You are treating a patient with a major laceration to the forearm that has continued to bleed even after you have applied direct pressure and a pressure bandage. There is evidence of blood soaking though the bandage. Your next action would be to:

You are called to the scene of a 27-year-old male who has received a laceration to his brachial artery. First responders have attempted to control bleeding with direct pressure but have been unsuccessful. The patient has a pulse of 120, respirations of 24, his skin is pale, cool and clammy and his blood pressure is 70/40. Which of these signs best indicates that the patient has entered decompensated shock?

You are treating a 4-year-old patient who is unresponsive. You have just arrived on scene. The patient is lethargic and has pale skin. The patient’s pulse corresponds with the monitor (shown below), his respiratory rate is 10, and his blood pressure is 70/40. Which of the following is the most appropriate initial treatment?

You are called to the scene of a 19-year-old male complaining of severe difficulty breathing. The family indicates that the patient had nearly drowned yesterday, but they were able to revive him and he had refused treatment. The patient is breathing at 26 times per minute, had a pulse of 120 and a blood pressure of 90/50. Which of the following treatments would be of the greatest benefit for this patient?

You are transporting a 25-year-old male who had been hit in the abdomen by a piece of construction material. There is no external bleeding. The patient is unresponsive, breathing at a rate of 36 and shallow, and has a heart rate of 124 at the carotid artery. There is no radial pulse palpable. Which of the following assessment findings would be the most consistent with the mechanism and vitals provided?

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?