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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 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 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 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?