Practice Quiz

NREMT Paramedic Trauma Exam Prep

Category - Paramedic Trauma

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You are called to the scene of an accident for a 38-year-old female who was the unrestrained driver. The patient has significant bruising on her chest, hemoptysis, and coarse rhonchi throughout the lower lobes.

If this patient becomes hypoxemic, what is the optimal treatment strategy?
  1. Suction to help remove any bloody sputum
  2. High flow oxygenation via NRB
  3. Coaching the patient through slow, deep breaths.
  4. Positive pressure ventilations (CPAP or BVM as appropriate)
Explanation
Answer: D- This patient will likely require positive pressure ventilations to assist with respiratory effort.

The primary concern is pulmonary contusion causing secondary pulmonary edema. This etiology of hypoxemia means that high flow oxygen may be insufficient as more alveolar space is filled with fluid. This process is similar to congestive heart failure and requires similar management.
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