FISDAP Trauma Exam EMT 2025

A 53-year-old female was hit by a car. She is unresponsive with a deformity to the left femur and has pelvic instability. There are diminished lung sounds on her left side. What should you do?

Immobilize to a long backboard and rapidly transport

A 28-year-old male has blunt trauma to right anterior chest. He is pale, cool, diaphoretic, and responsive to verbal. His respirations are 37 and shallow with paradoxical movement. What should you do?

High flow oxygen (O2 with positive pressure ventilations via BVM)

What is most likely the cause of periorbital ecchymosis?

Basilar skull fracture

A 30-year-old male was shot in the middle of his thigh. Bleeding continues after your partner applies direct pressure. What should you do?

Apply a tourniquet high and tight on affected limb

A 28-year-old motorcycle driver traveling 45 mph hit a parked car. He was not wearing a helmet. He is supine with copious amount of blood around the face. He is gurgling and respirations are 4 per minute. Another most appropriate action is what?

Jaw thrust and suction airway and immediately begin assisted ventilations with a BVM and 100% O2

A male fell while water skiing. He is unconscious, what should you suspect?

Cervical spine injury and head trauma

What is the appropriate care for an amputated extremity?

Wrap in a sterile dressing, place it in a plastic bag, and put in cool container filled with ice (Could be dry or moist dressing depending on area)

A 28-year-old motorcycle driver traveling 45 mph hit a parked car. He was not wearing a helmet. He is supine with copious amount of blood around the face. He is gurgling and respirations are 4 per minute. What is the most important action?

Control bleeding (Airway might be more important)

A 18-year-old male is holding his right shin after a sports related injury. He has a deformity and swelling. His pedal pulse is present. What should you do?

Apply a board splint in position found (check and document distal neurovascular status before and after splinting)

A pedestrian was hit by a car. He is pale, cool, and diaphoretic. He is oriented to name only and has difficulty breathing. Vitals are: BP 80/40, P 120, R 28, and shallow, SpO2 90%. What should you do?

Assist ventilations with BVM

An 81-year-old female at a healthcare facility fell out of bed. The nurse suspects a hip fracture. Which medication should you be most concerned with?

Coumadin (anticoagulant or antiplatelet, e.g., warfarin, apixaban, clopidogrel, aspirin; any blood thinner)

You are treating a patient with agonal respirations and a gunshot wound to the chest. You notice an open skull fracture leaking brain matter. There is no radial pulse, what should you do?

Assess a carotid pulse and assist ventilations only if you feel a pulse

A 45-year-old male fell asleep outside while doing yard work. His face and lower legs are bright red with blisters and painful on examination. What should you suspect?

Both superficial and partial thickness burns

A 35-year-old patient has fallen and has a deformed right lower leg. The distal extremity is pulseless and the skin is cool and cyanotic. What should you do?

Gentle realign the injured extremity

You arrive on scene of a car crash. The driver is alert and complaining of severe chest and abdominal pain. His radial pulse is weak and rapid. Skin is cool, pale, and moist. The patient has a history of cardiac problems. What should you do?

Rapidly extricate onto a long spinal board and transport

A 47-year-old male was shot in the back. He has cool and clammy skin with arm weakness. Vitals are: BP 130/90, P 76, R 24. What should you suspect?

Spinal cord injury

Injury that is most likely to require routine assessment and transport

Deformed wrist injury

After securing a patient on a long board, you should immediately assess?

PMS

A 23-year-old soccer player was kicked in the chest. He is alert with rapid, shallow respirations and complains of chest pain. He is pale, cool, and wet. What should you do?

Apply high flow oxygen via non rebreather

A 25-year-old in respiratory distress after being stabbed in the chest. Blood is bubbling from a 2 cm laceration to left chest wall. Lung sounds are diminished on left side. What should you do?

Apply occlusive dressing

What are early signs of decompensated shock?

Low blood pressure, altered mental status, weak or absent peripheral pulses, rapid and labored breathing, and skin that becomes ashen, cool, or cyanotic

A patient is stabbed in the right upper quadrant. What organ is injured?

Liver

A patient with a chemical burn on his eye and is wearing contact lenses. What should you do?

Remove contact lenses and administer irrigation solutions

A baseball player was hit by a baseball in the left eye and complains for double vision. What should you do?

Place a rigid eye shield, avoid pressure on the eye, keep the patient upright if tolerated, and arrange immediate transport (Maybe restrict spinal movement)

First concern with a conscious patient who received partial thick burns to the face?

