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In 1-3 sentences, explain the importance and purpose of the Primary Survey (XABCDE) and General Impression.

In 3-5 sentences, describe the relationship between Heart Rate, Stroke Volume, Blood Vessel Dilation and Constriction, and Blood Pressure. How might one affect another? 

Your agency’s Fentanyl is packaged 250 mcg in 5 ml vials. Your protocols call for 2 mcg / kg, but requires halving the dose for elderly or infirm patients. If you are treating an 88 year old, 88 pound patient for a broken bone, you should administer [a1] mcg of Fentanyl.  This requires you to administer [a2] cc’s of Fentanyl, and will require [a3] vial(s). You should have [a4] cc’s of Fentanyl left to waste. The concentration in your vial is [conc] a vial of 50 mcg in 1 ml. 

Mr. Jones is a 75-year-old male with cancer that has metastasized from his liver to his bones and lungs. He is bed-confined and on oxygen 24 hours a day. EMS is dispatched to his home to assist with suctioning of his tracheostomy. Which statement MOST likely describes this patient’s current situation?

Family has asked you assist them in transferring a patient from a hospital-type bed to a commode. During the transfer, they ask you to clean and redress an open wound on the patient’s leg. You are concerned that your treatment protocol requires transport to the hospital after such care. What suggestion is most practical for this type of request?

You respond to an apartment for a “sick child.” You arrive to find a 2-week-old infant in her mother’s arms, wrapped in a thick blanket. The mother reports that the baby has been coughing, and suddenly “went stiff” 10 minutes ago. The infant is listless and seems to be ignoring you. You should first [first]. You should then [treat] to address the likely [cause].

A 32-year-old woman was the restrained passenger of a vehicle that hit a tree at a high rate of speed. She is 35 weeks pregnant, which means you should note [phys1] and also [phys2]. Upon assessment, she complains of excruciating abdominal pain. She is cool and diaphoretic and has a faint and rapid radial pulse. This is likely due to [mom] in the patient, and is likely to cause [baby] for the fetus. Treatment should most likely include [treat1] and [treat2].  The most likely thing to suspect at this point is [cause]

You are delivering a child. As you are delivering the head, you note the cord is wrapped loosely around the baby’s neck. You should first [first], and if that is unsuccessful, [second].  You also notice thin and light-colored meconium staining. To treat this, you should [mecon].

You are back on duty as a tech in the ICU.  You are assigned to two rooms. The first patient suffered a head injury as a result of a fall. He required emergency surgery due to increasing ICP. At that time, the paramedics would have likely found [incbp] systolic blood pressure, [widen] pulse pressures, [decrHR] heart rate, and [irrRR] respirations. This patient’s skull fracture occurred on the temporal region, meaning it is on the [side] of his head.   The second patient is a burn patient.  Using 4 * BSA * kg as a formula, your protocols call for you to infuse half of the total fluid volume over the first 8 hours. Your patient is 35 years old, weighs 154 pounds, and has circumferential partial thickness burns completely covering both arms.  In the first 8 hours, you will be infusing [ml] ml. Using a Macro (10) drop set, you will set the drip rate at [drip] gtts/min. In practice this is [permin] one drop per second

You are treating a 35 year old female complaining of weakness, vomiting, diarrhea, and reports of irritability from her family. She also reports a recent fever of 103. She is visibly ill. She reports being otherwise healthy, having just had a physical a few months ago. She was adopted at a young age and does not know any genetic history, and her recent activity is unremarkable. On physical exam, you note a slight exopthalmos and goiter with carotid bruit. ECG below. BP is 100/50 At this point, the most likely cause of the bruit is a/an [bruit]. The patient is in [ekg]. This is a primary [patho] problem, and could be treated by [treat] and prompt transport. The immediate goal of care is to [goal]