Author: Anonymous

(11 of 15)SceneEMS 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.You and your crew are led to the location of the patient with the help of the park ranger. The ATV is several feet away from the patient in the brush and is still running. Pt. presents to be in a lot of pain from an isolated long bone fracture to the right extremity.Patient is a 20-year-old, alert and oriented 4/4. Physical exam finds an angulated deformity to the right humerus, pt. rates it a 10/10 and is in extreme agony. Patient also states “feels like I’m going to vomit.” Pt. states they consumed “1-2 beers” tonight. There are no signs of trauma to the head, or face. The pt. denies numbness, tingling or pain to the back.After removing the patient’s jacket, the right arm presents with a 45° deformity. You see bone protruding through the arm (midshaft of the humerus) with profuse venous bleeding. Pulses are absent distal to the injury. What bleeding control measure should EMS attempt initially?

(1 of 2) Determine the findings that would suggest neurogenic shock following a cervical spinal cord injury. Heart rate: [BLANK-1] Blood pressure: [BLANK-2]

What are the primary role(s) of the Medical Branch of the Operations Division in the Incident Command System (ICS)?

An unconscious adult is found pulseless and apneic. A valid IDPH POLST form is on the bedside table. What section on the form will determine your next step? 

In the image below, what letter is pointing to the area of temporary cavitation from a gunshot wound?  Picture2.png

What steps must EMS take during a helicopter scene response? Select 2 options

Which of these reflects evidence-based care for a patient with an indwelling urinary catheter? Picture2.png

An 45 y/o adult presents with severe R knee pain (10/10) after slipping on icy steps and landing on a concrete sidewalk. The right knee presents with tenderness, swelling, and deformity. The patient has no past medical history or allergies. Weight: 200 lbs. VS: BP 146/96; P 92; R 16; SPO2 97%; EtCO2 35; lung sounds: clear. What first single dose of fentanyl should be given?

Which of these have an increased risk for developing a subdural hematoma following head trauma? Select 3 options

Which of these circulatory findings suggest systemic hypoperfusion and are associated with poor outcomes? Select 3 options.