Emergency Medical Responses and Assessment in Critical Patients

A 23 year old female is 30 weeks pregnant administer oxygen and complains of abdominal cramps. She tells you that she has had normal prenatal health care and no vaginal discharge. Vital signs are BP 102/74, P 112, R 22 and labored. You should 92 year old female complains of a d. when did you become short of breath headache and trouble breathing. She is on home oxygen. She speaks in 2-3 word sentences. What is the most important question you should ask her? a. How many liters of home oxygen are you normally on? b. which medications do you take? c. are you allergic to any medications? d. when did you become short of breath You have attached an AED to a 42 year old start chest compressions female who is apneic and pulseless. The AED prompts you. "No shock advised." You should Which cardiac rhythm will an AED most likely prompt you to shock? a. atrial fibrillation b. asystole c. pulseless electrical activity d. ventricular tachycardia d. ventricular tachycardia A 22 year old female tells you she is weak place a sanitary pad over the vaginal opening and complains of steady vaginal bleeding that started 2 hours ago. She denies any pain and tells you that she had her menstrual cycle 2 weeks ago. Vital signs are BP 100/68, P 110, R 16, and skin is warm and dry. You should When securing a pregnant patient to a long a. hypotension spine board, you should tilt the board to the left to prevent a. hypotension b. hypertension c. eclampsia d. toxemia A 10 month old female is choking. You 5 back blows should perform A 53 year old male complains of nausea just turned the furnace on last night." and a headache. Which of the following statements is most significant? A 72 year old female's family member tells d. transient ischemic attack you that she had a brief period of slurred speech and left arm weakness prior to EMS arrival. What is the most likely cause? a. narcotic overdose b. stroke c. hypoglycemia d. transient ischemic attack A 58 year old male complains of general a. cardiogenic shock weakness and tells you that he had severe chest pain and shortness of breath the day before. You hear takes at the bases of both lungs. His skin is pale, cool, and clammy. Vital signs are BP 70/40, P 110 and weak, R 28. You should suspect a. cardiogenic shock b. hypovolemic shock c. angina pectoris d. pulmonary embolism An unresponsive 52 year old females in respiratory failure after being struck in the chest with a metal pipe. With each breath only one side of her chest rises. She has subcutaneous emphysema and absent radial pulses. What should you do? a. begin chest compressions b. apply blow-by oxygen c. apply bulky dressings to the chest d. provide positive pressure ventilations d. provide positive pressure ventilations A 48 year old male who was involved in a a. perform an emergency extrication car crash is slumped over the steering wheel and unresponsive to loud verbal stimuli. You see smoke inside the vehicle and that the airbag deployed. You should a. perform an emergency extrication b. perform a primary survey c. administer high flow oxygen by nonrebreather mask d. tell the fire department to stand by for extrication Your EMS base displays a " Free Blood community relations Pressure Check" sign on the window. This is an example ofa. community A 19 year old female was sexually assaulted place a sanitary pad over the vaginal opening and is bleeding from her vagina. You should While ventilating a 12 year old female with a d. reopen the airway pocket mask, you are unable to see chest rise. You should a. start chest compressions b. suction the airway c. perform a finger sweep d. reopen the airway A confused 22 year old male has a weak b. internal bleeding pulse of 122 and distended abdomen. His skin is pale, cool, and clammy. What is the most likely cause? a. acute cholecystitis b. internal bleeding c. bowel obstruction d. insulin shock A 45 year old female is 34 weeks pregnant. pre-eclampsia She complains of a severe headache, sensitivity to light, and swollen feet. Vital signs are BP 130/88, P 104, R 24. What should you suspect? While triaging during a mass casualty a. black incident you find an unresponsive and apenic female wiath an open head injury. What color triage tag should you assign her? a. black b. red c. green. d. yellow A 15 day old female neonate is unresponsive. Vital signs are P 55 and R 58. You should chest compressions You are ventilating a 30 year old male with reposition the airway and ventilate again a BVM. After several minutes of ventilation, he becomes cyanotic and there is no chest rise. You should A 53 year old male with a history of explain the need for immediate transport coronary artery disease had a sudden onset of tearing abdominal pain that radiated to his back. he is ashen and diaphoretic. He states that he needs to use the toilet. Vital signs are BP 110/70, P 100, R 20. You should A newborn is apneic immediately after c. stimulate the baby by rubbing vigorously with a dry towel delivery. You should a. provide 5 back blows and 5 chest compressions b. start chest compressions c. stimulate the baby by rubbing vigorously with a dry towel d. assist ventilations An unresponsive42 year old male is not b. check for a pulse breathing. He has a medical alert bracelet that identifies him as diabetic. You should a. determine the blood glucose b. check for a pulse c. assess his airway d. administer oral glucose A 62 year old male with a history of COPD a. emphysema ran out of his home oxygen. He is short of breath and has a dry, nonreproductive cough with clear lung sounds. What should you suspect? a. emphysema b. chronic bronchitis c. pneumonia d. asthma attack A 19 year old female is postictal following a a. insert an oropharyngeal airway 10 minute tonic-clonic seizure. She has snoring respirations. What should you do ? a. insert an oropharyngeal airway b. obtain a detailed medications list c. palpate a carotid pulse d. perform a jaw-thrust maneuver Which of the following is a contraindication for nitroglycerin administration? recent use of erectile dysfunction medication