(1 of 2)A conscious and alert adult presents with severe pai…

(1 of 2)A conscious and alert adult presents with severe pain and moderate respiratory distress following blunt chest trauma. On exam, a segment of the left chest is moving in the opposite direction to the rest of the rib cage. Breath sounds are present and equal bilaterally; SpO2 84% on RA; EtCO2 50; radial pulse strong and rapid; neck veins are flat. Which of these is most likely?

(3 of 4)EMS responds to an adult that fell from a horse gall…

(3 of 4)EMS responds to an adult that fell from a horse galloping at a high rate of speed. The pt. presents with paralysis of all four extremities and contrasting skin temperatures on the body. The pt’s head is tilted to the left and cannot be moved back to midline without pain. The airway is patent. VS: BP 80/50; P 40; R 14; SpO2 98%; EtCO2 42 with square waveform; GCS 15. IMC with vascular access is complete.The VS remain unchanged; what drug should be administered?

(5 of 15)En RouteEMS is dispatched at 0100 to a forest prese…

(5 of 15)En RouteEMS is dispatched at 0100 to a forest preserve for an ATV crash. Response time is 10-15 minutes. You are traveling on poorly lit paved road that leads to a clear opening to the trail. It is a cool fall evening; weather is 40°F. Skies are clear, roads are dry, traffic light. Ambulance is staffed with 2 paramedics and a BLS engine. Your nearest community hospital is 12 minutes ETA by ground and a level 1 trauma center is 25 minutes by ground.Dispatch informs you that a park ranger has arrived on scene. It is confirmed that one patient was injured after being ejected from the ATV. There is a large group of college aged students present and there is evidence of alcohol consumption at the scene. The paved road leading to the opening of the trail is clear and unobstructed. The trail leading to the patient is on rocky and uneven ground.Given the reported MOI, what considerations should the crew prioritize? Select 3 options