You are treating a patient with a gunshot wound to the chest…

You are treating a patient with a gunshot wound to the chest who presents with severe pain and difficulty breathing. The patient is AOx4, GCS 15. Their airway is patent, and breathing is rapid and labored. The patient’s pulse is rapid and thready. Rapid trauma assessment reveals a sucking chest wound to the patient’s left upper chest. What is the most appropriate intervention for the paramedic to perform on this patient? 

You and your partner are responding to a house fire. As you…

You and your partner are responding to a house fire. As you arrive on scene, firefighters have removed a victim from the building.They bring the patient to the ambulance for assessment and treatment. Once you remove the patient’s clothes, you assess their burns. Based on the image below, what is the total body surface area involved with this patient? (Assume that the patient’s head is NOT burned and the posterior legs are similar to the anterior legs).   

Law enforcement requests your assistance for a 40-year-old m…

Law enforcement requests your assistance for a 40-year-old man they found in an alley. According to one police officer, the patient is “probably drunk.” The outside temperature is 37 degrees Fahrenheit with a light wind and drizzle. The patient, who is conscious but confused, is shivering and has slurred speech. His skin is cold and pale, his heart rate is 68 beats/min and regular, and his respirations are 24 breaths/min and regular. After moving the patient into the warmed ambulance, you should:

You are responding with your paramedic partner to the scene…

You are responding with your paramedic partner to the scene of a one vehicle crash with unknown injuries. An engine company with extrication capabilities has been dispatched with you. You are the first on scene and find the vehicle below. There are four patients in the vehicle and the next available paramedic ambulance is 10 minutes away. Based on your current available resources, triage the following patients in the order of highest to lowest priority.      Patient #1 (Driver) – No purposeful movements, agonal breaths after airway is opened, weak peripheral pulse, no major hemorrhage. Significant head/facial trauma noted.  Patient #2 (Front seat passenger) –  Extremely anxious but able to follow commands, breathing spontaneously at a rate of 24 per minute, peripheral pulse strong and rapid, no major hemorrhage. Closed fractures noted to extremities.   Patient #3 (Driver’s side rear passenger) – No purposeful movements, spontaneously breathing at a rate of 20 per minute, peripheral pulse weak and rapid, significant hemorrhage noted to the left upper arm. Head/facial injuries noted as well as open humerus fracture.  Patient #4 (Passenger’s side rear passenger) – Making purposeful movement, breathing spontaneously at a rate of 18 per minute, peripheral pulse present and strong, no major hemorrhage. Complaining of neck and lower back pain.