Adam is walking down Edmund Blvd, on a sunny Monday morning to school. Maggie is late to school and is speeding down Edmund while talking on her cell phone. Maggie isn't paying attention and hits Adam with her car while going 40 m.p.h. When Maggie sees what happens, she parks her car on the side of the road and rushes back to help Adam...
The Scene
When Maggie runs back to see what happened she sees Adam lying in the street clearly in severe pain and seems to have trouble moving. She helps him up and walks him over to the sidewalk to get him out of traffic. She sees that he is bleeding profusely from his abdomen, and has a open wound on his arm. On closer observation she notices a deformity under Adam's shirt, which she investigates by pulling up his shirt. She sees that there is a bone slightly sticking out of Adam's abdomen. She can also see that there is clear bruising all around the wound spreading up to his chest and down below his waist.
Adam doesn't have any preexisting medical conditions.
What Would You Do?
1. If you were Maggie in this situation, what would you do first?
- a. Call 911 on your cell phone
- b. Rush to stop the bleeding from his abdomen
- c. Apply ice
- d. Leave Adam and run into the school to find help
2. Which of Adam's injuries should be cared for first?
- a. The bone sticking out of his abdomen
- b. The severe bleeding from his abdomen and arm
- c. The bruising up and down the abdomen
3. How should Maggie treat Adam's bleeding arm?
- a. Apply pressure
- b. Apply compression wrap
- c. Raise the arm
- d. Pour water over the arm to clean it
4. Adam is not pale or clammy, so Maggie...
- a. Doesn't need to worry about shock, because it hasn't appeared yet.
- b. Should treat for shock ASAP, just in case
- c. Should continue to monitor breathing and circulation, and be prepared to treat for shock
- d. Shock is not an issue.
5. True or False. Maggie should reduce the the broken bone that is sticking out, so she can better treat the injury.
6. How should Maggie treat Adam's broken bone?
- a. Stabilize Adam
- b. Apply sterile gauze around the bone
- c. Apply ice packs from her lunch box around Adam's wound
- d. All of the Above
- e. Just B & C
- f. None of the Above
7. After Maggie stops Adam's severe bleeding and attends to his broken bone, next she should...
- a. Shake Adam to make sure he is still responsive
- b. Perform C.P.R.
- c. Raise Adam's head
- d. Begin the head-to-toe examination
8. What happens if Maggie treats Adam's broken bone incorrectly?
- a. Failure to reduce the rib would cause excess bleeding
- b. Failure to reduce the rib would cause bone death
- c. Reducing the rib could cause permanent damage to the bone or abdomen
- d. Reducing the rib would just cause more bleeding
9. What happens if Maggie does not tend to Adam's severe bleeding quick enough?
- a. Adam can go into shock
- b. Adam can die
- c. Permanent tissue damage can occur
- d. All of the Above
- e. Adam will be fine as long as he is eventually treated.
Adam smells funny
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