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You are dispatched to a 12-year-old male currently experiencing a seizure. Which of the following is your first priority?

You have just defibrillated a 63-year-old female in ventricular fibrillation into the rhythm shown below. The patient has a weak carotid pulse at 50 BPM. She is intubated with placement confirmed. An 18 gauge IV has been established in right AC. The patient is hypotensive with a BP of 88/64. Which of the following treatments are indicated next?

You are dispatched to the scene of a 21-year-old male with an isolated dislocation of the left elbow. His vital signs are stable however, he has no distal pulse in his left arm and the left lower arm is turning cyanotic. You are able to adjust the angle of the arm bringing the wrist to the center of the chest but circulation is still compromised. How should you best proceed with this situation?

You are called to the scene of a 27-year-old male complaining of severe chest pain. He is experiencing difficulty breathing and his blood pressure is 70/40. As you are obtaining your ECG, he becomes unresponsive though retains a pulse and respirations. Which of the following best describes the rhythm (shown below)?

While transferring a post head injury patient from a rehabilitation facility to the hospital, the patient experiences a grand mal seizure. The patient’s seizure lasts about 30 seconds and he then becomes flaccid. The patient’s skin is red, warm, and moist, and he has a strong rapid heart rate. What critical treatment plan is necessary for this patient?

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?