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?
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During transport of a 34-year-old female who just delivered…
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…
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 f…
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…
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 feelin…
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?
You have been called to the residence of a 27-year-old male…
You have been called to the residence of a 27-year-old male with sudden dyspnea. the patient is unresponsive, breathing at 34 times per minute and shallow. His external jugular veins are distended and his trachea is deviated to the right. Which of the following would you most likely expect to find?
You are called to the scene of a 27-year-old male who has re…
You are called to the scene of a 27-year-old male who has received a laceration to his brachial artery. First responders have attempted to control bleeding with direct pressure but have been unsuccessful. The patient has a pulse of 120, respirations of 24, his skin is pale, cool and clammy and his blood pressure is 70/40. Which of these signs best indicates that the patient has entered decompensated shock?
You are at the scene of an unresponsive 52-year-old male who…
You are at the scene of an unresponsive 52-year-old male who is apneic and pulseless. The cardiac rhythm is shown below. You have defibrillated, intubated the patient, and initiated an IV. After performing an initial shock and CPR, you are informed that the patient has overdosed on a tricyclic antidepressant. Which of the following represents the next appropriate treatment for this patient?
You are called to the scene of a 48-year-old female who has…
You are called to the scene of a 48-year-old female who has overdosed on diazepam. She is unresponsive, breathing at 4 times per minute, a pulse of 90 and a blood pressure of 80/60. Which of the following would be the most appropriate treatment for this patient?