Why do we administer nitroglycerin to a patient with chest pain?

Enroute Phase Scenario: The AEMT is dispatched to a 58-year-old male patient who is unresponsive in his home. The time of the call is 0800. The response time will be 10 minutes. The AEMT is partnered with an EMT, and a BLS fire department engine crew is dispatched with the ambulance. The patient is located inside his bedroom. There is heavy rainfall in the response area. It is a hot summer morning, and the temperature is 95°F (35 °C). The nearest small hospital is 15 minutes away, and the nearest comprehensive facility is 30 minutes away.  Which of the following leadership roles should be considered enroute for this event?  

Enroute Phase Scenario: The AEMT is dispatched to a local fitness center for a 58-year-old male who collapsed while using a treadmill. A bystander on scene reports that the patient is unresponsive and not breathing. The time of the call is 1412. The response time is estimated at 8 minutes. The AEMT is partnered with an EMT, and a fire department BLS engine crew is also en route. The patient is located inside the gym. It is a warm spring afternoon with moderate traffic in the area. The nearest hospital is 10 minutes away. Gym staff have been instructed to retrieve the on-site AED and bring it to the patient. What factor for this scene may allow for faster implementation of life-saving interventions than in other out-of-hospital cardiac arrest events? 

You have a patient who opens his eyes to pain, speaks incomprehensible words, and withdraws from pain. What is the patient’s Glasgow Coma Scale score?

Which of the following is the correct order for water rescue?

Enroute Phase Scenario:  The AEMT is dispatched to a community dental office for a 28-year-old female patient who is reportedly acting strangely and refusing to allow anyone near her. The call was received at 1440. The estimated response time is 9 minutes. The AEMT is partnered with an EMT, and a BLS fire department engine crew is also en route. Law enforcement has been requested but has not yet arrived on scene. It is overcast and 52°F (11°C) on a mild afternoon. Traffic in the area is moderate. The patient is located in a private dental suite within the office. The nearest hospital is 10 minutes from the scene.  OnScene Phase Scenario:  The patient (approximately 40 kilograms) is standing in the corner of a private dental suite, mumbling incoherently and clutching her chest. She appears visibly frightened and refuses to sit, make eye contact, or respond to verbal commands. The dental staff states that the patient was agitated upon arrival and repeatedly claimed that someone was “chasing her.” The patient has a history of anxiety and a prior psychiatric admission, and she takes sertraline for depression. She has no known drug allergies. There are no signs of trauma. The patient has not attempted to harm herself or others but is refusing to answer questions or follow instructions. Law enforcement has arrived and is standing outside the room. The patient’s level of consciousness appears intact, but her behavior is paranoid and disorganized. No vital signs have been obtained at this time.  Post Phase Scenario: The patient was safely restrained with the assistance of law enforcement and placed on the stretcher. She is now lying still but intermittently crying and speaking incoherently. She does not answer questions but no longer resists care. The patient’s skin is warm and dry, and there are no signs of trauma. She remains in soft restraints and is being transported to a facility equipped for psychiatric evaluation and stabilization. Eyes are open, and pupils are 4 mm and reactive to light. The vital signs are: blood pressure is 138/82 mmHg, pulse is 108 beats per minute, respirations are 18 per minute, SpO₂ is 98% on room air, and temperature is 98°F (37°C).  Which of the following actions is most appropriate during transport of this restrained behavioral patient? 

What is the discrepancy in the following blood typing? Image 28_29_E1Sum20.jpg

Which of the following alleles (a-d) would not be considered Codominant?

What is the ABO and Rh of the following patient?  (List the result as a discrepancy if the typing is invalid.) Image 20_E1Sum22.jpg

If you gave a donor unit that was dce/dce to a transfusion recipient that was DCE/Dce, would there be a possibility of an unexpected Rh antibody being produced?