Emergency Medical Technician (EMT) Practice Test

How should a significant wound to the abdominal area be managed?

1. Apply tourniquet proximal to the wound

2. Insert a nasogastric tube

3. Provide fluid replacement

4. Occlusive dressing on 4 sides; monitor for shock

The correct answer is: Occlusive dressing on 4 sides; monitor for shock

Managing a significant wound to the abdominal area requires careful attention to both the wound itself and the potential for shock. Applying an occlusive dressing on all four sides of the wound helps to seal the injury, protect it from contamination, and control bleeding. This type of dressing is particularly important in penetrating abdominal injuries, as it allows for the stabilization of the wounds and can also help minimize visceral organ exposure. Monitoring for signs of shock is crucial in cases of abdominal wounds, as these injuries can lead to significant blood loss or damage to internal organs, which may result in hemorrhagic shock. Providing an occlusive dressing helps to address the immediate concerns of wound management while enabling further assessment and intervention by medical personnel. In contrast, using a tourniquet would be inappropriate for abdominal wounds, as they are meant for limb injuries. Insertion of a nasogastric tube is not typically indicated in the initial management of abdominal wounds and could potentially cause further harm. While fluid replacement can be important in the context of shock, it is generally considered a secondary response after immediate wound care is administered. The prioritization of wound protection and shock monitoring is vital in ensuring patient safety and effective care.