New York State Emergency Medical Technician (EMT) Practice Exam

In the case of an avulsion injury to the penis, which treatment option is most appropriate?

1. Applying direct pressure with a dry, sterile dressing

2. Covering the avulsion with moist, sterile dressings

3. Requesting a paramedic to administer pain medication

4. Administering 100% oxygen via a nonrebreathing mask

The correct answer is: Applying direct pressure with a dry, sterile dressing

In the case of an avulsion injury to the penis, the most appropriate treatment involves applying direct pressure with a dry, sterile dressing. This approach is essential for controlling bleeding, which is a primary concern in any avulsion injury. The application of direct pressure helps minimize blood loss while also protecting the injured area from further contamination and injury. For avulsion injuries, it is crucial to maintain hemostasis and prevent infection. While moist dressings are often appropriate for certain wounds, in this scenario, the priority is to stabilize the area and control bleeding effectively. Therefore, the use of a dry, sterile dressing to apply pressure is the best immediate action until further medical help can be provided. The other treatment options, such as administering pain medication or using oxygen, may have their relevance in a broader emergency care context, but they do not directly address the immediate need to manage an avulsion injury effectively. In cases like this, controlling bleeding and protecting the area takes precedence over pain management or supplemental oxygen.