A 56-year-old patient is complaining that his “heart is raci…

A 56-year-old patient is complaining that his “heart is racing”. He is disoriented and having difficulty breathing. Examination reveals a BP of 64 by palpation, a weak and rapid carotid pulse, and pale cool skin. The ECG is shown below. Your partner is in the process of administering oxygen. You should    

You are transporting a 23-year-old trauma patient from a com…

You are transporting a 23-year-old trauma patient from a community hospital to a Level I trauma center. She is receiving a unit of packed RBCs and IV fluids. Vital signs are BP 94/50, P 110, R 26, and SpO2 97% on 4 lpm NC O2. During transport she complains of chills, back pain, and she vomits. Vital signs are now BP 80/42, P 128, and R 30. You suspect

You are transporting a 23-year-old trauma patient from a com…

You are transporting a 23-year-old trauma patient from a community hospital to a Level I trauma center. She is receiving a unit of packed RBCs and IV fluids. Vital signs are BP 94/50, P 110, R 26, and SpO2 97% on 4 lpm NC O2. During transport she complains of chills, back pain, and she vomits. Vital signs are now BP 80/42, P 128, and R 30. You suspect