NREMT Paramedic Trauma Exam Prep

Category - Paramedic Trauma

Which of these patients is most at risk for massive internal hemorrhage and hypovolemia?
  1. A 7-year-old child who was properly restrained during a motor vehicle accident
  2. A 80-year-old female who fell down a half flight of stairs and complains of hip pain
  3. A 22-year-old male who was shot in the forearm by a handgun with no other injuries
  4. A 36-year-old female who was struck in the head by a baseball
Explanation
Answer: B- Elderly patients who experience trauma are at a heightened risk of bleeding. Additionally, hip fractures can cause dissection of several large blood vessels, causing bleeding into the pelvic cavity.

Gunshot wounds to extremities do not typically cause internal hemorrhage. Head injuries can cause subdural and epidural bleeding, but the primary concern with those injuries is compression of the brain, not blood loss.
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