Paramedic National Registry Practice

Of trauma patients, which condition is considered worse?

1. Open fracture

2. Subcutaneous emphysema

3. Minor contusions

4. Internal bleeding

The correct answer is: Subcutaneous emphysema

Subcutaneous emphysema is a condition that indicates air has escaped into the subcutaneous tissue, typically following a trauma that has caused a break in the airway or respiratory system. While it can suggest underlying issues, such as a pneumothorax or a tracheobronchial injury, the presence of subcutaneous emphysema itself does not necessarily present an immediate life-threatening situation compared to other severe conditions. Internal bleeding, on the other hand, can be very dangerous as it implies bleeding within the body that may not be easily visible. It can lead to shock and organ failure, depending on the volume of blood lost. Open fractures can also be significant due to the risk of infection and severe pain, while minor contusions are considered less serious, often healing without the need for extensive medical intervention. Thus, among these options, internal bleeding is considered the most severe condition because of its potential to quickly compromise a patient’s hemodynamic stability and overall prognosis.