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You are called to a large farmhouse to manage a 70-year-old male patient with difficulty breathing. He is normally healthy but gradually started developing muscle spasms in his jaw and a stiff neck after he cut himself on a manure spreader three days ago. What question should be answered first?

Immediately following the delivery of a newborn, you have finished suctioning, drying, and wrapping him in a heated blanket. The baby’s APGAR score is considered low at the 30-second mark following delivery. He is breathing at 8 times per minute and shallow. What should you do next?

You have a 52-year-old alert and oriented female (154 lbs)  who has received third degree burns on over 30% of her torso as a result of falling into a campfire. Her clothes have been removed and all flames have been extinguished. Which of the following would be the most appropriate treatment for this patient? Use 2ml to calculate the answer

You are called to the bathroom of a high school where an 18-year-old male has taken a knife and has attempted to commit suicide. The knife has been secured. There are several serious lacerations on both arms, which were bandaged prior to arrival by first responders. The bleeding is controlled. The patient is cooperative and regrets hurting himself. What information would be most useful for the paramedic when continuing the patient interview?

You are called to the scene of a domestic violence call where a shooting has occurred. Upon entering the residence, you observe a copious amount of blood coating the walls and floor around a victim. Your scene overview reveals a head wound that is not consistent with life. Police on scene suggests you “try something to save the patient.” Which of the following is your most appropriate course of action?

During transport of a 34-year-old female who just delivered a healthy 4 kilogram baby with complications, you discover she is bleeding onto your stretcher. What should your next response be to this finding after reassessing vital signs?

You are called to treat a 16-year-old female who fell off of a motorcycle. She has no obvious injuries other than pain on palpation of the neck at C-7. She is responsive only to pain at this location and has no sensation or movement below this point. Her pulse is 54, respirations are 16 and her blood pressure is 70/40. Which of the following actions would have the best result in increased blood pressure in this patient?

You are called to a baseball field to assess a 36-year-old female whose foot was caught in a hole causing her to fall while she was running to catch a fly ball. She complains of pain in her right lower leg and indicates that she immediately felt pain and heard a crack when she fell. The patient is rating her pain at a 9 on a 1 to 10 scale. She has no other injuries or medical contraindications to pain medication. When is the best time, and how much pain medication should you provide the patient?

You are called to a residence where a 30-year-old-female was thrown from her house during an explosion. She is supine, unresponsive and has some notable burns, but no obvious bleeding. She is breathing at 30 times per minute and has a weak radial pulse at 130 beats per minute. Which of the following should be included in a rapid trauma survey?

While treating a 17-year-old female with a fluttering feeling in her chest, you find delta waves on the 12-lead ECG. The patient’s history is that she is seeing her personal physician for intermittent fainting spells. What condition is most likely the problem today?