Helmeted motorcyclist struck broadside, unconscious, blood pressure 140/90, heart rate 90 bpm, GCS 6. Immobilization includes all EXCEPT:

Correct Answer: A

Rationale: The correct answer is A: "Air splints." Air splints are not typically used for immobilization of a motorcyclist with potential spinal injuries. The rationale is that air splints are primarily used for stabilizing extremity fractures, not for spinal immobilization. In this scenario, the motorcyclist is unconscious with a low GCS score, indicating a potential spinal injury. Choices B, C, and D are used for immobilization of a trauma patient with suspected spinal injuries. Bolstering devices help maintain spinal alignment, a long spine board provides full-body immobilization, and a scoop-style stretcher allows for easy transfer without movement.

Correct Answer: A

Rationale: The correct answer is A because the trachea in infants is relatively short, increasing the risk of bronchial intubation. The distance from the lips to the larynx (choice B) may affect tube placement but not specifically bronchial intubation. The use of tubes without cuffs (choice C) may contribute to tube slippage but not necessarily bronchial intubation. While the mainstem bronchi being less angulated (choice D) could facilitate intubation, it does not directly explain the likelihood of bronchial intubation in infants.

Correct Answer: A

Rationale: The correct answer is A: "Perform needle cricothyroidotomy with jet insufflation." In this scenario, the infant is in respiratory distress and intubation has been unsuccessful. Needle cricothyroidotomy is the most appropriate procedure as it is a rapid and effective method to secure an airway in emergency situations. It involves creating a temporary airway using a needle inserted into the cricothyroid membrane. Jet insufflation can then provide oxygen to the patient. Choice B is incorrect as administering heliox and racemic epinephrine does not address the immediate need to secure the airway. Choice C, performing nasotracheal intubation, may not be feasible in this emergency situation. Choice D, performing surgical cricothyroidotomy, is a more invasive procedure compared to needle cricothyroidotomy and may not be as quickly performed in this critical situation.

Correct Answer: A

Rationale: The correct answer is A: "Early gastric decompression is important." In pregnant patients following blunt trauma, there is a risk of gastric distension due to compression by the gravid uterus, which can lead to aspiration. Early gastric decompression helps prevent this complication. Choice B is incorrect because an Hb level of 10g/dl does not specifically indicate recent blood loss. Choice C is incorrect as pregnant patients may have an exaggerated CVP response to volume resuscitation. Choice D is incorrect as the lap belt can cause direct pressure on the gravid uterus, increasing the risk of injury to the fetus.

Correct Answer: C

Rationale: The correct answer is C because empathy involves understanding and sharing the feelings of others. This requires emotional intelligence and the ability to put oneself in someone else's shoes. Option A is incorrect as empathy is more than just being alert. Option B is incorrect as accurate documentation does not relate to empathy. Option D is incorrect as empathy is about understanding others, not just taking responsibility for one's actions.