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(12 of 13)En RouteEMS is dispatched at 0815 to a home for a 3-year-old child with altered mental status. Call was made by the patient’s parent, who reports that the child had a high fever overnight and vomited several times. Outside temp is 32° F, skies are cloudy, roads are dry, and traffic is light. Ambulance is staffed with 2 paramedics; and a fire engine with EMTs is also responding.SceneYou arrive on location, PPE is donned and patient care equipment is being brought in by the fire engine personnel. Upon patient access, you find secretions obstructing the airway. After suctioning, patient has RR 10, shallow, SpO₂ 70%, EtCO₂ 68, absent gag reflex.BVM ventilations are in progress.The pt. is unresponsive with a blood sugar is 80. Pupils are midrange & reactive.Post SceneTransport is in progress. Extraglottic airway was placed, and ventilations are being provided. The patient remains medically sedated.While driving, parent asks “How is my child?” You should:

A paramedic completes care for a patient and returns to the station. Later, several conversations occur regarding the call. Which of the following situations represents a violation of patient privacy regulations?

After completing a call, EMS identifies visible blood contamination on a blood pressure cuff and stethoscope. The equipment has already had all visible blood and organic material removed. What is the next most appropriate step?

(5 of 13)En RouteEMS is dispatched at 0815 to a home for a 3-year-old child with altered mental status. Call was made by the patient’s parent, who reports that the child had a high fever overnight and vomited several times. Outside temp is 32° F, skies are cloudy, roads are dry, and traffic is light. Ambulance is staffed with 2 paramedics; and a fire engine with EMTs is also responding.SceneYou arrive on location, PPE is donned and patient care equipment is being brought in by the fire engine personnel. Upon patient access, you find secretions obstructing the airway. You determine the need to suction. How should the head be positioned?

An adult has deep partial and full thickness burns of the entire abdomen, perineum, and the entire anterior surface of both legs. {3DE84342-1A35-4488-8356-81C8C69F6024}.png Using the Rule of 9s, what % of the total body surface area (TBSA) has been burned?

Determine which rhythms are most likely given the conditions below:Choose 2: Tachycardia onlyChoose 2: Bradycardia onlyChoose 1: Both bradycardia and tachycardia

(7 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 did 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).  All of the following facilities are accessible < 30 minutes by ground. Given the primary cause of the patient's condition, where should EMS transport?

38-year-old male presents with sudden onset severe right-sided flank pain that began while at rest. He describes the pain as sharp and colicky, radiating toward his lower abdomen and groin. He is restless, unable to find a comfortable position, and reports nausea with one episode of vomiting. He denies fever but notes mild burning with urination and possible blood in his urine earlier in the day. On exam, he is afebrile with tenderness over the right flank. His abdomen is soft without guarding, and his extremities are warm with intact pulses and normal color. Based on these findings, arrange the following conditions from: Most Likely, Possible, and Not Likely Most Likely: [BLANK-1] Possible: [BLANK-2] Not Likely: [BLANK-3]

(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?