West Coast EMT Block 4 Exam with Complete Solutions 1st Degree Burn Tissue Effected?Skin Color/Moisture/Appearance? - Correct Answer Superficial Thickness (Only Epidermis) Red Skin No Blisters or burns 2nd Degree Burn Tissue Effected?Skin Color/Moisture/Appearance? - Correct Answer Partial Thickness (epidermis and part of dermis) Not subcutaneous tissue Blistered/white to red/ moist and spotted 3rd Degree Burn Tissue Effected?Skin Color/Moisture/Appearance? - Correct Answer Full Thickness All skin layers including subcutaneous and beyond Dry/Leathery/white brown or black hemothorax Bleeding?s/s?Transport? - Correct Answer pleural space fills with blood
s/s: shock decreased breath sounds on affected side
rapid transport Rule of 9's adults Head Chest Arms Abdomen Groin Legs - Correct Answer Head - 4.5 Chest - 9 Arms - 4.5 Abdomen - 9 Groin - 1 Legs - 9 (this is per side aka front and back) 1 / 2
anaphylaxis (anaphylactic shock) S/s - Correct Answer Can develop within seconds, mild itching or rash, burning skin, vascular dilation, generalized edema, coma, rapid death cardiogenic shock S/s Pulse/Resp.'s/Blood Pressure?Skin CMT?Mental Status?Right vs Left - Correct Answer P-Either R-Tachy BP-Brady and Narrowing Cool Pale and Clammy/ Cyanotic Anxiety to Decreased AMS JVD/peripheral edema = R. Sided Failure Crackles or rales upon auscultation L. Side fail distributive shock S/s Types of? - Correct Answer Anaphylactic/Neurogenic/Septic hypovolemic shock S/s Pulse/Resp.'s/Blood Pressure?Skin CMT?Mental Status?Peripheral Pulse? - Correct Answer pulse up / resp.'s up / BP down Pale Cool Clammy Anxiety Decreased Mental Status Weak Peripheral Pulse neurogenic shock S/s - Correct Answer Bradycardia, low blood pressure, signs of neck injury Types of Obstructive Shock - Correct Answer Cardiac Tamponade, Tension Pneumothorax, Pulmonary Embolism psychogenic shock S/s - Correct Answer Rapid pulse, normal or low blood pressure septic shock S/s - Correct Answer Warm skin, tachycardia, low blood pressure Pneumothorax - Correct Answer accumulation of air in pleural space blood in pleural space will be deoxygenated Open Pneumothorax - Correct Answer aka open chest wound or sucking chest wound rapidly sealed with occlusive dressing Spontaneous Pneumothorax - Correct Answer Structural Weakness weak area "bleb" can rupture spont sudden unexplained chest pain and shortness of breath
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