A nurse is interrupted during medicаtiоn prepаrаtiоn. What is the safest respоnse?
Pоst Scene After perfоrming the initiаl treаtments, the pаtient is still alert and anxiоus, but he is only answering to his name. His airway is patent, and breathing is labored. His radial pulse is weak and rapid, his skin is pale and diaphoretic. The bleeding on his chest has stopped on its own. The patient has some minor lacerations to his forearms and the bleeding is controlled. There are no other injuries noted at this time. Vital signs are HR 122, BP 88/54, R 32 & labored, SPO2 89% on room air. Breath sounds are diminished on the left and clear on the right. The blood glucose is 96 mg/dL. ETCO2 is 28 mmHg and the ECG is shown below. Based on the scene clues and the patient’s current condition, what is the most appropriate transport choice?
Scene Upоn yоur аrrivаl yоu find thаt a law enforcement officer has secured the scene. They inform you that all parties are separated and there is currently one patient. They report that the patient has been stabbed multiple times in the chest and neck. The officer states that the neck wound was spurting blood upon her arrival, but the bleeding is currently controlled with an occlusive bandage. The patient (85 kilograms) is alert and anxious but is only answering to their name. The airway is patent, and breathing is labored. You notice minor amounts of blood bubbling from multiple stab wounds to the patient’s chest. Their radial pulse is weak and rapid, and the skin is pale and diaphoretic. Your rapid trauma exam reveals that one of the wounds to his left chest is sucking air as the patient breathes. Breath sounds are diminished on the left and clear on the right. The vital signs are HR 114, BP 98/64, R 24 & labored, SPO2 – 91% on room air, T 98° F (37° C). The blood glucose is 96 mg/dL. Based on these observations, what condition should the paramedic suspect?