You are called to a poorly maintained home for an unresponsive 5-year-old and your initial assessment reveals a patient who appears emaciated and looks more like a 3-year-old. Your assessment of the patient indicates no pertinent medical history, the blood pressure is 60/40, respirations are 14 and shallow, pulse is 140, blood sugar is 78 and pulse oximetry readings are unobtainable. After providing ventilatory support, which of the following should you administer next?
Blog
While transporting an intubated 6-year-old submersion victim…
While transporting an intubated 6-year-old submersion victim to the hospital from a scene, you note the patient’s heart rate changes from 122 to 64 gradually during transport. His skin color was pink and is now pale and cold to the touch. After confirming the endotracheal tube is still in place, what another likely cause for the heart rate change?
While assessing a 6-year-old with difficulty breathing and a…
While assessing a 6-year-old with difficulty breathing and a fever you find a pulse oximetry reading of 92%. The patient is responsive to his father’s voice but otherwise seems lethargic. Which of the following finding would lead you to suspect the child has a lower airway complication?
You are transporting a 55-year-old male with severe upper ab…
You are transporting a 55-year-old male with severe upper abdominal pain. He describes the pain as a tearing sensation and looks very anxious. The patient’s vitals are radial pulse of 88, respirations 18, and blood pressure 108/70. The patient has a history of diabetes, high blood pressure, and chronic constipation. Which IV administration description would you recommend for this patient?
An ALS ambulance is responding to a possible suicide attempt…
An ALS ambulance is responding to a possible suicide attempt. Upon arrival, the crew encounters distraught parents who state they just discovered their teenage daughter hanging in the garage. After cutting the rope and lowering this female to the ground, the ALS team finds her still warm but in cardiac arrest. Her pupils are fixed and dilated and the cardiac monitor reveals pulseless electrical activity. What should they do now?
According to the START principals of triage, which of the fo…
According to the START principals of triage, which of the following patients would you most likely suspect would fall under the red tag criteria best?
You are called to the scene of a 27-year-old male complainin…
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. After performing your initial treatment, the patient becomes pulseless and apneic, and you see the rhythm below. Which of the following should you do first?
You and your paramedic partner are preparing to move an obes…
You and your paramedic partner are preparing to move an obese female patient from the floor to your stretcher. Which of the following descriptions would you recommend when lifting this patient?
You are called to the home of a 62-year-old female with a hi…
You are called to the home of a 62-year-old female with a history of diabetes who is complaining of generalized weakness and has the ECG shown below. She indicates that she has no history of heart disorders and last week her physician said her 12-lead was normal. Assessment of this patient reveals: a blood sugar of 90, a blood pressure of 80/50, a pulse oximetry reading of 90%, and fine basilar rales bilaterally. You are administering high flow oxygen via NRB mask. As you are securing the IV, the patient becomes unresponsive. Which of the following treatments should you do first?
You are dispatched to a 12-year-old male currently experienc…
You are dispatched to a 12-year-old male currently experiencing a seizure. Which of the following is your first priority?