Need help with several questions/concepts

Hypochondriac

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For my peace of mind need help with a few questions.

1) Hypothermia unresponsive patient, treatment is passive warming right?

2) Baby delivered extensive bleed from vagina. Do you pad the vagina
or Massage the uterus?

3) Person in a hot room, loses/reduces which method of heat control?
Breathing, conduction, sweating

4) How would you describe a closed fracture? Long bone injury discolored skin. Or Unbroken skin?

5) Internal Bleeding, what would you do for treatment? Would direct pressure over site help control bleeding?

6) Hip fracture/Dislocation How would you splint? Padded long boards then
secure to long board or Air splint?
 
What is your level of training? If you are a student and this is your homework we aren't going to do it for you.
 
I will defer to Aidey for the most part, but I would like to address #5.

Let's examine two kinds of internal bleeding. First, let's consider internal bleeding in an extremity caused by a closed fracture. You have the jagged edges of a broken bone rubbing around inside unbroken skin, and this has torn some blood vessels. What is going to happen when you apply direct pressure, pressing the flesh against those jagged bone ends?

Next, let's consider damage to an abdominal organ due to some kind of trauma. Some kind of impact has damaged that organ enough to cause it to bleed inside the body cavity. What's going to happen to it when you apply more pressure to it? Furthermore, how would you know where, exactly, to apply the pressure? The outward signs might cover a much larger area than where the bleed is actually occurring.
 
2) Baby delivered extensive bleed from vagina. Do you pad the vagina or Massage the uterus?

Flip the procedures to the other body part and that is the correct answer...I am sure of it! :)
 
I will defer to Aidey for the most part, but I would like to address #5.

Let's examine two kinds of internal bleeding. First, let's consider internal bleeding in an extremity caused by a closed fracture. You have the jagged edges of a broken bone rubbing around inside unbroken skin, and this has torn some blood vessels. What is going to happen when you apply direct pressure, pressing the flesh against those jagged bone ends?.

The facial compartment should seal itself and stop the bleeding, if not manual reduction of a fracture can reduce bleeding. pushing two bone ends apart, not the best idea.

Next, let's consider damage to an abdominal organ due to some kind of trauma. Some kind of impact has damaged that organ enough to cause it to bleed inside the body cavity. What's going to happen to it when you apply more pressure to it? Furthermore, how would you know where, exactly, to apply the pressure? The outward signs might cover a much larger area than where the bleed is actually occurring.

Closed truncal bleeding is difficult to control by direct pressure. You can attempt indirect pressure to the retroperitoneal space to slow or stop the bleed of a intraperitoneal wound. It doesn't always work. You can apply direct pressure to the retroperitoneal space with a long board if there is bleeding there. Again your milage may vary. Abdominal arotic bleeding can sometimes be stopped by applying mast pants and basically pneumatically applying pressure to the Abd. compartment.

External pressure to the thorax, is most likely not going to work. That whole ribcage and breathing thing.
Don't let other people do your homework.

"1) Hypothermia unresponsive patient, treatment is passive warming right?"

Depends on the severity of hypothermia, but occasionaly I need to do a warm NG lavage along with bilateral thorocotomy tubes to lavage that cavity as well along with the passive rewarming techniques.
(chances are your teacher will not accept that answer)


"2) Baby delivered extensive bleed from vagina. Do you pad the vagina
or Massage the uterus?"


Yes, if it continues, look inside to find the location of the bleed and appropriately ligate, cauterize, or apply direct pressure.
(I pass, you might not)

3)" Person in a hot room, loses/reduces which method of heat control?
Breathing, conduction, sweating"

(conduction, convection, radiation, perspiration)

"4) How would you describe a closed fracture? Long bone injury discolored skin. Or Unbroken skin?"(perhaps and yes)

"5)Internal Bleeding, what would you do for treatment? Would direct pressure over site help control bleeding?"

Indiect pressure and see how that works, replacement of clotting and blood products, finally cutting open and finding and ligating/cauterizing/removing partial or total organ of the offending bleed. Sometimes using fluroscopy and stopping the bleed percutaneously.
(that probably didn't help you either)

"6) Hip fracture/Dislocation How would you splint? Padded long boards then
secure to long board or Air splint?"

reduce it, and call ortho to fix it. However they like to.
 
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What is your level of training? If you are a student and this is your homework we aren't going to do it for you.

Just finished the state test for EMT-B those concepts/questions are what I had trouble with. Want to get clear answers before I take the NREMT in a few days.


Thanks for the replies. Guess I should have specified I'm and EMT-B. So can't do most of the answers you mentioned
 
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Did you check your EMT book? Most of these answers are in there.
 
Its important to note that Veneficus' answers are for the most part entirely inappropriate for an EMT, in case there is any confusion. Vene is describing the entire scope of treatment for these injuries.
 
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