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This is a closed note, closed book, closed browser quiz.  Any indication of academic dishonesty will be submitted to the Office of Academic Integrity.   You can use a BLANK 8 x 10 white board to perform calculations as necessary. You MUST show both the front and back of the white board to the camera at the beginning and end of the exam. 

Scenario overview: You respond to a residential fire involving a 42-year-old man weighing 176 pounds. Firefighters have moved him to a safe area. He sustained partial- and full-thickness burns involving his entire anterior chest and abdomen, entire left arm, and entire right leg. His face has superficial redness without blistering. He is alert, reports severe pain, and has soot around his mouth.Phase: En Route to the HospitalDespite high-concentration oxygen, the patient develops stridor, worsening hoarseness, and increasing respiratory effort. His SpO₂ remains 98%. Which action is most appropriate?

You are treating a 29-year-old man with a gunshot wound to the face. He has extensive maxillofacial disruption, heavy bleeding into the airway, and a GCS of 6. Despite suction, airway repositioning, and two-person bag-mask ventilation with oxygen, chest rise remains inadequate and his SpO₂ falls to 72%.An intubation attempt fails because distorted anatomy and ongoing bleeding prevent visualization. A supraglottic airway also fails to provide adequate oxygenation. Your local protocol authorizes needle cricothyrotomy, and the approved equipment is available.Select the six appropriate actions and arrange them in order.

Match each patient scenario with the most likely syndrome.

Scenario overview: You respond to a residential fire involving a 42-year-old man weighing 176 pounds. Firefighters have moved him to a safe area. He sustained partial- and full-thickness burns involving his entire anterior chest and abdomen, entire left arm, and entire right leg. His face has superficial redness without blistering. He is alert, reports severe pain, and has soot around his mouth.Phase Post Scene—Hospital Arrival and HandoffFollowing transfer to the hospital stretcher, the intubated patient’s SpO₂ falls from 98% to 89%. Breath sounds are markedly diminished on the left, waveform capnography remains present, and the tube marking has advanced from 22 cm to 26 cm at the teeth. Which action should occur first?

Scenario overview: You respond to a residential fire involving a 42-year-old man weighing 176 pounds. Firefighters have moved him to a safe area. He sustained partial- and full-thickness burns involving his entire anterior chest and abdomen, entire left arm, and entire right leg. His face has superficial redness without blistering. He is alert, reports severe pain, and has soot around his mouth.Phase: On Scene Which estimate correctly identifies the TBSA to use for fluid calculations?

A paramedic is preparing to administer Morphine to a burn patient for pain relief. The physician orders 4 mg of Morphine IV. The vial of Morphine you have on hand is 10 mg/2mL. How many milliliters (mL) should you administer to the patient?

You are ordered to administer mannitol 0.5 g/kg IV to an 176-pound adult patient with suspected increased intracranial pressure. The available concentration is 25% mannitol (12.5 g/50mL). How many milliliters should you administer?

Match each patient scenario with the most likely burn classification.

This is a 2-point short answer question.  It requires a sentence or less as an answer. A company replaces its slow, paper-based order system with a completely redesigned digital process that combines several steps and eliminates unnecessary approvals. What business process approach is the company using?