Determine which symptoms below are most likely associated with pit viper envenomation and which ones are not likely. Choose 2: most likelyChoose 2: not likely

(12 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.SceneYou arrive on location, PPE is donned and patient care equipment is being brought in by the fire engine personnel. Upon patient access, you find secretions obstructing the airway. After suctioning, patient has RR 10, shallow, SpO₂ 70%, EtCO₂ 68, absent gag reflex.BVM ventilations are in progress.The pt. is unresponsive with a blood sugar is 80. Pupils are midrange & reactive.Post SceneTransport is in progress. Extraglottic airway was placed, and ventilations are being provided. The patient remains medically sedated.While driving, parent asks “How is my child?” You should:

(4 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.SceneYou arrive on location, PPE is donned and patient care equipment is being brought in by the fire engine personnel. What are the first priorities upon arrival? Select 2 options

Choose the correct communicable disease given the characteristic’s below:

(2 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. SceneUpon arrival, there is a visible law enforcement presence maintaining a safe perimeter. The patient is a thin adult male, poorly groomed, pacing unevenly and intermittently losing balance. The patient is holding a half gallon container of alcohol, which is half empty. He is speaking rapidly, shifting topics mid-sentence, and occasionally shouting statements such as, “I haven’t slept in days—I figured everything out!” followed by, “They’re watching me—I need to stay ahead of them.”The patient appears distracted and has difficulty maintaining focus during questioning. He intermittently laughs inappropriately and then becomes irritable. The patient is not overtly combative, but resists attempts to sit still.Findings:• Unsteady gait with occasional stumbling • Difficulty tracking your finger during eye movement assessment • Periods of confusion when asked simple orientation questions VS:• BP: 128/82 • Pulse: 110 • RR: 22 • Bgl: 80 mg/dL• Pupils: equal, slightly sluggish • Skin: warm, slightly flushed Differentiate the conditions below:Choose 2 that are “possible” and Choose 2 that are “not likely”

After completing a call, EMS identifies visible blood contamination on a blood pressure cuff and stethoscope. The equipment has already had all visible blood and organic material removed. What is the next most appropriate step?

(8 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.SceneYou arrive on location, PPE is donned and patient care equipment is being brought in by the fire engine personnel. Upon patient access, you find secretions obstructing the airway. After suctioning, patient has RR 10, shallow, SpO₂ 70%, EtCO₂ 68, absent gag reflex.BVM ventilations are in progress.The pt. is unresponsive with a blood sugar is 80. Pupils are midrange & reactive.Manual ventilations are ineffective at providing adequate ventilatory depth and oxygenation.You should next:

Which of these conditions are causes of RUQ (right upper quadrant) pain/discomfort?

38-year-old male presents with sudden onset severe right-sided flank pain that began while at rest. He describes the pain as sharp and colicky, radiating toward his lower abdomen and groin. He is restless, unable to find a comfortable position, and reports nausea with one episode of vomiting. He denies fever but notes mild burning with urination and possible blood in his urine earlier in the day. On exam, he is afebrile with tenderness over the right flank. His abdomen is soft without guarding, and his extremities are warm with intact pulses and normal color. Based on these findings, arrange the following conditions from: Most Likely, Possible, and Not Likely Most Likely: [BLANK-1] Possible: [BLANK-2] Not Likely: [BLANK-3]

(1 of 15)En RouteEMS is dispatched at 1830 to a private residence for a 68-year-old male with “chest discomfort and weakness.” The ambulance is staffed with one paramedic and one EMT. Dispatch reports that the caller identified themselves as the patient’s neighbor and sounds anxious, stating:  the patient “looks pale and won’t get up.” Weather conditions include steady snowfall with reduced visibility and icy streets.What factors are most important for the responding crew to consider?Select 2 options