(3 of 15)En RouteEMS is dispatched at 1830 to a private resi…
(3 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.Update: the patient has a history of diabetes & hypertension, now experiencing diaphoresis and dizziness.What are the most important considerations for the team leader to optimize response and readiness? Select 2 options
Read Details(7 of 13)En RouteEMS is dispatched at 0815 to a home for a 3…
(7 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.During the “D” (Disability) phase of the primary assessment, which of these would be most helpful to assess to differentiate a cause of the patient’s condition?Select 2 options
Read Details(6 of 15)En RouteEMS is dispatched at 1830 to a private resi…
(6 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.Update: the patient has a history of diabetes & hypertension, now experiencing diaphoresis and dizziness.SceneUpon arrival, the patient is found seated in a recliner, spontaneously awake, but fatigued; able to speak in short sentences. Skin is pale and cool.During assessment, the patient becomes increasingly lethargic, gag reflex still intact. Vital signs: BP 92/60, HR 101, RR 24, SpO₂ 95% on room air, BGL 48 mg/dL.The paramedic prepares to administer oral glucose and confirms the patient’s identity by checking the medication label. Which “right” of medication administration does this best demonstrate?
Read Details(12 of 15) En Route EMS is dispatched at 1830 to a priv…
(12 of 15) En Route EMS 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. Update: the patient has a history of diabetes & hypertension, now experiencing diaphoresis and dizziness. Scene Upon arrival, the patient is found seated in a recliner, spontaneously awake, but fatigued; able to speak in short sentences. Skin is pale and cool. During assessment, the patient becomes increasingly lethargic, gag reflex still intact. Vital signs: BP 92/60, HR 101, RR 24, SpO₂ 95% on room air, BGL 48 mg/dL. Post Scene 12-lead shows signs of ischemia. The patient becomes more alert after glucose administration, but now reports a sensation of constant “chest pressure.” During transport, the patient suddenly becomes unresponsive and pulseless. ECG rhythm persists below:image.png There are two drugs indicated for this resuscitation. While they can be given very close together during a well coordinated team resuscitation, one drug should be delivered before the other. Determine the two drugs to give and the order of priority they should be delivered below:
Read Details(11 of 15) En Route EMS is dispatched at 1830 to a priv…
(11 of 15) En Route EMS 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. Update: the patient has a history of diabetes & hypertension, now experiencing diaphoresis and dizziness. Scene Upon arrival, the patient is found seated in a recliner, spontaneously awake, but fatigued; able to speak in short sentences. Skin is pale and cool. During assessment, the patient becomes increasingly lethargic, gag reflex still intact. Vital signs: BP 92/60, HR 101, RR 24, SpO₂ 95% on room air, BGL 48 mg/dL. Post Scene 12-lead shows signs of ischemia. The patient becomes more alert after glucose administration, but now reports a sensation of constant “chest pressure.” During transport, the patient suddenly becomes unresponsive and pulseless. ECG shows the rhythm below:image.png High perfusion CPR is in progress and DEFIB pads are applied. Sequence the correct order for defibrillation procedure:
Read Details(2 of 15)En RouteEMS is dispatched at 1830 to a private resi…
(2 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.Update: the patient has a history of diabetes & hypertension, now experiencing diaphoresis and dizziness.What should be the paramedic’s primary clinical impression?Select 2 options
Read DetailsA man is brought to the hospital after a car accident. He is…
A man is brought to the hospital after a car accident. He is alert and can answer questions, but cannot remember the events leading up to the crash or even leaving his house that morning. He is able to recall past events from days or years ago, but the time just before the injury is missing.You should suspect:
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