What should be the paramedic’s primary concern once on scene?

A patient was reported to have a sudden severe headache, vomiting, and confusion just prior to becoming unresponsive. There is no evidence of trauma. The paramedic should suspect what condition and what vital signs. Condition (Choose 1) Vital Signs (Choose 3)

Rescuers are inserting a supraglottic airway device into a trauma patient. Which of the following statements are accurate regarding this style airway? (Select two correct answers)

En RouteThe paramedic is dispatched to a residence for a 65-year-old patient who fell off a ladder. Dispatch reports the distance was approximately 14 feet.  The time of the call is 1300. The response time is 10 minutes. The paramedic is partnered with an EMT, no additional resources are available at this time. The weather is clear, and the temperature is 77F (25C).  A local community hospital is 15 minutes away and a comprehensive medical facility is about 25 minutes away.  On Scene The patient (62kg) is found laying on the ground on their left side. There is an overturned ladder nearby. The wife reports the patient was cleaning out the gutter when she heard a crash. The patient was initially moaning but now she cannot wake him up. The patient has a history of hypertension and takes hydrochlorothiazide and atenolol. The patient is allergic to sulfa drugs. The initial exam is pertinent for pale, clammy skin. Blood and vomit are noted around the patient’s mouth. There is obvious deformity to the right leg with pooling of dark blood under his pants. The patient moans and draws his arms to his chest when the trapezius muscle is squeezed.  A weak carotid pulse is present. Respirations are 28 and shallow.

A geriatric patient is believed to be having a myocardial infarction. What signs and symptoms would be expected? (Select three correct answers) 

When assessing a 4-year-old patient who is showing signs of hypoperfusion secondary to hemorrhage, which of the following should the paramedic expect to find if the patient is still able to compensate?

Further assessment reveals pupils are 4mm and reactive to light. Capillary blood glucose is 32, and EtCO2 is 42.  What is the paramedic’s next step? (Select two correct answers)

En RouteThe paramedic is dispatched to a residence for a 65-year-old patient who fell off a ladder. Dispatch reports the distance was approximately 14 feet.  The time of the call is 1300. The response time is 10 minutes. The paramedic is partnered with an EMT, no additional resources are available at this time. The weather is clear, and the temperature is 77F (25C).  A local community hospital is 15 minutes away and a comprehensive medical facility is about 25 minutes away.  On Scene The patient (62kg) is found laying on the ground on their left side. There is an overturned ladder nearby. The wife reports the patient was cleaning out the gutter when she heard a crash. The patient was initially moaning but now she cannot wake him up. The patient has a history of hypertension and takes hydrochlorothiazide and atenolol. The patient is allergic to sulfa drugs. The initial exam is pertinent for pale, clammy skin. Blood and vomit are noted around the patient’s mouth. There is obvious deformity to the right leg with pooling of dark blood under his pants. The patient moans and draws his arms to his chest when the trapezius muscle is squeezed.  A weak carotid pulse is present. Respirations are 28 and shallow.

Which of the following plays a key role in keeping fluid intravascular? 

What is the preferred management of this patient? (Select two correct answers)