A patient with hemophilia has suffered a large and deep laceration to the right forearm after cutting it on a mirror, which fell while he was hanging it. The wound is hemorrhaging a steady amount of dark red blood. Given the history of hemophilia, your immediate action on reaching the patient's side and putting on gloves would be to:
A) request that the ED have Factor VIII standing by on your arrival.
B) start an IV and administer a 1 L NS bolus.
C) apply a tourniquet proximal to the wound.
D) apply direct pressure with a bulky dressing.
Question 2
A paramedic has asked you to sterilize a laryngoscope blade, which was placed in the mouth of a patient during an endotracheal intubation procedure. To sterilize this piece of equipment, you should:
A) wipe the blade down with a solution of one part bleach to 10 parts water.
B) clean the blade with soap and water, and then soak it in bleach for 1 hour.
C) immerse and leave the blade in an EPA-registered (approved) chemical sterilant.
D) wipe and soak the blade in a solution of 100 parts bleach to one part water.
Large Munsterländer
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