to facilitate suctioning. B. Discontinue nasotracheal suctioning for 24 hours and reassess the patient. C. Insert a nasopharyngeal airway after bleeding has been controlled. D. Insert an oral endotracheal tube to allow for better airway access.