Head, Neck and Spinal injuries, Sharps Injuries
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Question 1 of 6
1. Question
What is the management for a needle stick injury?
CorrectIncorrectHint
Encourage the wound to gently bleed, ideally holding it under running water. Do not scrub the wound.
Wash the wound using running water and soap.
If soap and water are not available, use alcohol-based hand rubs or solutions.
If the eyes are contaminated, rinse eyes while open with water or saline. Remove contact lenses.
If blood or body fluids get into the mouth, spit it out and then repeatedly rinse with water.
If clothing is contaminated, remove and shower if necessary.
Apply a waterproof dressing as necessary, apply pressure if bleeding is still occurring.
Ensure the safe disposal of the sharp.
If you are at work, notify your supervisor or Occupational Health and Safety Officer – you will need to fill out an Accident Report Form.
Go straight to your doctor, or to the nearest hospital emergency department.
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Question 2 of 6
2. Question
What is the management for a casualty who has been hit on the head and is complaining of a headache and blurred vision?
CorrectIncorrectHint
Seek medical treatment immediately, while:
Memory impairment.
Blood or clear fluid coming from the ears, eyes, nose or mouth (suspect a base of skull fracture).
Changes in the size and shape of pupils, blurred vision.
While regaining consciousness the casualty may vomit, have blurred vision, be irrational and uncooperative, be dizzy and have memory loss and be unable to recall events surrounding the accident.
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Question 3 of 6
3. Question
What is the management for an unconscious but breathing normal casualty with a suspected neck and/or spinal injury?
CorrectIncorrectHint
It is acceptable to gently move the head into a neutral position or roll the casualty onto their side if required to obtain a clear airway.Handled gently with no twisting and minimal movement of the head, neck and torso.
Turned onto their side to ensure an adequate airway.
Turned with spinal alignment maintained throughout using a team to help to “log roll”.
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Question 4 of 6
4. Question
Concussion is a temporary loss or altered state of consciousness
CorrectIncorrectHint
A concussion is a temporary loss or altered state of consciousness resulting from a head injury, followed by a rapid recovery. It is caused by a traumatic injury to tissues of the brain as a result of a violent blow, shaking, or spinning.
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Question 5 of 6
5. Question
Select events that may cause spinal cord injuries (select 2 answers)
CorrectIncorrectHint
Any accident resulting in the casualty being unconscious.
A dive or jump into shallow water or water with obstacles, or being dumped in the surf.
A fall from greater than a standing height e.g. ladder, roof.
A motor vehicle, motorcycle or bicycle accident as an occupant, rider or pedestrian.
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Question 6 of 6
6. Question
A woman has fallen over and hit her head on the kerb. You notice blood coming from one of the woman’s ears, so you place a dressing lightly over the ear and place the woman in what position?
CorrectIncorrectHint
Control bleeding and treat wounds.
Allow any fluid coming from the ear to drain freely. If in recovery position put injured side down with a pad placed over the affected ear.
Reassure the casualty and monitor pulse, respirations and level of consciousness closely for any deterioration.
The casualty should never be left alone and if consciousness returns, the casualty should be given reassurance and kept lying down at rest while awaiting the arrival of the ambulance.