You are transporting a male patient with a deep stab wound to the groin, with damage also noted to the genitalia. The patient is alert and oriented, albeit restless. Vital signs on scene were pulse 136, respirations 20, blood pressure 106/64, and SpO₂ 9%. Oxygen is being administered through a nonrebreathing face mask. On reassessment, what sign would be most concerning to the EMT?

Question

Quizplus · Accepted Answer

The most concerning sign on reassessment would be the significantly elevated blood pressure of 108/90 mmHg. This may indicate that the patient is experiencing hypovolemic shock, with the body attempting to compensate by increasing the blood pressure to maintain perfusion. The EMT should closely monitor the patient's condition and be prepared to administer fluids or other interventions if indicated. The patient's urge to void is not necessarily concerning, as this may be a normal response to fluid resuscitation. A SpO₂ of 96% with oxygen therapy is within an acceptable range. A heart rate of 124 beats per minute is elevated, but may be expected given the patient's injury and overall condition.

You Are Transporting a Male Patient with a Deep Stab