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A patient rescued from a house fire is conscious but confused with difficulty breathing and burns to their face, lips, and throat. Paramedics note hoarseness as the patient tells you they feel like their throat is closing up. Paramedics should:

What is the mechanism of action and source of glucagon?  Mechanism of action (Choose 1) Source (Choose 1)

EN ROUTEA paramedic is dispatched to a local residence for a welfare check on a patient whose family hasn’t been able to contact for the past two hours. The family stated that the patient has an extensive history of alcohol abuse and mental health problems and needs to go to the hospital. It is currently 2215 on a clear fall night, and the temperature is 77F (25C). The response time is about 6 minutes. There is a community based standalone ED about 5 minutes away, and a level 2 trauma center with most capabilities about 25 minutes away and an in-patient psychiatric facility 15 minutes away. Dispatch notes they have attempted to call the patient with no response. Law enforcement is responding and is expected to arrive just prior to the ambulance. A 2-crew fire engine is about 8 minutes away. ON SCENEUpon arrival at the scene, the paramedic is greeted by a local law enforcement officer who states that the patient was witnessed through the front window of the residence with a firearm, appearing to be in emotional distress. After repeated requests law enforcement was able to get the patient to open the door and the patient was then searched and placed in handcuffs for the safety of the patient and first responders. Law enforcement reports the patient has been cooperative and provides the paramedic with an expired bottle of Trazadone that appears to be completely full and states that this is the only medication found within the home. During assessment, the patient is observed to be in good physical health with normal weight and tone for age (20 years old); however when the paramedic attempts to ask general medical questions, the patient refuses to respond, only stating repeatedly that they are “fine” and that they “just need to sleep”. The paramedic notes a smell of alcohol on the patient and observes that the patient has a flat affect with minimal eye contact. The patient is adamant they do not want to go to the hospital, and they just want to go to bed. Law enforcement then requests that the paramedic transport the patient to the local psychiatric hospital for evaluation.

A pediatric patient was involved in an auto-versus-pedestrian MVC. On arrival the patient is lethargic, has cool and pale skin, and is hypotensive with absent peripheral pulses. The paramedic should suspect: (Select two correct answers)

The paramedic is preparing to perform rapid sequence induction on a patient. Which of the following medications would be most appropriate to use first?

A child with altered mental status has a history of diabetes mellitus. Which of the following signs and symptoms should the paramedic expect to see if the patient was suffering from a hypoglycemic event? (Select three correct answers)

An IV was initiated and after 2 minutes of CPR the rhythm did not change. Immediately after defibrillation, the paramedic should: (Select two correct answers)

An elderly patient has a complaint of weakness, nausea, and mild chest pain. The monitor shows the following rhythm and pulse, respirations are 24, and BP is 80/40. The paramedic should suspect what field impression and what is the best initial treatment? Management: (Choose 1) Impression: (Choose 1)

An elderly patient is found to have an altered mental status, tachycardia, hypotension, hypoxia, pulmonary edema, and a history of a myocardial infarction. Which of the following is most likely occurring?

En RouteThe paramedic is dispatched to a residence for a 65-year-old patient who fell off a ladder. Dispatch reports the distance was approximately 14 feet.  The time of the call is 1300. The response time is 10 minutes. The paramedic is partnered with an EMT, no additional resources are available at this time. The weather is clear, and the temperature is 77F (25C).  A local community hospital is 15 minutes away and a comprehensive medical facility is about 25 minutes away.  On Scene The patient (62kg) is found laying on the ground on their left side. There is an overturned ladder nearby. The wife reports the patient was cleaning out the gutter when she heard a crash. The patient was initially moaning but now she cannot wake him up. The patient has a history of hypertension and takes hydrochlorothiazide and atenolol. The patient is allergic to sulfa drugs. The initial exam is pertinent for pale, clammy skin. Blood and vomit are noted around the patient’s mouth. There is obvious deformity to the right leg with pooling of dark blood under his pants. The patient moans and draws his arms to his chest when the trapezius muscle is squeezed.  A weak carotid pulse is present. Respirations are 28 and shallow.