And, with all of this being said... and taking into consideration what you stated about Trauma; if you have a question that reads "... patient with a amputated arm, profuse bleeding (although, probably highly unlikely) and a closed facture of thefemur..." with choices such as:
a) Control the bleeding from the amputation
b) Begin intervention of traction splinting the femur
c) Make sure the patient can and is breathing
d) Place the patient on oxygen
What would be the right answer? Okay... let me re-phrase that, what is the more-right answer?
Of course, controlling the bleeding is good.. you don't want them to lose high amounts of blood otherwise no matter how much they are exchanging oxygen, it's not going to get where it needs to be effectively, but right now we aren't that worried about it.
We don't know what we see.. the question doesn't give us as much of an impression of the situation and patient as we would have if we were to actually physically be there, so we have to think logic..
Traction splint is good.. of course, this is another point of the patient losing fluids, as we all know femur fractures can also have profuse bleeding.. but, again.. we're not too worried about this right now, with us not knowing the rest of the situation.
Make sure the patient has an airway and is breathing -- that's a good start.. since we don't know exactly what the NREMT question writter is thinking, we don't know if the patient is already breathing.. we just know what we read.. which most likely gives us a impression of a breathing patient who is just bleeding.. but that might not be all that is wrong with the patient.
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