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An unconscious adult presents following an MVC. There is no spontaneous movement, GCS is 3; gag reflex is absent; R 4 and shallow with periods of apnea. There is thin, bloody fluid draining from his nose. An OPA is inserted and ventilations are being assisted manually. Despite this action, the pt’s pulse oximetry is very low and overall condition is rapidly declining. What action should be performed next?

post 2.jpg The most important ongoing assessment and care priorities while enroute to the hospital are: Select the two options that are correct.

scene.pngWhich questioning method is most appropriate for paramedics to use during the patient interview to prevent the patient from developing respiratory fatigue?

post 2.jpg During transport, SOP’s call for IV medication administration, which is carefully calculated in mg/kg.  Why is carefully measured dosing important for a pediatric patient? 

A decisional adult initially signed a refusal form. Later, the pt. rescinded and now wishes full care/transportation. Which of these applies?

post scene.png What type of consent is most appropriate for paramedics to initiate further care?

Determine the correct response below for Alpha Receptor Stimulation (agonist) in the ANS:(You may reuse answers multiple times if determined)

Alpha receptor stimulation causes: [Select 1: A or B]This pupil response is anticipated:[Select 1: C or D]

What complications can result from over-ventilating a pediatric patient?Select the two options that are correct.

scene.png SOP’s indicate the need to administer a medication to this patient. The paramedic is handed a medication and begins to inspect the package / container for the drug name; concentration; integrity; expiration date; and sterility. What “right” of medication administration does this demonstrate?