NREMT EMR First Responder

Category - Trauma

All of the following are indicators of possible internal bleeding except one. Which of the following is not an indicator of internal bleeding?
  1. Blood or clear fluids draining from the ears or nose
  2. Slurred speech and facial droop
  3. Abnormal tenderness of an area
  4. Patients who vomit or cough up blood
  5. Bruises or penetrating wounds to the chest or abdomen
Explanation
Answer: B - All of the characteristics above are possible indicators of internal bleeding except slurred speech and facial droop are classic indicators of stroke, rather than internal bleeding. Because it is so difficult to identify and assess internal bleeding, be sure to watch your patient’s signs and symptoms carefully if you suspect internal bleeding. Patients with internal bleeding can decline very rapidly. Be prepared for the worst.
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