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?

Your 35-year-old patient needs RSI. He weighs approximately 190 lbs. What is the most appropriate dose of Succinylcholine to give this patient? 

You are treating a 25-year-old female with distended neck veins, tracheal deviation to the right, and absent lung sounds on the left, She has a pulse of 130 weak at the carotid and absent at the radius, breathing at 30 times ber minute and unresponsive. Which of the following should you do next?

You are called to the scene of a 48-year-old female who has overdosed on diazepam. She is unresponsive, breathing at 4 times per minute, a pulse of 90 and a blood pressure of 80/60. Which of the following in the most immediate concern regarding this patient?

You are called for an adult patient with an acute psychotic episode. As law enforcement is engaging the patient you decide you should prepare your dose of Haldol, What is the correct dosage to administer IM? 

You are responding to a local farm when PD advises that the patient’s arm has been badly injured in a Power take off. You arrive to find the patient’s lower arm is partly amputated and mangled. The patient is in obvious distress and rates his pain as 10/10. You decide to administer Ketamine. What is the appropriate IV/IO/IM/IN dose of Ketamine for pain control?

Your partner is the lead paramedic treating a 2-year-old who is actively seizing. Your partner asks you to administer 1 mg/kg IV Lorazepam. Since there is no IV access in place you state that the best dose and route to give Lorazepam to this patient would be…

A 10-year-old patient is experiencing mild allergic reaction symptoms. You ask your partner to obtain IV access and administer Diphenhydramine. What would be the most appropriate dose to give this 84 lb patient?