Topic Breakdown of DOH EMT Intermediate Exam

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DOH EMT Intermediate Sample Test

1 of 5

Motor vehicle crashes (MVC) are one of the most common sources of blunt trauma. Each MVC consists of three collisions. Which of the following is NOT one of these collisions?

Correct Answer:

intrusion into patient compartment
motor vehicle crashes (mvc) are a significant cause of blunt trauma and are typically analyzed through the framework of three collisions. understanding these collisions helps in assessing the mechanisms of injury during an mvc and is crucial for emergency responders and medical professionals in managing trauma patients effectively.

the first collision in an mvc is when the vehicle itself strikes something. this could be another vehicle, a stationary object like a pole or a wall, or even a pedestrian. the impact of this collision depends on various factors including the speed at the time of the crash, the angle of impact, and the structural integrity of the vehicle. this collision primarily affects the external structure of the vehicle.

the second collision occurs when the occupant of the vehicle hits an internal surface of the vehicle, such as the steering wheel, dashboard, or seatbelt. this collision can cause significant injuries depending on the occupant's position and whether they were using safety equipment like seatbelts or airbags. the force of this collision can lead to injuries ranging from bruises and broken bones to more severe internal injuries.

the third collision involves the passenger’s internal organs moving towards the point of impact and then being abruptly halted by the structures of the body like the rib cage or skull. this can cause internal organ damage, which might not be immediately apparent but can be life-threatening. such injuries are typically more severe and can complicate the medical management of the patient.

among the options provided, the intrusion into the patient compartment is not one of these three collisions. instead, it refers to the structural deformation or intrusion of the vehicle's compartment where passengers are seated. this can exacerbate the injuries from the second and third collisions, as it reduces the space within which the occupants can safely come to a stop, thus increasing the likelihood of contact with the vehicle’s interior. intrusion is a result of the vehicle's deformation and not a collision in itself as per the framework described.

hence, while all three collisions focus on the interactions between the vehicle, its occupants, and their internal organs, the option "intrusion into patient compartment" refers to additional structural consequences of the first collision rather than being a separate collision event. understanding these distinctions is crucial for effective emergency response and medical treatment following an mvc.