Emergency Medical Technician (EMT) Intermediate Practice Exam

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Prepare for your EMT Intermediate Test. Study with detailed flashcards and multiple-choice questions, each featuring hints and explanations. Ace your exam!

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A 40-year-old patient has sustained circumferential burns to the chest. What is the MOST serious complication associated with this type of burn injury?

Shock
Ventilatory insufficiency
Infection
Tissue necrosis

The correct answer is: Ventilatory insufficiency

Circumferential burns to the chest can lead to significant complications due to the constricting nature of the burn. The most serious complication associated with such injuries is ventilatory insufficiency. When burns encircle the chest, they can cause swelling and lead to tighter constriction. This constriction can inhibit the expansion of the chest wall during inhalation, limiting the ability of the lungs to properly inflate. As a result, the patient may not be able to take in enough air, leading to inadequate oxygenation of the blood and subsequent respiratory distress. Moreover, if not addressed, this situation can escalate into a life-threatening condition as the patient struggles to maintain adequate ventilation and oxygen levels. While shock, infection, and tissue necrosis are also important considerations in the management of burn injuries, they are often secondary to the immediate need to ensure adequate airway and breathing. In the context of circumferential burns, ensuring ventilatory function is critical for survival.