Airway problems

A 22-year-old female had an accident on a moped. She is lying on the ground, breathing well, and still wearing her helmet. What should you do?

Leave helmet in place while she is stabilized

A 32-year-old male is unconscious after being struck in the head by a baseball bat. Has a pulse but breathing is slow. There is minor bleeding from a laceration at the left temple. Partner is maintaining manual c-spine stabilization. What should you do?

Measure and apply a rigid c-collar

A 28-year-old male is fleeing from police and sustained a 1 cm shallow laceration on his forearm while climbing a rusted chain link fence. He refuses transport. What should you be concerned with?

Infection (Tetanus)

Which is an open wound?

Abrasion (Laceration, puncture, avulsion, incision)

A women was struck in the face with a softball bat. She is unconscious. Vitals are: BP 74/50, P 60, R 8. What should you do?

Insert an oral airway and administer oxygen via BVM

A 21-year-old football player was hit from the side and landed head first onto the ground. He was ambulatory on scene and oriented to name only. He is refusing transport and care. What should you do?

Ask the team coach for assistance

A patient is bruising around the eyes and behind the ears. What should you suspect?

Basilar skill fracture

A patient cut their wrist. The wound is bleeding rapidly and is spurting with each heartbeat. The patient most likely severed what?

Artery (Radial or ulna artery)

A patient presents with pain and bruising to right upper quadrant following a motor vehicle collision. You should suspect injury to the what?

Liver

A 50-year-old male has an obvious deformed right lower leg after falling from the roof. You notice a tear in the skin over the deformity. What should you do?

Realign and splint the leg (control bleeding, cover the wound with a sterile dressing, avoid probing or irrigating in the field, splint the leg in position, check distal pulses before and after, provide pain management if available, and arrange rapid transport to a trauma center)

A 35-year-old driver collided into a telephone pole and is unconscious and unresponsive with severe bleeding in the mouth. What should you do?

Rapid extrication to long spine board (secure the airway while maintaining spinal precautions, suction the mouth, use jaw thrust to open the airway, insert an airway adjunct (OPA/NPA if appropriate), assist ventilations with BVM and high‑flow oxygen, and prepare for advanced airway management (intubation or surgical airway if needed). Control bleeding as best as possible and arrange rapid transport to a trauma center)

What is the most important factor with a person struck in the chest with a baseball?

Speed of the ball (Commotio cordis)

A 75-year-old is involved in a motor vehicle collision and can't feel his legs. Vitals are: BP 80/40, P 60, R 24. What should you suspect?

Spinal cord injury with neurogenic shock

A patient was stabbed in the chest and a knife was removed prior to arrival. You notice blood and bubbles leaking from the wound. You cannot find an occlusive dressing. What should you do?

Cover the wound with plastic wrap sealed on 3 sides

A chest wound, crackling sensation produced by air blowing into surrounding tissues is called subcutaneous _____?

Emphysema

A 40-year-old male crashed his snowmobile. His skin is cold and pale. His vitals are: BP 198/96, P 48, respirations are slow and irregular. What should you suspect?

A traumatic brain injury (Cushing's triad)

You arrive at a motor vehicle collision. The patient extricated herself from the vehicle and is walking around complaining of neck pain. What should you do?

Immobilize on a backboard

A 42-year-old male has metal impaled in his lower right leg. He has an obvious open fracture and no pulse in right foot. What should you do?

Stabilize with sterile bulky dressing prior to transport

A 16-year-old male complains of extreme pain to the chest. You notice his shirt is splashed with battery acid. Vitals are: BP 150/100, P is weak, R 24. What should you do?

Remove shirt and flush with saline water

A 38-year-old male with a large bruise in lower upper quadrant following a motorcycle collision. What should you suspect?

Injury to spleen

An unresponsive 18-year-old female supine, bleeding in mouth from the nose, his respirations are 20. What should you do?

Suction oropharynx

A snowmobile rider was thrown 15 ft from his vehicle. His finger is deformed and sternum is tender to palpation. The patient states "I think I'll be okay" and refuses transport. What should you do?

Ask if you're able to assess the patient (Strongly advise transport)

How should you treat an abdominal evisceration?

Cover with moist sterile dressing

A 30-year-old female was in a minor motor vehicle accident. She is standing outside of the vehicle and complains of lower back pain. You should immobilize her using what?

Spinal motion restriction (SMR) technique with a cervical collar and EMS stretcher (cot) (Long spine board)

A 23-year-old male received burns to his feet while stomping on fire. He is still wearing the shoes. The rubber soles and laced are melted together. What do you do?

