(6 of 9)En RouteEMS is dispatched at 0100 to a remote forest area for an injured person. Response time is 10-15 minutes. You are traveling on poorly lit paved road that leads to a clear opening to the trail. It is a cool fall evening; weather is 40°F. Skies are clear, roads are dry, traffic light. Ambulance is staffed with 2 paramedics and a BLS engine. Your nearest community hospital is 30 minutes ETA by ground and a level 1 trauma center is 60 minutes by ground.Dispatch informs you that law enforcement has arrived on scene. It is confirmed that one patient was injured after falling from an attempted tree climb. There is a large group of teenagers (aged 17-19) present and there is evidence of alcohol consumption at the scene. The paved road leading to the opening of the trail is clear and unobstructed. The trail leading to the patient is on rocky and uneven ground.SceneYou and the crew are led to the patient, who is a 20-year-old, alert and oriented 4/4. Physical exam finds an angulated deformity to the right humerus, pt. rates it a 10/10 and is in extreme agony. Patient also states “feels like I’m going to vomit.” Pt. states they consumed “1-2 beers” tonight. There are no signs of trauma to the head, or face. The pt. denies numbness, tingling or pain to the back.After removing the patient’s jacket, the right arm presents with a 45° deformity. You see bone protruding through the arm (midshaft of the humerus) with no active bleeding. Pulses are absent distal to the injury. Your immediate actions should be:Select 2 options

(1 of 8)SceneAs a paramedic in a first response vehicle, you are called to a 75 year old female who is experiencing malaise and abdominal pain. She responds to you appropriately and appears oriented.Which of the following actions should you perform next?

A kid at the park injures himself with baby sitter present. The child has an obvious bone deformity to the arm and is in extreme pain. What legal action is most appropriate?te?

How do pupils respond to an anticholinergic?

(8 of 9)En RouteEMS is dispatched at 0100 to a remote forest area for an injured person. Response time is 10-15 minutes. You are traveling on poorly lit paved road that leads to a clear opening to the trail. It is a cool fall evening; weather is 40°F. Skies are clear, roads are dry, traffic light. Ambulance is staffed with 2 paramedics and a BLS engine. Your nearest community hospital is 30 minutes ETA by ground and a level 1 trauma center is 60 minutes by ground.Dispatch informs you that law enforcement has arrived on scene. It is confirmed that one patient was injured after falling from an attempted tree climb. There is a large group of teenagers (aged 17-19) present and there is evidence of alcohol consumption at the scene. The paved road leading to the opening of the trail is clear and unobstructed. The trail leading to the patient is on rocky and uneven ground.SceneYou and the crew are led to the patient, who is a 20-year-old, alert and oriented 4/4. Physical exam finds an angulated deformity to the right humerus, pt. rates it a 10/10 and is in extreme agony. Patient also states “feels like I’m going to vomit.” Pt. states they consumed “1-2 beers” tonight. There are no signs of trauma to the head, or face. The pt. denies numbness, tingling or pain to the back.After removing the patient’s jacket, the right arm presents with a 45° deformity. You see bone protruding through the arm (midshaft of the humerus) with no active bleeding. Pulses are absent distal to the injury. Post SceneVitals indicate the patient is hemodynamically stable. Prior to transport, the pt’s extremity was splinted in neutral alignment. A weak distal pulse to the injured arm returns. Patient received an opioid for pain and transport is initiated. 5 minutes into transport, the patient’s pain has not changed from before. Pt. remains hemodynamically stable. Blood glucose is 200.There is no change to the patient’s vital signs, and minimal change to the previous level of pain. The patient starts having intense muscle spasms to the injured arm. Which drug would most effectively reduce the spams?

You arrive on scene to find a 54-year-old male patient who is alert but appears anxious and complains of chest tightness. As you assess him, he seems hesitant to describe his symptoms fully.Which of the following is the BEST example of a paramedic providing open-ended feedback to encourage the patient to share more information?

An obese adult patient presents with cold skin, and lethargy. Patient’s family member also states he has an endocrine disorder, but doesn’t remember the name. Which of the following endocrine disorder would the patient likely have?

Which of these abdominal conditions is more likely to cause GI bleeding?

A patient coughing rust colored sputum most likely has what condition?

A nurse is caring for a client with severe respiratory failure who has developed severe tissue-level hypoxemia. The nurse monitors the client’s invasive hemodynamic monitoring lines closely.What is the expected direct physiologic effect of hypoxemia on the client’s stroke volume?