NREMT Paramedic Trauma Exam Prep

Category - Paramedic Trauma

You are called to the scene of an elderly patient female who slipped and fell, landing on her chest. She complains of dyspnea and chest pain that increases with inspiration and palpation. She states that her symptoms are much better when she holds pressure on her left side.

What is the most likely cause of her symptoms?
  1. Hypovolemia from hip fracture
  2. Tension pneumothorax
  3. Rib fracture
  4. Traumatic asphyxiation
Explanation
Answer: C- This patient likely has a fractured rib.

Elderly patients are more vulnerable to rib fractures due to their bones becoming more brittle with age. The presentation of mild dyspnea with improvement in symptoms when being held is very typical of rib fractures.
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