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?

You are called to the home of a 62-year-old female with a history of diabetes who is complaining of generalized weakness and has the ECG shown below. She indicates that she has no history of heart disorders and last week her physician said her 12-lead was normal. Assessment of this patient reveals: a blood sugar of 90, a blood pressure of 80/50, a pulse oximetry reading of 90%, and fine basilar rales bilaterally. You are administering high flow oxygen via NRB mask. As you are securing the IV, the patient becomes unresponsive. Which of the following treatments should you do first?

You have responded to a 26-year-old female who is 8-months pregnant and was involved in a minor motor vehicle crash. Her only complaint is neck pain and a twisted ankle. Her vital signs are HR 100, Resp 26, BP 110/60 and her capillary refill is at 5 seconds. Which of the above vital signs is abnormal for this patient?

You are assessing a 4-year-old with epiglottitis and observe the child is irritable and restless in her mother’s arms. The patient is pink, warm and dry and resisting your assessment. You also notice the patient is drooling and has a weak cry. Which oxygen delivery technique would be best for this patient?

All of the following would normally be included in a pre-hospital radio report except?

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: