Emergency Medical Technician (EMT) Intermediate Practice Exam

When assessing an 11-month-old male who fell from a height, what is important to remember regarding his condition?

1. He may have internal bleeding

2. He could develop hypovolemic shock from intracranial bleeding

3. He is less likely to sustain serious injury

4. He may have a simple concussion

The correct answer is: He could develop hypovolemic shock from intracranial bleeding

In the case of an 11-month-old male who has fallen from a height, considering the possibility of developing hypovolemic shock as a result of intracranial bleeding is critical due to several factors related to the physiology of young children. Infants and toddlers have proportionately larger heads and weaker neck musculature, which puts them at a higher risk for head injuries during falls. An intracranial bleed can occur with even minor head trauma, leading to increased intracranial pressure and potentially resulting in hypovolemic shock, which is a life-threatening condition characterized by inadequate blood volume in the body. In infants, the signs of such injuries may not be immediately apparent, making it essential for EMTs to be vigilant about the potential for complications like hypovolemic shock. Lack of prompt recognition and treatment can lead to rapid deterioration in the infant’s condition. Therefore, understanding this risk is paramount when assessing an injured child. The emphasis on the possibility of serious outcomes, such as hypovolemic shock related to significant internal injuries such as bleeding, highlights the necessity for thorough assessments, monitoring, and timely interventions in pediatric patients who experience trauma.