A 72-year-old male presents with progressive shortness of br…
A 72-year-old male presents with progressive shortness of breath that worsens when lying flat. He reports needing to sleep on three pillows at night and woke up suddenly “gasping for air.” He also complains of fatigue and a persistent productive cough. On assessment, you note crackles in both lung bases and mild tachypnea. There is no peripheral edema, and no signs of cor pulmonale. VS: BP 158/92; P 102; R 24; SpO₂ 90% on room air. Skin is pale and slightly diaphoretic. Of the options below, rank the differential diagnosis from most likely, possible and not likely Most likely: [BLANK-1] Possible: [BLANK-2] Not likely: [BLANK-3]
Read DetailsA 28-year-old patient presents with a 4-week history of unin…
A 28-year-old patient presents with a 4-week history of unintentional weight loss despite an increased appetite, palpitations, tremors, increased body temperature, and anxiety. HR and BP are slightly elevated. What condition is this most consistent with?
Read Details(1 of 3)En RouteEMS is dispatched at 2100 to a dimly lit all…
(1 of 3)En RouteEMS is dispatched at 2100 to a dimly lit alley for a “confused adult male, displaying erratic behavior.” Dispatch advises that the area has a history of frequent substance use and high crime. Law enforcement is also responding and you are accompanied with a BLS engine. Weather is 74°F with a slight drizzle, and traffic is minimal. During the response, dispatch updates that the patient has been seen stumbling, talking rapidly, and yelling incoherently. Which details are most concerning factors for assessing crew safety? Select 3 options
Read Details(2 of 7)En RouteAn 82-year-old female calls EMS for feeling…
(2 of 7)En RouteAn 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.ScenePt. 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. Patient felt fine earlier this morning and ate breakfast 3 hours ago.Vital signs show a borderline low blood pressure and slow HR.Which of these actions are most important?Select 3 options
Read Details(2 of 13)En RouteEMS is dispatched at 0815 to a home for a 3…
(2 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.Which obstacle/barrier to effective communication should the paramedic most likely anticipate?
Read DetailsDuring cardiac arrest resuscitation, the monitor shows an or…
During cardiac arrest resuscitation, the monitor shows an organized rhythm at a rate of 80 bpm. The patient is unresponsive, apneic, and no pulse is palpated. Which of these findings is most critical in determining the paramedics next action?
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