4.8 of 4 Ratings
A 17-year-old high school student was in shop class when he accidentally sawed off his pointer finger while making a bird house. He fainted when he realized his finger had been cut off. The teacher immediately transported the patient to the emergency department and he arrived within 20 minutes. He has a past medical history of asthma, and his only medication is an albuterol inhaler. The patient's current blood pressure is 122/78 mmHg. Analgesics are administered. The teacher states that he left the amputated finger in the classroom, but that the principal would be transporting it to the hospital. Which of the following is the correct method of transporting the amputated finger?
Submerge the finger in ice water
Wrap the finger in moist gauze
Wrap the finger in moist gauze and place on ice
Wrap finger in moist gauze, put in a plastic bag, and place on ice
Wrap the finger in moist gauze and submerge in ice water
Select Answer to see Preferred Response
A 36-year-old male is taken to the emergency room after jumping from a building. Bilateral fractures to the femur were stabilized at the scene by emergency medical technicians. The patient is lucid upon questioning and his vitals are stable. Pain only at his hips was elicited. Cervical exam was not performed. What is the best imaging study for this patient?
Lateral radiograph (x-ray) of hips
Computed tomagraphy (CT) scan of his hips and lumbar area
Anterior-posterior (AP) and lateral radiographs of hips, knees, lumbar, and cervical area
Magnetic resonance imaging (MRI) of hips, knees, lumbar, and cervical area
AP and lateral radiographs of hips
A 45-year-old man was a driver in a motor vehicle collsion. The patient is not able to offer a medical history during initial presentation. His temperature is 97.6°F (36.4°C), blood pressure is 104/74 mmHg, pulse is 150/min, respirations are 12/min, and oxygen saturation is 98% on room air. On exam, he does not open his eyes, he withdraws to pain, and he makes incomprehensible sounds. He has obvious signs of trauma to the chest and abdomen. His abdomen is distended and markedly tender to palpation. He also has an obvious open deformity of the left femur. What is the best initial step in management?
Emergency open fracture repair
Packed red blood cells