MCOLES State Licensing Practice Exam

What is the initial treatment for an amputee after a fireworks explosion?

1. Clean the wound and apply a bandage

2. Apply pressure to stop bleeding

3. Place a tourniquet above the wound

4. Transport to a hospital immediately

The correct answer is: Place a tourniquet above the wound

In the case of an amputee following a severe injury, such as from a fireworks explosion, the priority is to control bleeding, which can be life-threatening. Placing a tourniquet above the wound is the most effective method in a traumatic amputation to manage significant blood loss. This technique involves wrapping the tourniquet tightly around the limb, which restricts blood flow to the affected area and helps prevent shock and further complications that can arise from uncontrolled bleeding. The application of a tourniquet is particularly critical when there is a complete amputation or severe injury to the limb, as it allows for necessary control over severe hemorrhaging until advanced medical care can be provided. Following this initial step, further measures such as cleaning the wound and applying a bandage can be addressed, but they should not take precedence over controlling bleeding. This approach aligns with emergency response protocols and medical guidelines that prioritize life-saving interventions in traumatic situations. While transporting the victim to a hospital is essential, ensuring that bleeding is controlled effectively is the crucial first step that has the most immediate impact on survival.