Florida State Paramedic Practice Exam

In managing a patient with a suspected femur fracture and signs of shock, what should be prioritized?

1. Immediate pain management

2. Addressing airway concerns

3. Stabilizing the fracture

4. Transporting to medical facility

The correct answer is: Transporting to medical facility

In the management of a patient with a suspected femur fracture and signs of shock, prioritizing prompt transport to a medical facility is crucial. This is due to the risks associated with shock, particularly hypovolemic shock which can occur from significant blood loss due to the fracture or associated trauma. Timely transport is vital because shock can rapidly lead to organ failure if not appropriately managed. While other interventions such as pain management and stabilizing the fracture are important, they can be conducted during transport or in a less time-sensitive manner particularly if the patient's life is at risk. Addressing airway concerns is vital in scenarios where airway compromise is present, but in this context, the state of shock takes precedence as it directly relates to the patient's hemodynamic stability and the urgency of medical intervention required. Ensuring the patient reaches a facility for definitive care, including possible surgical intervention or blood transfusion, is the critical factor that outweighs other considerations in this situation.