What does Joe carry over his heart? 

Post Scene After performing an initial assessment, the patient, does not open his eyes and has no verbal response, and is exhibiting decorticate posturing. He has a patent airway and his breathing is assisted via bag valve mask with high flow oxygen. The radial pulse is bounding and slow. There are no signs of trauma. The patient’s pupils are unequal; the left pupil is fully dilated and unreactive while the right pupil is 3 mm and reactive to light. Breath sounds are clear bilaterally. The vital signs are BP 208/112, P 52, R 4 and irregular (unassisted), SPO2 96% on high flow oxygen, and T 97° F (36° C). The blood glucose is 98 md/dL. The EtCO2 is 47 mmHg. The ECG is shown below.   Which of the following findings are most significant for determining the nature of the illness? Select the three answer options that are correct. 

Post Scene After performing an initial assessment, the patient, does not open his eyes and has no verbal response, and is exhibiting decorticate posturing. He has a patent airway and his breathing is assisted via bag valve mask with high flow oxygen. The radial pulse is bounding and slow. There are no signs of trauma. The patient’s pupils are unequal; the left pupil is fully dilated and unreactive while the right pupil is 3 mm and reactive to light. Breath sounds are clear bilaterally. The vital signs are BP 208/112, P 52, R 4 and irregular (unassisted), SPO2 96% on high flow oxygen, and T 97° F (36° C). The blood glucose is 98 md/dL. The EtCO2 is 47 mmHg. The ECG is shown below.   Which of the following describes how to best ventilate the patient during transport?

En Route The paramedic is dispatched to a local single-family residence for a 64-year-old patient who is unresponsive, lying in the driveway. The time of the call is 0717. The response time will be 8 minutes. The paramedic is partnered with a paramedic and a BLS fire department engine crew is dispatched with the ambulance. There has been a heavy snowfall overnight in the response area and the temperature is 20° F (-7° C). A local community hospital is located 6 minutes away and a comprehensive medical facility is located 16 minutes away.   Identify the dispatch information cues that the Paramedic should prioritize for response and scene readiness. Select the two answer options that are correct.

Scene  The patient (90 kg) is lying prone in the driveway, which is partially shoveled. There is a shovel lying next to the patient. A bystander is on scene stating they found him this way while walking their dog. The bystander does not know the patient’s medical history, medications, or allergies.   The patient is rolled into the supine position. He has a patent airway and his breathing is slow and irregular. The radial pulse is bounding and slow. The patient does not open his eyes, only moans to painful stimulus, and withdraws from pain. There are no signs of trauma. The patients’ pupils are unequal; the left pupil is fully dilated and unreactive while the right pupil is 3 mm and reactive to light. Breath sounds are clear bilaterally. The vital signs are BP 192/108, P 56, R 6 and irregular, SPO2 90% on room air, and T 97° F (36° C). The blood glucose is 98 md/dL. The ETCO2 is 63 mmHg. The ECG is shown below.   What is the next most appropriate action for the paramedic to take?

Post Scene After performing an initial assessment, the patient, does not open his eyes and has no verbal response, and is exhibiting decorticate posturing. He has a patent airway and his breathing is assisted via bag valve mask with high flow oxygen. The radial pulse is bounding and slow. There are no signs of trauma. The patient’s pupils are unequal; the left pupil is fully dilated and unreactive while the right pupil is 3 mm and reactive to light. Breath sounds are clear bilaterally. The vital signs are BP 208/112, P 52, R 4 and irregular (unassisted), SPO2 96% on high flow oxygen, and T 97° F (36° C). The blood glucose is 98 md/dL. The EtCO2 is 47 mmHg. The ECG is shown below.   Because of the changes in the patient’s condition, which of the following actions would be most beneficial? Select the three answer options that are correct. 

Scene  The patient (90 kg) is lying prone in the driveway, which is partially shoveled. There is a shovel lying next to the patient. A bystander is on scene stating they found him this way while walking their dog. The bystander does not know the patient’s medical history, medications, or allergies.   The patient is rolled into the supine position. He has a patent airway and his breathing is slow and irregular. The radial pulse is bounding and slow. The patient does not open his eyes, only moans to painful stimulus, and withdraws from pain. There are no signs of trauma. The patients’ pupils are unequal; the left pupil is fully dilated and unreactive while the right pupil is 3 mm and reactive to light. Breath sounds are clear bilaterally. The vital signs are BP 192/108, P 56, R 6 and irregular, SPO2 90% on room air, and T 97° F (36° C). Which of the following findings are most significant for determining the nature of the illness? Select the three answer options that are correct. 

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An accounting information system must be able to perform which of the following tasks?

All of the following are disadvantages of an ERP system except