You are called to treat a tall 40-year-old male complaining of chest pain. Assessment reveals unequal blood pressures in the upper extremities (left arm 180/80 right arm 140/70), a pulse of 110, respirations of 24, a pulse oximetry reading of 90% and the patient looks pale. The monitor is showing a sinus tachycardia with no ectopy and the lung sounds are clear bilaterally. The patient describes the chest pain as being located between his shoulder blades and tearing in nature. Which of the following best describes this patient’s condition?

While treating a 17-year-old female with a fluttering feeling in her chest, you find delta waves on the 12-lead ECG. The patient’s history is that she is seeing her personal physician for intermittent fainting spells. What condition is most likely the problem today?

An ambulance is dispatched to a man down in a local park. You find a 26-year-old male who is thin, complaining of severe chest pain and difficulty breathing. During transport, the patient becomes increasingly anxious and respirations increase to 28 per minutes. You also note jugular venous distention, and that there is no longer symmetrical rise of the chest. Lung sounds are also unequal bilaterally. Which of the following assessment findings in this patient allow you to differentiate between simple and tension pneumothorax?

You have just defibrillated a 72-year-old male in ventricular fibrillation into the rhythm shown below No Pulse is detected. He is intubated with placement confirmed, CPR is in progress, and IV access is established. Which of the following should you do next?

While transporting an elderly female with difficulty breathing to the Emergency Department, you note her breathing rate has increased to more than 32 times per minute and she is becoming confused and not following commands. The patient’s ECG recording suggests sinus tachycardia with PVCs. You have applied a non-rebreather at 10-15 lpm. Decide which of the following is your next most critical intervention?

You are transporting a 6-year-old male patient who weighs 24 kg and is only responsive to deep painful stimuli. You suspect he has an upper respiratory infection and is breathing at 30 times per minute, heart rate of 140, and blood pressure of 90/50. You have the patient on a non-rebreather mask at 12-15 lpm. Over the last 2 minutes, the heart rate and blood pressure have to dropped significantly while respirations have increased to 36. Which of the following should you perform?

You arrive to find a middle-aged street person lying unconscious and prone on the ground with evidence he has overdosed on alcohol and cocaine. Witnesses inform first responders that the victim started complaining of chest pain and difficulty catching his breath, and then sat down. They also state the victim is a known diabetic, the patient is now unresponsive to all stimuli, and has a respiratory rate of 8 and shallow. You note the presence of a crack pipe lying in close proximity to the patient. After opening the airway, your next action should be to:

You have been called to the residence of a 27-year-old male with sudden dyspnea. the patient is unresponsive, breathing at 34 times per minute and shallow. His external jugular veins are distended and his trachea is deviated to the right. Which of the following actions should you do first for this patient?

You are called to the scene of a 56-year-old male complaining of generalized weakness, thirst, and difficulty in breathing for the last three days. The patient has had diarrhea for the last 24 hours. The patient indicates that he has a history of right heart failure. You have applied high concentration oxygen to the patient. His pulse is 120 and irregularly irregular, his blood pressure is 84/40 and he continues to complain of weakness. Which of the following would be the recommended treatment for this patient?

You arrive at a private residence to find a 65-year-old male in the tripod position after self-administering three nebulized breathing treatments in the last hour. The patient had a previous cardiac history, and is currently unable to speak more than one or two words at a time without taking a breath. Which of the potential assessment findings of this patient would be a relative contraindication for administering epinephrine?