Emergency Medical Technician (EMT) Basic Certification Practice Exam

Which injuries are characteristic of the Don Juan Syndrome?

1. Upper body fractures and dislocations

2. Capillary and arterial bleeding

3. Bilateral heel fractures and spine compression fractures

4. Skull fractures and concussions

The correct answer is: Bilateral heel fractures and spine compression fractures

Don Juan Syndrome is a term used in emergency medicine to describe a specific pattern of injuries typically associated with a high-energy fall, particularly from a significant height. This situation often affects individuals known to engage in reckless or dangerous behaviors. The injuries commonly linked to this syndrome include bilateral heel fractures and spinal compression fractures. Bilateral heel fractures occur due to the force exerted on the feet upon landing, particularly if the individual falls from a significant height. The impact can result in severe trauma to the feet and ankles, leading to these fractures. Additionally, when a person falls from a considerable height, the compression forces on the spine can result in compression fractures, further compounding the injury pattern described in Don Juan Syndrome. This understanding highlights the relationship between the mechanism of injury—specifically, a high-energy fall—and the resultant specific injuries—such as those affecting the heels and spine—underscore the importance of recognizing this syndrome in an EMT's field assessment and management.