Question 41 QMED04 - Boiler Technician-Watertender

The Correct Answer is C **Why option C is correct (Why it is NOT a treatment for traumatic shock):** Option C, "Massage the arms and legs to restore circulation," is not a recommended treatment for traumatic shock (hypoperfusion). Massaging the limbs is contraindicated because it can dislodge existing clots, increase bleeding internally or externally, and potentially push pooled, acidic blood (containing waste products) from the extremities into the core circulation too quickly, which can worsen the patient's metabolic state and lead to further complications, including heart arrhythmias. Standard first aid for shock focuses on maintaining core body temperature, controlling bleeding, and improving perfusion to vital organs, not aggressive manual manipulation of the limbs. **Why the other options are incorrect (Why they ARE treatments for traumatic shock):** * **A) Keep the patient warm, but not hot:** Maintaining normal body temperature (preventing hypothermia) is a critical treatment for shock. Hypothermia impairs the body's clotting mechanisms and worsens acidosis, both of which accelerate the shock cycle. * **B) Relieve the pain of the injury:** Pain can increase stress, anxiety, and heart rate, worsening the patient's circulatory instability. Pain management (analgesia, often administered by medical professionals) is an essential component of stabilizing a trauma patient and treating shock. * **D) Have the injured person lie down:** Placing the patient in a supine (flat on their back) position promotes blood flow to the core vital organs (brain, heart, lungs) and helps stabilize blood pressure. This position is a fundamental component of standard first aid for shock.