Florida State Paramedic Practice Exam

What is the primary concern for management in a patient with a fractured femur and signs of hypovolemic shock?

1. Fracture immobilization

2. Cervical spine stabilization

3. Fluid resuscitation

4. Chest compression therapy

The correct answer is: Fluid resuscitation

In a patient with a fractured femur and signs of hypovolemic shock, the primary concern is fluid resuscitation. When hypovolemic shock is present, it indicates that there is a significant loss of blood volume, which can occur due to trauma, such as a femur fracture. Maintaining adequate circulation and ensuring that vital organs receive enough oxygen and nutrients is crucial. Fluid resuscitation involves administering intravenous fluids to help restore blood volume and improve perfusion to organs, supporting the body's hemodynamic stability. This intervention is critical in the acute management of shock, as delayed resuscitation can lead to organ failure or death. Fracture immobilization is important to prevent further injury and manage pain, but it is secondary to addressing the immediate life-threatening aspect of shock. Cervical spine stabilization is necessary in cases of suspected spinal injuries, which may not be relevant in every case of femur fracture unless there's associated trauma that suggests such injuries. Chest compression therapy is specific to cases of cardiac arrest and does not apply to the immediate management of fracture-related hypovolemic shock. Thus, focusing on fluid resuscitation takes precedence in this scenario.