A Patient with Hemophilia Has Suffered a Large and Deep

question 47

Multiple Choice

A patient with hemophilia has suffered a large and deep laceration to the right forearm after cutting it on a mirror, which fell while he was hanging it. The wound is hemorrhaging a steady amount of dark red blood. Given the history of hemophilia, your immediate action on reaching the patient's side and putting on gloves would be to:

• A) request that the ED have Factor VIII standing by on your arrival.
• B) start an IV and administer a 1 L NS bolus.
• C) apply a tourniquet proximal to the wound.
• D) apply direct pressure with a bulky dressing.

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Definitions:

Butterfly Effects

The concept that small causes can have large effects, particularly in the context of a chaotic system, where minute variations in initial conditions can result in vastly different outcomes.

Teratogen

Any agent or substance that can cause malformation of an embryo or fetus.

Birth Defect

A physical or biochemical abnormality that is present at birth and that may affect bodily functions or appearance.

Prenatal Development

The process of growth and development within a woman's uterus before birth.