Identify the following device?& x20; - AIIMS Rishikesh NO - 2019

AIIMS Rishikesh NO - 2019

Medical & Surgical Nursing

Easy

Appeared in: AIIMS Rishikesh NO - 2019

Explanation

The device in the image is a Non-pneumatic Anti-Shock Garment (NPASG), identifiable by its suit-like, multi-segmented design for the legs and abdomen.
The NPASG is a first-aid device used to treat hypovolemic shock, most notably from postpartum hemorrhage (PPH).
It works by applying circumferential pressure to the lower body, which shunts blood to the vital organs (heart, lungs, brain), stabilizing the patient until definitive care is available.
The distinct appearance with multiple segments and Velcro closures differentiates it from other medical devices.

Option B: A Sequential Compression Device (SCD) consists of inflatable sleeves connected to a pump, used to prevent blood clots (DVT) in the legs of immobile patients. It does not treat hemorrhagic shock.
Option C: Warmer devices, such as forced-air warming blankets (e.g., Bair Hugger) or fluid warmers, are used to prevent or treat hypothermia. They do not apply pressure to manage shock.
Option D: While the NPASG is a type of anti-hemorrhagic device, this term is too general. The question asks to identify the specific device shown. Other anti-hemorrhagic devices include tourniquets, hemostatic dressings, and pelvic binders, which look different.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of emergency medical equipment for shock management as background academic context rather than a clinical decision trigger.
The NPASG is a critical tool for nurses, especially in emergency, obstetric, and rural/low-resource settings, to manage life-threatening postpartum hemorrhage and shock.
Nurses must be able to rapidly identify and apply the device, monitor the patient's response, and understand the protocol for its safe removal to prevent hemodynamic collapse.
What if? If the patient had a suspected lower leg fracture, the NPASG could still be applied, as it can also serve as a splint. However, the nurse must ensure careful application over the fractured area and monitor for signs of compartment syndrome.

How to Approach the Question

First, carefully examine the image provided. Note the key features of the device: its shape (resembling trousers), material, and components (multiple segments, straps).
Next, read the question, which asks for the specific identification of the device.
Evaluate each option against your visual analysis. Option A, 'Non-pneumatic anti-shock garment (NPASG)', accurately describes a device with this appearance used for shock.
Consider the other options. 'Sequential compression device (SCD)' is for DVT prevention and looks different. 'Warmer devices' are for temperature control. 'Anti-hemorrhagic devices' is a broad category, and NPASG is the specific name.
Conclude that 'Non-pneumatic anti-shock garment (NPASG)' is the most precise and correct identification based on the visual evidence.

Concept Tested & Keywords

Concept Tested: Identification of emergency medical equipment for shock management.
Stem keywords: Identify, device
Lead-in keywords: Identify
Clinical cues: The visual appearance of a multi-segmented lower-body garment is a key cue for identifying an NPASG.

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E6 Nursing Fundamentals Potter Perry 12e Part 4 p. 153-155