Your patient is a 30-year-old machinist who had his right hand caught in a press. Upon extrication, there is no evidence of significant trauma. You should:
A) splint the hand in the position found, elevate above the heart, apply ice.
B) splint in position of function, start an IV of normal saline, consider morphine for analgesia.
C) wrap the hand in a bulky dressing held in place by an elastic bandage.
D) apply oxygen by nonrebreather, splint using a sling and swath, insert a large-bore IV of lactated Ringer's.
Question 2
Which statement demonstrates an understanding of shock caused by internal bleeding?
A) Internal bleeding is not as much of a life threat as external bleeding since the blood remains in the body.
B) The EMT can control internal bleeding by applying direct pressure to the skin, over the top of the area of suspected internal bleeding.
C) If a patient is bleeding internally, the signs of shocksuch as a rapid heart rate and pale, cool, and clammy skinare not as obvious.
D) You should always suspect internal bleeding in a patient with the signs and symptoms of shock but no external bleeding.
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