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?

You are called to a poorly maintained home for an unresponsive 5-year-old and your initial assessment reveals a patient who appears emaciated and looks more like a 3-year-old. Your assessment of the patient indicates no pertinent medical history, the blood pressure is 60/40, respirations are 14 and shallow, pulse is 140, blood sugar is 78 and pulse oximetry readings are unobtainable. After providing ventilatory support, which of the following should you administer next?

Your patient is a 12-year-old male who was struck in the right temporal area with a baseball that was hit off a bat during a game. Bystanders state the boy had a loss of consciousness and would not wake up for 3 minutes after the injury. The patient is alert on your arrival. You note that is becoming drowsy during your assessment and catch him falling asleep several times. He has a strong radial pulse of 50, a blood pressure of 160/90, and a respiratory rate of 10. The patient becomes unconscious as you are loading him into the ambulance. Which of the following best describes this patient’s condition?

While treating a patient with leukemia, the most important principle is?

Your patient complains of coughing up blood. He is a new resident at a homeless shelter and the staff says he has trouble sleeping as well as trouble breathing. His skin is cool and diaphoretic.  What does this information tell you?

You are dispatched to the scene of a 21-year-old male with an isolated dislocation of the left elbow. His vital signs are stable however, he has no distal pulse in his left arm and the left lower arm is turning cyanotic. You are able to adjust the angle of the arm bringing the wrist to the center of the chest but circulation is still compromised. How should you best proceed with this situation?

You are treating a 4-year-old patient who is unresponsive. The patient’s pulse corresponds with the monitor (shown below), his respiratory rate is 24, and his blood pressure is 60/40. Which of the following assessments would be the most critical in this patient?

You are called to a large farmhouse to manage a 70-year-old male patient with difficulty breathing. He is normally healthy but gradually started developing muscle spasms in his jaw and a stiff neck after he cut himself on a manure spreader three days ago. What question should be answered first?

You are caring for an unconscious patient. You and your partner have performed a successful RSI using 30mg of Etomidate and 200 mg of Succinylcholine. Your patient is stable. It’s your turn to drive to the hospital. During transport, you hear some commotion but are not alerted by your partner that he needs any assistance.  Upon your arrival at the hospital, you open the back of the ambulance and see the patient. He is tachycardiac on the monitor (rate 140) he has tears running down his face and is moving his head slowly. Your partner asks you to administer a medication that he has drawn up to help the patient relax. You ask what the medication is and your partner responds with 70 mg of Zemuron. What should you do next?

You have just defibrillated a 50-year-old female in ventricular fibrillation into the rhythm shown below. She is intubated with placement confirmed and IV access is present. Your previous treatments has caused her to have a NSR on the monitor with a corresponding pulse of 70. The patient remains apneic as you continue assisting ventilations and her blood pressure is 80/40. Lung sounds are clear and there is no sign or history suggestive of a dehydration issue. Which of the following should you do next?