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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 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 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?

You are treating a patient with a major laceration to the forearm that has continued to bleed even after you have applied direct pressure and a pressure bandage. There is evidence of blood soaking though the bandage. Your next action would be to:

You are called to treat a 32-year-old cook who was burned while bringing a pot of hot grease out of the kitchen. The patient has blisters covering him upper extremities from the elbows to the wrists. He also has white waxy blistering buns to his right anterior thigh. Proper care for these injuries would include:

You are treating a 64-year-old female patient who has broken her right ankle. The patient has a history of COPD and is on supplemental oxygen at 2 lpm via nasal cannula. The patient’s vitals are: pulse 90, respirations 20, blood pressure 150/90, skin is pink, warm and dry, and pulse oximetry at 94. Which of the following should you choose for oxygen administration?

You are called to the scene of a 16-year-old patient who fell while skateboarding. Upon your arrival the patient was responsive to painful stimuli as you opened the airway with a jaw thrust maneuver. The patient does not respond to any painful stimuli below the level of the shoulders. There is no obvious bleeding; however, your assessment does reveal a deformity around C7. The skin is pink and warm. The blood pressure is 70/40. What type of shock is this patient experiancing?

You are transporting a 54-year-old patient that appeared to be an anxiety attack until you placed him on the cardiac monitor. His heart rate is 240 and his QRS is 0.24 seconds. His vital signs are stable but he is in obvious VT with a Pulse. You need to set up an Amiodarone infusion. What is the amount of Amiodarone to put in the bag. 

While transporting an elderly female with difficulty breathing to the Emergency Department, you note her breathing rate has increased to more than 32 times per minute and she is becoming confused and not following commands. The patient’s ECG recording suggests sinus tachycardia with PVCs. You have applied a non-rebreather at 10-15 lpm. Decide which of the following is your next most critical intervention?

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 in the most immediate concern regarding this patient?