NREMT Paramedic

Category - Trauma

You find a patient with a penetration injury from a sharp object to the upper right chest and the object is still there. The patient is Alert and Oriented x2 The SpO2 is reading 76%, Respiratory rate is at 30 breaths/minute, and there is no severe bleeding. Which of the following conclusions cannot be true in this situation?
  1. A needle thoracentesis should be considered.
  2. Oxygen must be administered via non-rebreather.
  3. Artificial respiration must be a priority.
  4. The object must be stabilized.
Explanation
Answer: C - Artificial Respirations are not a must have in a Patient with a good respiratory rate and penetrating injury as there is a good chance for the presence of a pneumothorax. A needle thoracentesis w/ a NRB is optimal for this situation.
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