According to Krane and Shaffer, “traditionalistic political…
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Accоrding tо Krаne аnd Shаffer, “traditiоnalistic political culture” has its origins in
POST SCENE During trаnspоrt the pаtient is plаced оn high flоw oxygen and is given a fluid bolus. The patient becomes harder to arouse and vomits. The patient has pale, cool, diaphoretic skin with a capillary refill time of 4 seconds. The patient is unable to follow commands and is moaning. The patient withdraws and the eyes open with painful stimuli, the pupils are 4mm and reactive. The vital signs are BP 78/56, HR 146, RR 16, SpO2 94% on 15 LPM via a NRB. ON SCENE The patient (20 kg) is found laying on the ground near a tree. There are several people near the child and they appear anxious. The patient says: “ I’m sorry, I’m sorry, I’m sorry” and is crying. He appears in pain. The family reports the fall was witnessed from a distance and they are unsure if he lost consciousness but he was still and quiet until they approached him. The patient has no prior medical history and takes no medications. There are no allergies. The patient’s skin is diaphoretic and cool. There is blood noted in his nares, scratches and abrasions along both the upper and lower extremities, face, and abdominopelvic area. The patient can state their name and location. The eyes are open, and the pupils are 4mm and reactive. Breath sounds are clear bilaterally. The vial signs are BP 96/60, HR 132, RR 30, SpO2 96% on room air. The blood glucose is 114 mg/dL. EN ROUTE The paramedic is dispatched to a residence for a 6-year-old patient who fell from a tree fort. Dispatch reports the distance was approximately 16 feet. The time of the call is 1315. The response time is 12 minutes. The paramedic is partnered with an EMT, a BLS fire department engine crew is dispatched to the scene. The weather is clear in the area and the temperature is 77 F (25 C). A local community hospital is 15 minutes away, and a comprehensive medical facility is about 25 minutes away.