EN ROUTEIt is 0930 and you are staffing a 2-paramedic transporting ambulance. Your unit is dispatched for a 68-year-old male with chest pain. He has a history of diabetes, high cholesterol, and high blood pressure. It is a rainy spring day, and the temperature is 75F (24C). The response time is about 8 minutes. There is a community hospital about 15 minutes away, and a level 2 trauma center with most capabilities about 25 minutes away.Dispatch notes the patient woke from sleep with severe chest pain. The patient’s wife is on scene. ON SCENEThe wife leads you into the bedroom where you find the patient (60kg) sitting on the edge of the bed leaning forward with his hands on his thighs.  He makes eye contact when the crew arrives but appears tired and is in moderate respiratory distress. The wife states that the patient was feeling dizzy and had a headache last night but woke up suddenly and couldn’t breathe.The patient has a history of diabetes, high cholesterol, and high blood pressure. The patient has no allergies to medications. The wife reports a 2 pack per day smoking history. His medications include a baby aspirin, atorvastatin, Glucophage, and atenolol. The patient’s skin is pale and diaphoretic. There are no signs of trauma, and the patient obeys motor commands. The patient can only speak 2-3 word sentences and has moderate accessory muscle use. Eyes are open, pupils are 5mm and reactive to light. The vital signs are BP 78/42, P 226, R 36, SpO2 88% on room air, and T 98F (37C). The blood glucose is 120. The EtCO2 is 38. On further exam you note the patient has bilateral fine basilar crackles.

Which of the following are characteristic of a male pelvis?

Which of the following is considered the only structures that make up the pelvic girdle?

Which of the following structures are placed in profile when performing a lateral distal femur projection including the knee?

The top of the IR should be placed how many inches above the iliac crests for an AP pelvis projection to guarantee proper centering?

Based upon the above mechanism of injury, the paramedic should have a high index of suspicion for which of the following major injuries? (Select three correct answers)

Which of the following anatomical structures should not be seen or just minimally seen on a properly positioned AP projection of the pelvis?

A patient has a stab wound to the right of the sternum in the 4th intercostal space. Which signs and symptoms would lead the paramedic to suspect a tension pneumothorax? (Select three correct answers)

When performing the Judet method to demonstrate the right acetabulum for the posterior rim, which of the following positions would the patient be placed in?

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