A 12-year-old has a 6-centimeter laceration on his anterior forehead. He asks you if getting stitches will hurt. Which of the following would be the best response to his inquiry?

You are called to the scene of a 27-year-old male complaining of severe chest pain. He is experiencing difficulty breathing and his blood pressure is 70/40. As you are obtaining your ECG, he becomes unresponsive though retains a pulse and respirations. After performing your initial treatment, the patient becomes pulseless and apneic, and you see the rhythm below. Which of the following should you do first?

You are called to the scene of a single motor vehicle accident where a 19-year-old male has lost control of his vehicle and hit a tree. The patient is still seated in the driver’s seat and is speaking incoherently. You are holding cervical spine control and opening the airway and notice a fruity odor on his breath. You can see a small bump on the left side of the patient’s head and a minor laceration to the forehead. The patient’s radial pulse is at 40 and respirations are irregular at 6 BPM. Which of the following should you do next after finishing your primary (initial) assessment?

You are called to the scene of an 18-year-old patient who fell off of a ladder and landed on his head. Eyes open to painful stimuli has no response to verbal questioning and withdraws from pain. Which of the following would best reflect this patient’s Glasgow Coma score?

Paramedics Washington and Brooks showed up for their shift feeling tired and decided to take a nap before doing their vehicle check. About 30 minutes into the shift, they were dispatched to a patient in seizure. The patient was a 16-year-old female in active seizure when they arrived. The crew before them had used all the Valium and left them a note to replace it, subsequently, the paramedics had no medication to administer to the patient. Ultimately, the seizure stopped and the patient suffered no apparent adverse consequences. The family still filed a lawsuit for negligence of the crew. Which of the following elements to establish negligence is missing in this case?

You arrive on scene to find a six-year-old, 55 lb child actively seizing. His temperature is 104 Fahrenheit. Which of the following is your first intervention for this patient?

An ALS ambulance is responding to a possible suicide attempt. Upon arrival, the crew encounters distraught parents who state they just discovered their teenage daughter hanging in the garage. After cutting the rope and lowering this female to the ground, the ALS team finds her still warm but in cardiac arrest. Her pupils are fixed and dilated and the cardiac monitor reveals pulseless electrical activity. What should they do now?

You and your paramedic partner are preparing to move an obese female patient from the floor to your stretcher. Which of the following descriptions would you recommend when lifting this patient?

You are called to a baseball game where a 72-year-old male has been struck in the upper arm by a foul ball. The patient is alert and oriented to person, place and time and you observe swelling occurring in the area where he was struck. What other specific assessments should you perform regarding this injury?

You are called to transport a 21-year-old sickle cell anemia patient from a small rural hospital to an urban shock trauma center for an acute crisis he is experiencing. The patient has oxygen, IV and cardiac monitor in place. During transit, how will the paramedics know if the patient’s crisis is worsening?