While riding a bike, a young boy fell onto a stick protruding from the ground. The stick impaled him in the neck. The boy immediately pulled the stick out and ran home, where his mother called 911. Assessment reveals a gaping wound to the right neck. All hemorrhage has clotted off and manual in-line spinal stabilization is being maintained. Which one of the following instructions should you provide to the other EMTs on scene?
A) Take some sterile gauze and carefully place it inside the open wound to prevent additional bleeding.
B) Place an occlusive dressing over the wound and tape it on all four sides.
C) Apply a sterile dressing over the wound and hold it in place by wrapping roller gauze around his neck.
D) Do not worry about covering the wound, just place a cervical collar on him and carefully transfer him to the long board.
Question 2
A teenage female has been removed from a pool. Your assessment reveals her to be responsive to painful stimuli with decorticate posturing. Her airway has water in it and she appears to be vomiting water. Breathing is agonal at 8 breaths per minute. Her pulse is weak and slow. Which one of the following should you do immediately?
A) Place a nasopharyngeal airway.
B) Administer abdominal thrusts.
C) Start positive pressure ventilation.
D) Suction water from the airway.
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