Cut away loose material, cool the burn with copious water, cover with sterile moist dressings, keep the patient warm, treat for shock, and transport rapidly to a burn center (Cut shoe laces and remove shoes)

A 40-year-old male fell off a ladder and has a broken leg. His left knee now bends the wrong way. What should you do?

Check for PMS in the leg

A 24-year-old female is unconscious after being struck by a car. She has ineffective breathing and bloody secretions in mouth. What should you do?

Immediately suction oropharnyx

A 24-year-old male has burns to the eyes, nose, and mouth when the radiator cap on his car blew off. What do you treat for?

Respiratory swelling (suspected inhalation injury and facial burns)

Patient was found dead at the scene. What is their GCS?

3

A 22-year-old male is ejected from the vehicle. He complains of numbness and tingling in his extremities. What should you do?

Stabilize cervical spine

What is the appropriate management for an avulsion of the ear?

Bandage in correct anatomical position (control bleeding, preserve the avulsed tissue, cover the wound with a sterile dressing, keep the tissue moist and cool (not frozen), and arrange rapid transport to a trauma center for surgical reattachment)

A 32-year-old male has sustained facial trauma after falling off the roof. He has snoring respirations. What should you do?

Modified jaw thrust

A 4-year-old male has his arm amputated from a farming accident. How should you manage the amputated limb?

Seal in plastic bag and place in container of cool water

An adult was pinned between two vehicles. The patient is conscious but confused and unable tp follow directions. Has bruising on both sides of anterior chest, weak carotid pulse, no peripheral pulse, clear breath sounds, and distended neck vein. What should you suspect?

Pericardial temponade

A 59-year-old male is trapped in the car by broken gas pedal through his foot. He's gone into cardiac arrest. What should you do?

Pull out of car (leave the object in place, control bleeding, begin traumatic cardiac arrest protocol (airway, oxygen, chest decompression if indicated, hemorrhage control, rapid IV/IO access, fluid/blood resuscitation), and perform CPR only after reversible causes are addressed)

A knife impaled at 4th intercostal space, left sternal border, pulseless and not breathing. What should you do?

Initiate CPR with the knife left in place, stabilize the object, and follow traumatic cardiac arrest protocol with rapid transport. Do not remove the knife in the field

A patient is bleeding profusely from scalp. What should you do?

Apply direct pressure with sterile gauze

A patient with JVD, muffled heart sounds, and clear breath sounds. What should you suspect?

Pericardial tamponade

A patient suffering from most severe brain injury

Unconscious 34-year-old with decerebrate posture

What is the cause of bilateral periorbital ecchymosis?

Basilar skull fracture

A patient with 4 inch stick in their eye. What should you do?

Stabilize with gauze, place paper cup over affected eye, put dressing over the unaffected eye

A patient with severe steam burns to the hand and wrist. What should you do?

Remove watch (cool the burn immediately with clean, cool (not cold) water, remove jewelry, cover with a sterile non‑stick dressing, elevate the limb, monitor for shock, and arrange rapid transport to a burn/trauma center)

A 62-year-old male is unresponsive next to a ladder. Vitals are: BP 80/48, P 60, R 24. What should you suspect?

Neurogenic shock

A patient with several wounds oozing blood. After scene size up, what should you do?

Control bleeding (Ensure adequate airway)

A patient with diminished breath sounds on one side. Chest rise is unequal. What should you suspect?

Tension pneumothroax

An 18-year-old male fell off his skateboard. He struck his head on the concrete and immediately started screaming. He is alert and oriented to name only. What should you do?

Immobilize and expedited transport

A 25-year-old assault victim is spitting up light pink sputum. Has bright red blood spurting from 2 in laceration to left forearm. What should you do?

Suction airway (Then apply direct pressure to wound)

An early indicator of shock?

Tachycardia

A patient has a 3 cm laceration above his left eye. It is bleeding profusely, what should you do?

Apply several 4x4 dressing to the wound using pressure to hold (apply firm direct pressure with sterile gauze to control bleeding, avoid pressing directly on the eyeball, secure the dressing, and arrange rapid transport for wound evaluation and possible suturing)

An altered 24-year-old male was stabbed in the abdomen. He is sitting, holding the contents and complaining of dizziness. He does not want to be touched. Vitals are: BP 70/40, P 120, R 20. What should you do?

Lay him down and apply a moist dressing (control the bleeding and protect the eviscerated organs with a moist sterile dressing, treat for shock, and perform rapid transport to a trauma center. Do not attempt to push organs back in)