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Enrоute Phаse Scenаriо: The AEMT is dispаtched tо a 72-year-old male patient at a nursing home who is in respiratory failure. The patient has a history of chronic obstructive pulmonary disease (COPD) and is dependent on a mechanical ventilator for respiratory support. The nursing staff reports that the patient’s ventilator has malfunctioned and is not providing adequate ventilation. The patient is struggling to breathe and is showing signs of respiratory distress. The time of the call is 1400. The response time will be 9 minutes. The AEMT is partnered with an EMT, and a BLS fire department engine crew is dispatched with the ambulance. The nearest hospital is 15 minutes away. On Scene Phase Scenario: Upon arrival at the nursing home, the patient is found in bed, visibly struggling to breathe. The patient is connected to a malfunctioning ventilator, and the nursing staff reports that the patient’s oxygen saturation has been steadily dropping. The patient is unresponsive to verbal stimuli, with labored breathing and a respiratory rate of 30 breaths per minute. The skin is cyanotic, and the patient’s pulse is rapid at 120 beats per minute. Vital signs are BP 100/60, P 120, R 30, SpO2 75% on the ventilator, and T 98.4°F (37°C). The ventilator settings appear to be incorrect, and the patient is not receiving adequate ventilation. The AEMT arrives at the scene and finds the patient in respiratory distress with signs of inadequate ventilation. The most important first step in managing this patient is:
Enrоute Phаse Scenаriо: The AEMT is dispаtched tо a 74-year-old male patient at home who is exhibiting signs and symptoms of a altered mental status. The patient’s wife reports that the patient suddenly developed slurred speech and weakness on the right side of the body about 20 minutes ago. The patient has a history of hypertension and type 2 diabetes. The time of the call is 0800. The response time will be 7 minutes. The AEMT is partnered with an EMT, and a BLS fire department engine crew is dispatched with the ambulance. The nearest hospital is 10 minutes away, and a stroke center is located 30 minutes away. On Scene Phase Scenario: Upon arrival at the patient’s home, the AEMT finds the patient sitting in a recliner, awake but confused. The patient is unable to speak clearly and has weakness in the right arm and leg. The wife confirms that the symptoms began suddenly 20 minutes ago. The patient’s vital signs are BP 170/90, P 92, R 16, SpO2 97% on room air, and T 98.2°F (37°C). The AEMT performs a quick neurological assessment and observes facial drooping on the right side, slurred speech, and weakness in the right arm and leg. The AEMT is concerned about a possible stroke. The AEMT has confirmed that the patient’s symptoms are consistent with an ischemic stroke, and blood glucose levels are within the normal range. What is the best next step in the management of this patient?