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(5 of 7) En Route An 82-year-old female calls EMS for feeling “unwell.” Outside temp is 30° F, skies are cloudy, roads are dry and traffic is light. Ambulance is staffed with 2 paramedics. You are accompanied with an engine staffed with EMT’s. Time out 1000. Scene Pt. is found lying in bed, alert and oriented ×4 but appears fatigued and uncomfortable. She reports a sudden onset of epigastric discomfort that began about 30 minutes ago while resting. She also complains of shortness of breath, dizziness, and nausea.On assessment, her skin is pale, cool, and diaphoretic. Respirations are slightly labored and irregular. Radial pulses are present but weak. She has a history of hypertension and hyperlipidemia, and takes a beta blocker and a statin. She is compliant with her meds and takes them as prescribed each morning. Your partner does a pill count and confirms no misuse. Patient felt fine earlier this morning and ate breakfast 3 hours ago.Vital signs show a borderline low blood pressure and slow HR. Vital signs: 90/60; HR: 40, RR: 24, Bg: 110, SpO2: 95%, ETCO2: 35 mmHg. 12 lead ECG below:1.png Family reports that she had a fall 3 days ago, striking her head, but refused medical evaluation at that time. Since then, she has had a worsening headache and increasing fatigue.Today, she developed nausea, vomiting, and profound fatigue and is having difficulty staying awake. Assessment found a large hematoma on left temporal region of the head, with no active external bleeding. Pupils are unequal, with left pupil fixed and dilated, while the right reacts normally to light. Post Scene While transporting, the patient suddenly loses consciousness and begins to seize (tonic-clinic movements).  EMS takes spinal restriction measures and the pt. begins to experience a tonic-clonic seizure. Which type of drug would be most appropriate?

Which condition is characterized by a a chronic/life-long autoimmune process that destroys the myelin sheath, leading to progressively impaired nerve conduction?

(1 of 15)En RouteEMS is dispatched at 1830 to a private residence for a 68-year-old male with “chest discomfort and weakness.” The ambulance is staffed with one paramedic and one EMT. Dispatch reports that the caller identified themselves as the patient’s neighbor and sounds anxious, stating:  the patient “looks pale and won’t get up.” Weather conditions include steady snowfall with reduced visibility and icy streets.What factors are most important for the responding crew to consider?Select 2 options

A person’s skin was exposed to Hydrochloric acid (HCl).What action should EMS take initially?

Which of the following factors have the strongest effect on how tightly hemoglobin binds to oxygen? Select 3 options

(11 of 15) En Route EMS is dispatched at 1830 to a private residence for a 68-year-old male with “chest discomfort and weakness.” The ambulance is staffed with one paramedic and one EMT. Dispatch reports that the caller identified themselves as the patient’s neighbor and sounds anxious, stating:  the patient “looks pale and won’t get up.” Weather conditions include steady snowfall with reduced visibility and icy streets. Update: the patient has a history of diabetes & hypertension, now experiencing  diaphoresis and dizziness. Scene Upon arrival, the patient is found seated in a recliner, spontaneously awake, but fatigued; able to speak in short sentences. Skin is pale and cool. During assessment, the patient becomes increasingly lethargic, gag reflex still intact. Vital signs: BP 92/60, HR 101, RR 24, SpO₂ 95% on room air, BGL 48 mg/dL. Post Scene 12-lead shows signs of ischemia. The patient becomes more alert after glucose administration, but now reports a sensation of constant “chest pressure.” During transport, the patient suddenly becomes unresponsive and pulseless. ECG shows the rhythm below:image.png     High perfusion CPR is in progress and DEFIB pads are applied. Sequence the correct order for defibrillation procedure:

A 28-year-old woman is 2 hours postpartum and is experiencing heavy vaginal bleeding. She is pale, diaphoretic, and tachycardic.Which of the following medications is most helpful in preventing further blood loss?

A patient has high sodium levels in their blood serum (hypernatremia). What is the most likely effect on their body?

Sequence the order of priority care for a pediatric patient post ROSC: First: [BLANK-1] Second: [BLANK-2] Third: [BLANK-3] 

(2 of 15)En RouteEMS is dispatched at 1830 to a private residence for a 68-year-old male with “chest discomfort and weakness.”The ambulance is staffed with one paramedic and one EMT. Dispatch reports that the caller identified themselves as the patient’s neighbor and sounds anxious, stating:  the patient “looks pale and won’t get up.” Weather conditions include steady snowfall with reduced visibility and icy streets.Update: the patient has a history of diabetes & hypertension, now experiencing diaphoresis and dizziness.What should be the paramedic’s primary clinical impression?Select 2 options