Which of the following are risk factors that predispose individuals to cholecystitis?Select 3 options

(1 of 5)En Route:Paramedics staffing an ALS ambulance are dispatched at 0840 to a nursing home for an elderly patient who is experiencing trouble breathing and a persistent cough. ETA is 5 minutes. An ALS FD engine is dispatched with the ambulance. Skies are clear and road traffic is minimal. Temperature is 70 F (21 C). Nearest hospital is 6 minutes by ground.Assess the information given and determine what the paramedics highest priority/consideration should be while planning/preparing for the response.

Administration of atropine would have an untoward (negative) effect when given concurrently with these medications:Select 3 options

(1 of 3)A 9-month-old presents with respiratory distress. The infant has low tone and limited interactivity with their surroundings. History reveals cold-like symptoms for several days with a runny nose, loss of appetite, persistent cough w/ mucous, and mild fever. RR is rapid, the upper airway is patent. VS: P 80; RR 60 and shallow; SpO2 88%; EtCO2 48, wheezing, retractions, prolonged expiration w/ air trapping, and increasing exhaustion. Which of these is most concerning that requires urgent action? Select 2 options

(4 of 5)En RouteEMS is dispatched to a high-priority motor vehicle collision at a street intersection. A sedan has been T-boned by a pickup truck, and the sedan is badly deformed. Patient A (the driver of the sedan) is entrapped in the driver side seat with multiple severe injuries. Patient B (the driver of the truck) is not injured and refusing assessment. The intersection is slightly backed up with the road partially blocked. Fire Department is en route for extrication. Police are at the scene for traffic control. Time of Day: 2:45 PM, a clear and sunny afternoon with temperatures around 75°F (24°C).SceneEMS finds the patient conscious, anxious and distressed. The patient is c/o pain in the LUQ that radiates to the left shoulder; nausea. Pt states that he “feels so cold.” Breath sounds are present and clear bilaterally. There is a contusion over the left lateral chest, the abdomen is rigid with left upper quadrant (LUQ) guarding and bowel sounds are diminished. All extremities move in response to command. VS: BP 92/78, P 112, R 24, SpO2 93%; skin is cool, pale, and moist. Pupils are bilaterally dilated, equal and reactive to light.  What vital sign finding mostly reflects peripheral vasoconstriction due to severe hypovolemia?

A conscious but confused elderly adult is found outdoors c/o weakness, lightheadedness, headache and nausea after walking in the heat (92 F). PMH: DT2 and heart disease. Meds: metformin and propranolol. Breath sounds are clear bilaterally. Skin is cool, pale, and diaphoretic. VS: BP 86/60; P 64 weak and thready; R 24; SpO2 98%; T 99 F. What heat illness is evident?

An awake adult is c/o a “racing heart” and tremors after cocaine use. The pt. appears restless and agitated, but is not combative. Patient has extreme anxiety and is unable to calm down. VS: BP 180/100; P 130, ST; R 26; SpO2 98%; lungs: clear; skin is warm, moist and flushed; and pupils are dilated and reactive.What treatment is most appropriate?

What is likely to result from accidental leakage (extravasation) of IV medication such as vasopressors or hypertonic solutions?

Where should a tourniquet be placed for a complete amputation that occurred 4 inches below the knee?

Which of these combinations is most consistent with neurogenic shock?