Your EMS team has extricated a 70-year-old patient from the vehicle after it went off theroad at a high rate of speed and hit a tree. The patient has an altered mental status andis unable to provide a medical history. You are concerned that a cardiac problem mayhave precipitated the incident, but you must also rule out:

An unresponsive 80-year-old patient has been ill for 4 days. Diet was normal untilyesterday when the patient became very lethargic. There is a history of diabetes andhypertension. Respirations are 32 and deep, pulse is 120. The skin is warm and dry andthere is a sweet, fruity odor near the patient. Your FIRST impression of this patient is:

Which of the following assessment findings suggest a gastrointestinal bleed?

Following assessment of an unresponsive patient, you have determined the patient is ahigh priority. After you have addressed the life-threatening problems, what do you donext?

A 10-year-old is found unresponsive in the school playground. The children tell you abee stung the child about 10 minutes ago. The skin is mottled with red patches, thepulse is very rapid and weak, and you can barely hear any air movement duringrespirations. Identify what condition you believe to be the current problem.

You are called to care for an elderly patient. The patient takes insulin for diabetes andthe family reports there has been no trauma. The patient has been getting worse for aweek, and is now unconscious. During assessment you find the patient to be breathing 6times per minute, the pulse is 130, and BP is 78/54. Identify the most importantintervention while awaiting ALS arrival.

Your neurological emergency patient opens his eyes to voice command, uttersincomprehensible sounds, and can localize pain. What is his Glasgow Coma Scalescore?

A 16 year old female awoke this morning with severe abdominal pain. She states, “I have not had a period in two months and the pain started this morning.” Vital signs are BP 90/70, P 130, R 28, skin pale and cool. What should you suspect?

You have arrived on the scene of a patient who has just regained consciousnessfollowing a syncopal episode. The patient is surrounded by EMS providers and there areno family members or friends around. Which of the following feelings would you MOSTlikely expect this patient to experience?

You arrive at the scene where a child has ingested a bottle of children’s chewablevitamins. The mother says she stuck her finger down the child’s throat and caused thechild to vomit. She says she could see a large number of vitamin material in the vomit.She comments that she no longer feels the child needs to go to the hospital and EMS isno longer needed. What would you advise the mother at this time?