Your patient is a nine-year-old female who was struck by a vehicle as she ran across the street. She is unresponsive and has a hematoma over the left parietal area and an open, depressed skull fracture on the right parietal area. She has bruising on the left flank and hip. She is breathing irregularly at 8 times per minute and has a heart rate of 56. She has a faint carotid pulse but no radial
pulse. Which of the following is/are most likely to account for your patient's heart rate? 1. Normal range for a healthy, fit, nine-year-old child 2. Hypoxia due to impaired respiratory status secondary to traumatic brain injury 3. Increasing intracranial pressure due to traumatic brain injury exacerbated by hypoxia 4. Myocardial contusion
A) 3
B) 4
C) 1
D) 2 and 3
D
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Which one of the following statements made by an AEMT shows an understanding of chest trauma?
A) "Closed chest injuries are caused by blunt trauma, and can be just as serious as open chest injuries." B) "Open chest injuries are more serious than closed chest injuries, because air and bacteria can enter the chest through the open wound." C) "In general, an open chest injury caused by blunt trauma is more life-threatening than a closed one due increased blood loss." D) "Closed chest injuries are caused by penetrating trauma and cause more life-threatening injuries than do open chest injuries."
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Indicate whether the statement is true or false