Your patient is a 21-year-old with a single, small-caliber g…

Your patient is a 21-year-old with a single, small-caliber gunshot wound to the left anterior chest, just lateral to the sternum at the fourth intercostal space. Bleeding from the wound is minimal. The patient is initially anxious, combative, and diaphoretic. Initial vital signs include a heart rate of 100, respirations of 20, and a blood pressure of 110/80. Breath sounds are clear bilaterally and equal. En route, the patient becomes quieter but still restless. The heart rate increases to 120, respirations are 24, blood pressure 106/88, and breath sounds remain clear and equal. The patient has also developed significant JVD. You are 15 minutes from a Level I trauma center and 5 minutes away from a large community hospital. You should:

Your patient is an 80-year-old who was the unrestrained driv…

Your patient is an 80-year-old who was the unrestrained driver of a vehicle without airbags that was involved in a frontal collision with a parked car. Your assessment reveals that the patient is dyspneic, tachypneic, and tachycardic. They are awake but unable to respond to questions. There are no obvious signs of injury to the head or neck. The patient has paradoxical movement of the sternum with breathing, along with crepitus and subcutaneous air noted on palpation. Chest excursion is limited, and the patient has cyanosis of his lips, ears, and nail beds. Which of the following is the most beneficial treatment for this patient? (Select two correct answers)

Your patient is a 38-year-old who was pinned beneath the fra…

Your patient is a 38-year-old who was pinned beneath the frame of a vehicle when it slipped off the makeshift jacks they were using to elevate it. The patient’s brother thinks they may have been trapped for up to 20 minutes. The rescue unit is preparing to use airbags to lift the vehicle off the patient. Which of the following medications could you consider giving this patient?