Emergency Medical Technician (EMT) Trauma Practice Test 2025 – 400 Free Practice Questions to Pass the Exam

In this scenario, the 45-year-old male who was stabbed in the left anterior chest is displaying signs of shock, such as cool and clammy skin, hypotension (blood pressure of 90/60 mm Hg), rapid and shallow respirations, weak rapid heart rate (120 beats/min), and distended jugular veins. These signs indicate a potentially life-threatening condition, such as cardiac tamponade or tension pneumothorax, that requires immediate intervention.

The correct course of action is to cover the stab wound with an occlusive dressing to prevent air from entering the chest cavity, support ventilation as needed to ensure adequate oxygenation, and transport the patient rapidly to a trauma center for definitive care. Providing high-flow oxygen helps in maintaining oxygenation and perfusion to vital organs.

Performing a detailed physical exam at the scene or controlling bleeding with a porous dressing are not the immediate priorities in this situation. The presence of distended jugular veins suggests a possible tension pneumothorax, which can quickly deteriorate and compromise the patient's breathing and circulation, underscoring the importance of rapid transport to a trauma center.

Therefore, the most appropriate action in this scenario is to cover the stab wound with an occlusive dressing, support ventilation as needed, and transport the patient rapidly.