You and your AEMT partner are dispatched for a 4 year old patient who is unconscious. You have a 7 minute response. You arrive to find the patient in his mother’s lap. The patient does not appear responsive, is cyanotic around the lips, and doesn’t respond to painful stimuli. The patient has a slow weak radial pulse. The patient has what appears to be bicycling with the right leg a repeated motion mimicking the motion of peddling a bicycle and has a deconjugate gaze to the right side. The patient’s mother reports that she hasn’t been able to wake him up for almost 15 minutes. What is your differential diagnosis?

Most types of shock are characterized by:

Catagorize the following;

Place these in the order blood flows through the heart.

Put the vertebral groups in order from superior to inferior

Acetylcholine belongs to which part of the central nervous system:

According to the bodies normal pH accuratley assign the following pH values

Cerebral Spinal Fluid(CSF):

ou and your AEMT partner are dispatched along with a BLS engine company for a motor vehicle accident. You have a 6 minute response time. Law enforcement is on scene controlling traffic. You arrive to find a car crashed into a tree off the side of a rural highway. The fire department has already cut the power to the vehicle and stabilized it with wooden chalks. You and your partner find the patient sitting in the driver seat. The patient is alert to self, but not time, place, or event. The patient reports chest pain and difficulty breathing. Your patient had pale, cool, clammy skin, and a strong rapid radial pulse. While the fire department is working on extrication you obtain vitals; Your partner has placed the patient on oxygen via a NRB. The fire department successfully opens the drivers door and you are able extricate the patient from the vehicle. After extricating the patient from the vehicle you take a quick look inside the drivers compartment. You observe significant damage to the steering column and a spider web like crack in the windshield. In the ambulance you begin your secondary assessment. You find that both clavicles are fractured and significant crepitation on the ribs. The patient denied any head, neck, or back pain and no abnormalities were noted on palpation. Your patient begins to have rapid, irregular respirations, jugular vein distention, the patient’s lung sounds are equal, clear, and bilateral. You reobtain vitals and are as follows; You have identified that the patient is suffering from cardiac tamponade. Select 3 treatments that are indicated?

You and your EMT partner are dispatched for a male who was shot multiple times. You have a 3 minute response time. Law enforcement advises the scene is secure. You arrive to find a patient lying in a puddle of blood. The patient is spraying blood from a wound just proximal to the right knee, has blood rapidly oozing from the right shoulder, and blood bubbling out of a wound to the chest. The patient had rapid shallow breathing.   Your partner begins assisting ventilations with a BVM, and you place the tourniquet, pack the shoulder, and place a chest seal on the patient’s chest wound. You and your partner lift the patient onto the stretcher as your supervisor arrives on scene to drive you to the hospital. During transport your partner continues to assist ventilations, you obtain vitals and observe the following; You have identified that the patient is experiencing a tension pneumothorax. What two treatments could you provide to relieve the tension pneumothorax?