You are treating a 24-year-old male who is complaining of severe abdominal pain. The pain begins in the flank area and travels to the pubic area on the right side. His abdomen is soft and tender, he is breathing at 24 times per minute and shallow and his skin is pale and diaphoretic. Which of the following is most likely the cause of the patient’s discomfort?

During transport of a 34-year-old female who just delivered a healthy 4 kilogram baby with complications, you discover she is bleeding onto your stretcher. What should your next response be to this finding after reassessing vital signs?

You are treating a 14-year-old patient who has been impaled through the cheek with a stick while riding an ATV (All Terrain Vehicle). The patient has bleeding in the mouth from the impaled object, blood and secretions are easily managed with suction. The patient has neck pain. Proper treatment for the impaled object in the cheek would be:

You are asked to speak to a class of 16-year-old students at a high school to discuss the value of EMS. Which of the following subjects would make the greatest impact for the community?

You are treating a 46-year-old male patient complaining of chest pain. The patient has a pulse of 90 and irregular, respirations of 16 and non-labored, a blood pressure of 140/90 and he takes medication for an active ulcer. Which of the following medications should you consider avoiding?

You are called to assess a 67-year-old male complaining of weakness and difficulty breathing. He indicates that he has just returned home from the hospital after having gone into cardiac arrest last week and was resuscitated. His pulse is 120 and weak at the radial artery. You suspect the patient is having a pericardial tamponade. Which of the following is the most definitive treatment for this patient?

You are treating a patient with a major laceration to the forearm that has continued to bleed even after you have applied direct pressure and a pressure bandage. There is evidence of blood soaking though the bandage. Your next action would be to:

You are called to the scene of a 27-year-old male who has received a laceration to his brachial artery. First responders have attempted to control bleeding with direct pressure but have been unsuccessful. The patient has a pulse of 120, respirations of 24, his skin is pale, cool and clammy and his blood pressure is 70/40. Which of these signs best indicates that the patient has entered decompensated shock?

You are treating a 4-year-old patient who is unresponsive. You have just arrived on scene. The patient is lethargic and has pale skin. The patient’s pulse corresponds with the monitor (shown below), his respiratory rate is 10, and his blood pressure is 70/40. Which of the following is the most appropriate initial treatment?

You are called to the scene of a 19-year-old male complaining of severe difficulty breathing. The family indicates that the patient had nearly drowned yesterday, but they were able to revive him and he had refused treatment. The patient is breathing at 26 times per minute, had a pulse of 120 and a blood pressure of 90/50. Which of the following treatments would be of the greatest benefit for this patient?