Clinical Judgement: Enroute phase You are dispatched to a re…
Clinical Judgement: Enroute phase You are dispatched to a residential home for a 9-year-old male complaining of severe abdominal pain. The mother states he has been sick for two days with fever, nausea, and worsening pain. Which of the following is a complication of abdominal pain?
Read DetailsA 2 year-old patient is sitting on the mother’s lap. The pat…
A 2 year-old patient is sitting on the mother’s lap. The patient’s ECG is shown below: PALS ECG 3.jpg Which of the following interventions are most important for the patient’s survival after aggressive ventilatory support? Select the three answer options that are correct.
Read DetailsScenario: Enroute The Paramedic is dispatched to a birthing…
Scenario: Enroute The Paramedic is dispatched to a birthing center for a 29-year-old patient who is in active labor. The time of the call is 0600. The response time will be 10 minutes. The Paramedic is partnered with an EMT, and a BLS fire department engine crew is dispatched with an ambulance. The patient is located inside the birthing center. It’s a clear spring afternoon, and the temperature is 88°F (31°C). A small hospital is located 15 minutes away, and the nearest comprehensive medical facility is 30 minutes away. Scenario: Scene The patient (70 kilograms) is sitting awake in the birth center water room inside a bathtub. The midwife states the patient has been in labor for 5 hours and started having imminent delivery 10 minutes ago. The infant’s head is delivered, but you notice the umbilical cord is tightly wrapped around the neck. The patient has a history of 39-week gestation, gravida 4, parity 3, and no abortions. Prenatal care is up to date, and no complication reported with previous and current pregnancy. Patient’s birth plan was a water birth, and no complications were indicated prior to labor. The patient has allergies to penicillin and iodine. The patient’s skin is cool, clammy, and diaphoretic. The amniotic sac has ruptured with 200 mL of vaginal bleeding visible; patients obey motor commands. Eyes are open, and the pupils are 5 mm and reactive to light. The vital signs are BP 110/60, P 118, R 20, SpO2 96% on room air, and T 98.6°F (37°C). The blood glucose is 80 mg/dL. Scene What is your first intervention?
Read Details