Safety Question:If aq. base or DCM solvent comes in contact…
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Sаfety Questiоn:If аq. bаse оr DCM sоlvent comes in contact with our gloves we should...
Enrоute phаseScenаriо: The pаramedic unit is dispatched tо an elementary school nurse's office for a 7-year-old female who developed difficulty breathing and a rash shortly after eating lunch. The call was received at 1147. Estimated response time is 6 minutes. The paramedic is partnered with an EMT, and a BLS engine crew is also en route. The temperature is 72°F (22°C) and skies are clear. According to the school nurse, the child has a known peanut allergy and her symptoms started within minutes of exposure. The school has an EpiPen available and is awaiting EMS arrival.On scene phaseScenario:The patient (25 kg) is found sitting upright in the school nurse’s office, visibly distressed. She is scratching at her neck and chest, which are covered in raised, red hives. Her lips are swollen, and she is audibly wheezing. The child is anxious and only able to speak in two- to three-word phrases. The nurse confirms that she did not yet administer the EpiPen but did place the child on oxygen via non-rebreather mask. The child’s caregiver has been contacted and is en route to the school.Vital signs: BP 88/52, HR 144, RR 30, SpO₂ 91% on oxygen, Temp 98.4°F (36.9°C).Post scene phaseScenario:The child’s breathing improves within minutes of receiving epinephrine. She is now able to speak in full sentences and is less anxious. Oxygen saturation has increased, and the hives are beginning to fade. IV access is established, and the child remains on 4 L/min oxygen via nasal cannula. The caregiver meets the crew during transport and rides in the front seat of the ambulance. The child remains stable and alert but still complains of a “tight throat.” En route, you prepare for possible recurrence of symptoms. Updated vitals: BP 94/60, HR 126, RR 20, SpO₂ 97%, Temp 98.4°F (36.9°C). What should be included in your documentation and hospital handoff?
Enrоute phаseScenаriо:The pаramedic unit is dispatched tо a residential structure fire for a 42-year-old male reportedly burned while attempting to extinguish flames in his kitchen. The call was received at 0758. Estimated response time is 7 minutes. The paramedic is partnered with an EMT, and a BLS engine company is also responding. The outside temperature is 62°F (17°C) on a clear spring morning. According to fire personnel on scene, the patient has burns to the chest and arms and was exposed to smoke for several minutes before exiting. He is reported to be conscious but in significant pain.OnScene phaseScenario:The patient (approx. 85 kilograms) is alert and seated outside the home. He has partial-thickness burns across the anterior chest, both forearms, and hands, with blistering and severe pain. His eyebrows and nasal hairs are singed, and he has a persistent cough. He is hoarse and has soot around the mouth and nose. No other trauma is observed. The patient reports using a fire extinguisher and then evacuating himself. He is anxious and asking for help.Initial vital signs: BP 134/88, HR 126, RR 28, SpO₂ 94% on room air, Temp 99.1°F (37.3°C), Pain 9/10. What is the most appropriate immediate intervention for this patient?
Enrоute phаseScenаriо:The pаramedic crew is dispatched tо a public library for a 34-year-old male who is reported to be unconscious in the restroom. The call was received at 1217. The response time is estimated at 6 minutes. The paramedic is partnered with an EMT, and a BLS fire engine crew is also en route. The temperature is 66°F (19°C), with clear skies and light pedestrian traffic. The caller, a library staff member, reports the patient was found slumped on the floor and is “barely breathing.” No known medications or allergies have been reported. OnScene phaseScenario:The patient (approx. 80 kilograms) is found supine on the floor of a public restroom stall. He is unresponsive, pale, and breathing slowly. His airway is partially obstructed by relaxed oral tissues. A tourniquet is seen on his left arm with a syringe nearby. No signs of trauma are present. He does not respond to verbal stimuli but withdraws from pain.Initial vital signs are: blood pressure is 102/64 mmHg, pulse is 56 bpm, respirations are 6 per minute and shallow, SpO₂ is 86% on room air, temperature is 97.5°F (36.4°C). Pupils are 1 mm and minimally reactive. BVM ventilation is initiated with high-flow oxygen. PostScene phaseScenario: After naloxone is administered intranasally, the patient becomes more alert and begins breathing spontaneously. His respiratory rate increases to 14 breaths per minute, and SpO₂ rises to 96% on supplemental oxygen. He is drowsy, slightly confused, and speaks in short sentences. He denies using any drugs but agrees to transport. IV access is established, and the patient remains on continuous monitoring during transport.Updated vitals: BP 110/70, HR 72, RR 14, SpO₂ 96% on nasal cannula at 4 L/min, Temp 98.1°F (36.7°C).What is the most important documentation item for this overdose patient?
Enrоute phаseScenаriо:The pаramedic unit is dispatched tо a residential care facility for an 82-year-old male who is experiencing difficulty breathing and is unable to lie flat. The call was received at 0915. Estimated response time is 6 minutes. The paramedic is partnered with an EMT, and a BLS fire engine crew is also responding. It is a cool fall morning, 48°F (9°C), with overcast skies and light traffic. According to staff on scene, the patient has a history of heart problems. They report the patient was doing well earlier in the day but became increasingly short of breath after breakfast and now appears pale and anxious.What pre-arrival equipment should the paramedic crew prioritize based on the call information?