Florida State Paramedic Practice Exam

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What is the appropriate treatment for someone with an abdominal evisceration?

Push the organs back into the abdomen
Cover the organs with dry dressings
Treat for shock and cover with moist saline-soaked dressings
Apply a tourniquet to the abdomen

The correct answer is: Treat for shock and cover with moist saline-soaked dressings

The most appropriate treatment for someone with abdominal evisceration is to treat for shock and cover the exposed organs with moist saline-soaked dressings. When evisceration occurs, the abdominal organs have protruded through the wound. It is critical to prevent further injury and to protect these organs from contamination and drying out, which could lead to significant complications. Using moist saline-soaked dressings helps to keep the tissue hydrated and reduces the risk of infection. Additionally, treating for shock is essential because a patient with an evisceration may lose a significant amount of blood or be in severe pain, leading to shock. Monitoring vital signs and managing the patient’s comfort and stability is crucial in such cases. Other options, such as pushing the organs back into the abdomen or covering them with dry dressings, would be inappropriate, as they could cause further damage to the organs or lead to severe complications. Applying a tourniquet is also not suitable in this scenario, as it is intended for controlling bleeding from limbs, not abdominal injuries.