Emergency Medical Technician (EMT) Trauma Practice Test

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A 22-year-old man was stabbed in the chest with a large knife. The patient is pulseless and apneic, and the knife is impaled in the center of his chest. Treatment should include:

  1. Removing the knife, applying an occlusive dressing, and providing rapid transport

  2. Removing the knife, starting CPR, and providing rapid transport

  3. Stabilizing the knife, applying an occlusive dressing, and providing rapid transport

  4. Stabilizing the knife, starting CPR, and providing rapid transport

The correct answer is: Stabilizing the knife, starting CPR, and providing rapid transport

In a situation where a patient has been stabbed in the chest with a knife and is pulseless and apneic, the correct course of action is to stabilize the knife and then begin CPR immediately. The impaled knife can be acting as a tamponade, preventing life-threatening bleeding. Removing the knife can lead to rapid, uncontrolled bleeding and worsening of the patient's condition. By stabilizing the knife and initiating CPR, you are effectively managing the patient's airway, breathing, and circulation until advanced medical help arrives. Rapid transport to a trauma center is crucial for definitive care.