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Your EMS supervisor is conducting a tabletop exercise with your crew in preparation for the next cardiac arrest call and wants to assess your crew’s knowledge of cardiac arrest management. She presents your crew with the following scenario questions.What is the proper compression-to-ventilation ratio for adult two-rescuer CPR?

You are dispatched to a person reporting chest pain and shortness of breath. You arrive at the residence to find a 56-year-old man sitting in the kitchen. His skin is ashen, and he is diaphoretic. The patient describes the pain as substernal and crushing. On a scale of 0 to 10, he states his pain is an 8. The patient had a myocardial infarction 2 years ago, and he has angina, hypertension, and high cholesterol. His medications include nitroglycerin, furosemide, and atorvastatin. His vital signs are as follows: pulse, 140 beats/min and irregular; respiratory rate, 28 breaths/min; and blood pressure, 90/50 mm Hg. You hear crackles when listening to his breath sounds.Treatment of this patient includes which of the following?

Your EMS supervisor is conducting a tabletop exercise with your crew in preparation for the next cardiac arrest call and wants to assess your crew’s knowledge of cardiac arrest management. She presents your crew with the following scenario questions.Which intervention or interventions would have the MOST positive impact on the cardiac arrest patient’s outcome?

You are dispatched to a person who is reporting chest pain and shortness of breath. You arrive to find a conscious 58-year-old woman who is sitting up and reporting severe chest pain and shortness of breath. She is very anxious and tells you she feels like she is going to die. Physical examination shows that her skin is pale, cool, and clammy, and her pulse is rapid, weak, and irregular. Her breathing is labored, with a respiratory rate of 28 breaths/min. Her Spo2 is 90%. Lung sounds show crackles in all fields. Blood pressure is 92/60 mm Hg.What is your differential diagnosis of this patient?

You are dispatched to a local residence for a 70-year-old man reporting difficulty breathing. On arrival, you find the patient sitting in the living room on home oxygen. He is leaning forward, supporting himself with his hands on his knees, and as you approach, you notice he appears to be in respiratory distress and is using accessory muscles to help with breathing. He is unable to speak due to his difficulty breathing. His wife informs you that the patient has been ill for the past 2 days with a cough and increasing shortness of breath. He has a past medical history of chronic obstructive pulmonary disease (COPD), hypertension, and diabetes.In this case, your transport decision is based on the:

You are dispatched to a person reporting chest pain and shortness of breath. You arrive at the residence to find a 56-year-old man sitting in the kitchen. His skin is ashen, and he is diaphoretic. The patient describes the pain as substernal and crushing. On a scale of 0 to 10, he states his pain is an 8. The patient had a myocardial infarction 2 years ago, and he has angina, hypertension, and high cholesterol. His medications include nitroglycerin, furosemide, and atorvastatin. His vital signs are as follows: pulse, 140 beats/min and irregular; respiratory rate, 28 breaths/min; and blood pressure, 90/50 mm Hg. You hear crackles when listening to his breath sounds.The patient’s difficulty breathing and crackles are due to blood backing up in which part of the body?

You are dispatched to a shelter for people experiencing homelessness, where a patient is reportedly having abdominal pain. Upon arrival you find a 63-year-old man leaning over the toilet vomiting and clutching his abdomen. The patient tells you that he has had the pain for 6 hours but he began vomiting and having throat pain about 30 minutes ago. He states that he had someone call 9-1-1 when the pain became unbearable and he started throwing up bright red blood. This is the first time he has had these symptoms. The pain is in his stomach and throat, and he describes it as sharp. He rates the pain as a 10 on a scale of 1 to 10 and states that nothing makes the pain worse or better. He has no allergies and does not take any medications although he states that he has a history of a “big liver,” high blood pressure, and alcohol use disorder. His last oral intake was a six-pack of beer 4 hours ago. Vital signs are a pulse of 104 beats/min, respirations of 22 breaths/min, blood pressure of 86/58 mm Hg, and Spo2 of 97% on room air. His skin is pale, cool, and diaphoretic.An acute abdomen usually indicates:

You are dispatched to a residence for a patient with a headache. You arrive to find a 68-year-old man sitting up in a recliner in the living room; he is leaning slightly to the left. His wife reports he had a sudden headache about 1 hour ago. As you assess the patient, you notice that his speech is slurred and he is not moving his left side. You ask the patient to lift his left arm; he lifts his right instead. You also note a left-sided facial droop. A check of his vital signs shows a pulse of 100 beats/min, a blood pressure of 188/110 mm Hg, and respirations of 22 breaths/min. His past medical history includes poorly controlled diabetes and hypertension. He reports a blood glucose level of 70 mg/dL. As you prepare for transport, the patient experiences a generalized seizure.This patient appears to be suffering from a stroke and a seizure. What condition mimics a stroke and also causes a seizure?

You are dispatched to a shelter for people experiencing homelessness, where a patient is reportedly having abdominal pain. Upon arrival you find a 63-year-old man leaning over the toilet vomiting and clutching his abdomen. The patient tells you that he has had the pain for 6 hours but he began vomiting and having throat pain about 30 minutes ago. He states that he had someone call 9-1-1 when the pain became unbearable and he started throwing up bright red blood. This is the first time he has had these symptoms. The pain is in his stomach and throat, and he describes it as sharp. He rates the pain as a 10 on a scale of 1 to 10 and states that nothing makes the pain worse or better. He has no allergies and does not take any medications although he states that he has a history of a “big liver,” high blood pressure, and alcohol use disorder. His last oral intake was a six-pack of beer 4 hours ago. Vital signs are a pulse of 104 beats/min, respirations of 22 breaths/min, blood pressure of 86/58 mm Hg, and Spo2 of 97% on room air. His skin is pale, cool, and diaphoretic.Which of the following conditions could the patient have, based on what you know thus far?

You are dispatched to a local residence for a 70-year-old man reporting difficulty breathing. On arrival, you find the patient sitting in the living room on home oxygen. He is leaning forward, supporting himself with his hands on his knees, and as you approach, you notice he appears to be in respiratory distress and is using accessory muscles to help with breathing. He is unable to speak due to his difficulty breathing. His wife informs you that the patient has been ill for the past 2 days with a cough and increasing shortness of breath. He has a past medical history of chronic obstructive pulmonary disease (COPD), hypertension, and diabetes.During the reassessment, after reassessing the ABCs, what should be done for this patient?