You respond to a residence for an unknown emergency involvin…
You respond to a residence for an unknown emergency involving an 83-year-old man. When you arrive, you find the patient, who is conscious and alert, sitting on his couch with his head held over a bowl. He tells you that his nose started bleeding about 20 minutes ago and he cannot get it to stop. As your partner assists the patient in controlling the bleeding, you inquire about his medical history. He tells you that he has chronic atrial fibrillation, has high blood pressure, and is occasionally depressed. When you ask him about compliance with his medications, he tells you, “I take my medicine every day, but the writing on the bottles is so small.” The patient’s blood pressure is 112/58 mm Hg, pulse rate is 88 beats/min and irregular, and respirations are 18 and unlabored. This patient has MOST likely inadvertently:
Read DetailsAn 82-year-old man presents with confusion that has worsened…
An 82-year-old man presents with confusion that has worsened progressively over the past 2 weeks. Because of his confusion and the fact that he is hearing impaired, you obtain the majority of your medical history information from his daughter. She tells you that her father has high blood pressure but refuses to take medication for it. She also tells you that she thinks he fell about 3 weeks ago. The patient’s blood pressure is 168/98 mm Hg, pulse rate is 60 beats/min and occasionally irregular, and respirations are 22 breaths/min and regular. This patient MOST likely:
Read DetailsAs a field geotechnical engineering, you are trying to achie…
As a field geotechnical engineering, you are trying to achieve ground compaction of both shallow and deep conditions at an urban area located within South Beach, Florida. There are several building structures in the vicinity of your job site. Which amongst the below listed ground improvement techniques do you consider least suited for the site?
Read DetailsA geotechnical driller’s boring log notes the following info…
A geotechnical driller’s boring log notes the following information: Item (1) – An N value of “WOH-1” at a depth of 15 feet. Item (2) – Notes the ground water depth as “not encountered.” Item (3) – Organics present both below and above the limestone layer. Which of the above items is incorrect?
Read DetailsA 20-year-old male presents with an acute onset of severe te…
A 20-year-old male presents with an acute onset of severe testicular pain. He denies any trauma to the genital region. He is conscious and alert, his blood pressure is 144/84 mm Hg, his heart rate is 120 beats/min, and his respirations are 24 breaths/min with adequate depth. The MOST important aspect in the care of this patient involves:
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