Ontario Paramedic Practice Exam

What type of injury might not require immediate transport despite being serious?

1. A fractured femur

2. A dislocated shoulder that the patient can manage

3. A myocardial infarction that is stable

4. A compound fracture with minimal bleeding

The correct answer is: A myocardial infarction that is stable

A myocardial infarction that is stable represents a scenario where the patient is experiencing a heart attack but is not exhibiting critical symptoms that require immediate transport. In this case, "stable" indicates that the patient’s vital signs are within acceptable ranges, and the patient may be showing no severe distress. This allows for the potential for the paramedic team to provide treatment in place and monitor the patient further, rather than immediately transporting them to a hospital. In contrast, other injuries like a fractured femur and a compound fracture with minimal bleeding generally necessitate more urgent transport due to potential complications such as pain management needs or the risk of further injury. A dislocated shoulder that the patient can manage still presents a serious concern, as improper handling could lead to complications, and typically these types of injuries would also be addressed through transport for definitive management. Thus, a stable myocardial infarction represents a situation where the patient's condition allows for a more measured approach rather than an urgent transfer.