Category: Uncategorized

Clinical Judgement: On scene phase You are dispatched to a residential neighborhood for a 6-year-old male; 36 pound who was struck by a vehicle while crossing the street. Bystanders reported the child was thrown several feet and hit his head on the pavement. Traffic has been stopped, and bystanders are gathered. Reports indicate the child was hit by a car traveling approximately 30 mph (48 km/h). Bystanders stated child was running across the street when struck. Witnesses state he briefly lost consciousness. The patient is lying supine on the pavement, helmet not worn. Patients has no medical history and no known drug allergies. Patient has decreased level of consciousness with vomiting noted, Shallow, irregular, respiratory rate 24 breaths/min, SpO2 94% on room air, Pale skin, weak radial pulse at 130 bpm, capillary refill >3 seconds, Glasgow Coma Scale (GCS): 10. Right pupil dilated and sluggishly reactive, Posturing (decorticate).No significant bleeding, but bruising and deformity seen on the forehead. The patient’s mother is distraught and crying, asking if her child will be okay. What is your best response?

Match each overdosed medication (Column A) with its correct antidote (Column B).

Clinical Judgement: Enroute phase You are dispatched to a residence for a 4-month-old male patient; 15 pound experiencing a prolonged seizure. The caregiver reports the child has been seizing for over 10 minutes and is unresponsive. What is the most concerning finding in a seizing pediatric patient?

Scenario:You are treating a 5-year-old (40 lbs) patient in status asthmaticus who is not responding adequately to nebulized treatments. Medical control standing orders Dexamethasone IV/IM. You have a vial of Dexamethasone with a concentration of 10 mg/mL.?How many mL of Dexamethasone should you administer?

The blood pressure is dropping below 90 systolic on a hyperglycemic teenager. What treatment will provide the patient with the greatest benefit if done quickly?

Match the following neonate conditions (Column A) with the appropriate Apgar score based on the assessment parameters. 

In cases where SIDS is suspected and resuscitation is unsuccessful, what should EMS providers expect regarding their role?

A nurse in the labor and delivery unit is caring for a 35-week pregnant client who presents with sudden painless vaginal bleeding. Assessment findings include: Bright red vaginal bleeding No abdominal pain Uterus soft and non-tender Fetal heart rate: 140 bpm, moderate variability Contractions: absent The provider suspects Placenta previa. Which nursing action requires immediate intervention?

A nurse is caring for a pregnant client who reports daily opioid use prior to pregnancy and is now requesting help. Which nursing response is most appropriate?

A nurse is caring for a client at 12 weeks’ gestation who presents with vaginal bleeding. Assessment findings include: Severe nausea and vomiting Uterine size larger than expected for gestational age No fetal heart tones detected Ultrasound report notes a “snowstorm pattern” Which condition is most likely?