A 42-year-old workman was cutting down a tree. During the cleanup of the site, he was feeding the cut branches into a large wood chipping machine and the sleeve of his shirt on his right arm became caught in the machinery. Within seconds his arm was dragged into the cutters. The man attempted to turn off the machine but could not reach the switch. His right upper limb was cut to pieces and he fell to the ground in agony and quickly lost consciousness. When the emergency personnel arrived on the scene they found the man to be still alive but unconscious and lying in a pool of blood. They had to stop the bleeding immediately.
-Using your knowledge of anatomy, where would you apply pressure at the root of the limb to stop the bleeding?
A) Just above the manubrium sterni in the midline to compress the right brachiocephalic artery
B) Above the right sternoclavicular joint to compress the right subclavian artery
C) Behind the medial part of the right clavicle, applying pressure downward and backward on the right subclavian artery as it lies on the upper surface of the first rib
D) High up in the right armpit to compress the axillary artery
E) Behind the lateral part of the right clavicle, applying pressure backward to compress the right subclavian artery as it becomes the axillary artery
Correct Answer:
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