New York State Emergency Medical Technician (EMT) Practice Exam

When caring for an alcoholic patient with trauma, why is internal bleeding a concern?

1. Delirium tremens can lead to seizures

2. Internal bleeding may be profuse due to clotting impairment

3. Long bone fractures are likely due to weakened bones

4. Shock symptoms may be masked by alcohol stimulant effects

The correct answer is: Internal bleeding may be profuse due to clotting impairment

When caring for an alcoholic patient with trauma, a primary concern regarding internal bleeding relates to the impairment of clotting mechanisms that is often seen in individuals with chronic alcohol use. Alcohol can affect the liver, which is crucial for producing proteins necessary for blood clotting. Consequently, this impairment can lead to increased bleeding, as the body struggles to form clots effectively. In trauma situations, this becomes particularly critical because even minor injuries can result in significant blood loss if the patient's ability to clot is compromised. Internal bleeding can be extensive in these patients, and recognizing this risk is vital for effective assessment and intervention. The other options relate to different concerns that, while potentially relevant, do not directly address the specific issue of internal bleeding in this context. Understanding the impact of alcohol on the body’s physiological responses, especially in emergency situations, is crucial for EMTs and healthcare providers when assessing and managing patients.