En Route The paramedic is dispatched to a local high school for a 16-year-old male with difficulty breathing. The paramedic is partnered with an AEMT. The time of the call is 1435. The response time will be 7 minutes.  The patient is in the gymnasium and there are two staff members with him. There is a heavy rainfall in the response area. It is a cool spring afternoon and the temperature is 50° F (10° C). A small community hospital is located 8 minutes from the scene and the nearest comprehensive medical center is 18 minutes away.   Identify the dispatch information cues that the paramedic should prioritize for response and scene readiness. Select the two answer options that are correct.  

Post Scene Despite initial interventions, the patient states that it is becoming more difficult to breathe and it feels like her throat is swelling. Upon physical examination you notice urticaria to the patient’s chest and abdomen.   The patient’s skin is flushed, cool, and dry. Her eyes open spontaneously and the pupils are 3 mm and reactive. The vital signs are BP 98/68, P 122, R 34, SPO2 89% on supplemental oxygen, T 98° F (37° C). The blood glucose is 104 mg/dL.  What changes to the patient’s signs or symptoms would indicate that treatment is improving the patient’s condition, and what changes would indicate that despite treatment the patient’s condition is worsening? Select two changes that would indicate improving and select the two changes that would indicate worsening.  

Post Scene After initial treatments, the patient continues to have increasing difficulty with breathing. He is becoming lethargic and does not follow commands. The vital signs are BP 134/86, P 128, R 38, SPO2 83% on room air, and T 98°F (37°C). The blood glucose is 89 mg/dL.    The ECG and ETCO2 are shown below.   Which of the following signs or symptoms are consistent with pending respiratory failure? Select the two answer options that are correct. 

Scene The patient (55 kilograms) is sitting on the gymnasium floor in the tripod position. There are two staff members with him. The patient is alert and appears to be oriented but is currently unable to speak due to respiratory distress.   One of the staff members informs you that the patient was in gym class when he began to feel short of breath. The staff member informs you that he has a history of asthma and takes Albuterol. The patient took his rescue inhaler three times with little effect.    The patient’s breathing is rapid and labored and there is audible wheezing. His radial pulse is rapid and bounding. There are no signs of trauma. His eyes open spontaneously and his pupils are 4 mm and reactive to light. The vital signs are BP 124/68, P 112, R 26, SPO2 88% on room air, and T 98°F (37°C). The blood glucose is 89 mg/dL.   Based on this information, which of the following would be the most appropriate initial treatments for this patient? Select the two answer options that are correct.  

18. Congenital deformity of the foot, also called clubfoot, is:

25. What term refers to a stone in a salivary gland?

Choose ONE of these questions to respond to: –What are some of the specific needs that incarcerated women have that may be different than men? –Takeaways from HRCC tour and/or Cheryl’s presentation in class on the new facility

35. Which sign is characteristic of Huntington chorea?

35. What is the best position to put the patient in when they are having difficulty breathing?

14. Which of the following terms means complete absence of urine flow?