Practice Quiz

NREMT Paramedic Trauma Exam Prep

Category - Paramedic Trauma

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A 28-year-old male sustained second and third-degree burns over 30% of TBSA from hot roofing tar that landed on him after he fell from a third story building. The burn area is localized mostly to the chest and left leg. The patient’s right leg is shortened and rotated, the pelvis is tender and mobile, and the patient appears pale.

Vital signs show a heart rate of 134, blood pressure of 86/34, and respiratory rate of 14. GCS is 15.

Which of the following is most appropriate for this patient?
  1. Spinal immobilization, pelvic binding, rapid transport to the nearest burn center.
  2. Pelvic bindings, IV fluids, pain medication, application of burn sheets, and rapid transport to the nearest trauma center.
  3. Spinal immobilization, pelvic binding, and rapid transport to the nearest trauma center.
  4. IV fluids, spinal immobilization, running cool water over burn, and rapid transport to the nearest burn center.
Explanation
Answer: C- This patient requires immediate stabilization and transport within 10 minutes of arrival on scene. Transport should be made to a trauma center for this patient, as his most serious injuries are likely related to the fall as indicated by his pelvic injuries.

Transfer to a burn center can be arranged by the trauma center after stabilization, if indicated. Spending time on scene for IV fluids, burn management, and medications are not indicated due to the patient’s other injuries.
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