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A patient involved in an MVC is pinned under a collapsed steering column and there is no easy access to the locked vehicle. While waiting for the fire department to assist with extrication, the patient becomes unresponsive. The best action for the paramedic would be to:

Which of the following is the most common congenital heart disease?

A female is complaining of moderate abdominal pain and a shuffling gait. The patient is febrile and has foul-smelling vaginal discharge. She reports she is sexually active and on oral contraceptive pills. The paramedic should suspect: 

En RouteIt is 11:15am and you are staffing a 2-paramedic transporting ambulance. Your unit is dispatched to a residence for a 12-year-old female with a history of asthma for shortness of breath. It is a clear spring day, and the temperature is 86F (30C). The response time is about 10 minutes. There is a community hospital about 5 minutes away, and a level 2 trauma center with most capabilities about 15 minutes away. Dispatch notes state the patient’s symptoms started about 20 minutes prior to calling 9-1-1. ON SCENEThe mother leads you into the living room where you find the patient (40kg) sitting on a couch leaning forward with her arms resting on her thighs. She makes eye contact when the crew arrives and is head bobbing as she speaks. The patient can speak 2-3 words between breaths. The mother states the patient was playing outside and started having difficulty breathing about 30 minutes ago. The patient has a history of asthma and seasonal allergies. She has a prescription for albuterol MDI but is currently out of medication. The patient’s skin is pale. There are no signs of trauma, and the patient obeys motor commands. The patient’s lower lobes are silent on auscultation, with minimal wheezing noted in the bilateral upper lobes. Nasal flaring and intercostal retractions are noted. Eyes are open, pupils are 4mm and reactive to light. The vital signs are BP 110/68, P 116, R 32, SpO2 88% on room air, and T 98.4F (37C), The blood glucose is 90. EtCO2 58.

A patient complaining of a headache states the pain is mostly on the left side of the head along with nasal congestion and watery eyes. The pain is described as coming and going in waves. The paramedic should suspect:

A patient is thought to have been exposed to an organophosphate compound at a plastic manufacturing plant. The paramedic should expect to see what signs and symptoms? (Select three correct answers)

An elderly patient with a history of hyperlipidemia and hypertension has a chief complaint of nausea, abdominal and low back pain. The skin is pale and cool with the following vital signs: BP 86/50, P 112, RR 22. The paramedic should have a high index of suspicion for:

A 3-year-old is found to be minimally responsive with a BP of 70/42, P 80, RR 44. Which of the following best describes this situation:

Which of the following statements are true regarding the NFPA 704 hazardous materials classification system? (Select three correct answers)

A trauma patient has an impaled object in the cheek, an abdominal evisceration, an open pneumothorax, and a suspected closed head injury. Which injury should the paramedic treat first?