You are called to an urban home for a 4-year-old with suspec…

You are called to an urban home for a 4-year-old with suspected chicken pox. The patient is in bed responsive only to voice and then will cry when provoked. Pulse is 118, respirations are 24 and blood pressure 88/systolic. The parents state they have been hydrating the child properly and medicating for a recurrent fever. The patient has a temperature of 100.3 degrees F and has reddish/pink crusted-over lesions all over her body. The patient’s airway is self-maintained and she will not tolerate supplemental oxygen. Vitals signs are:  Pulse is 118, respirations are 24 and blood pressure 88/systolic. Which of the following should the paramedic do during transit?

You are assessing a 4-year-old with epiglottitis and observe…

You are assessing a 4-year-old with epiglottitis and observe the child is irritable and restless in her mother’s arms. The patient is pink, warm and dry and resisting your assessment. You also notice the patient is drooling and has a weak cry. Which oxygen delivery technique would be best for this patient?

You are called to assess a 67-year-old male complaining of w…

You are called to assess a 67-year-old male complaining of weakness and difficulty breathing. He indicates that he has just returned home from the hospital after having gone into cardiac arrest last week and was resuscitated. His pulse is 120 and weak at the radial artery. You suspect the patient is having a pericardial tamponade. Which of the following is the most definitive treatment for this patient?

You are called to a residence where a 30-year-old-female was…

You are called to a residence where a 30-year-old-female was thrown from her house during an explosion. She is supine, unresponsive and has some notable burns, but no obvious bleeding. She is breathing at 30 times per minute and has a weak radial pulse at 130 beats per minute. Which of the following should be included in a rapid trauma survey?

You are called to treat a 16-year-old female who fell off of…

You are called to treat a 16-year-old female who fell off of a motorcycle. She has no obvious injuries other than pain on palpation of the neck at C-7. She is responsive only to pain at this location and has no sensation or movement below this point. Her pulse is 54, respirations are 16 and her blood pressure is 70/40. Which of the following actions would have the best result in increased blood pressure in this patient?

You are called to a residence where a 30-year-old-female was…

You are called to a residence where a 30-year-old-female was thrown from her house during an explosion. She is supine, unresponsive and has some notable burns, but no obvious bleeding. She is breathing at 30 times per minute and has a weak radial pulse at 130 beats per minute. Which of the following should be included in a rapid trauma survey?

You are called to the scene of a 16-year-old patient who fel…

You are called to the scene of a 16-year-old patient who fell while skateboarding. Upon your arrival the patient was responsive to painful stimuli as you opened the airway with a jaw thrust maneuver. The patient does not respond to any painful stimuli below the level of the shoulders. There is no obvious bleeding; however, your assessment does reveal a deformity around C7. The skin is pink and warm. The blood pressure is 70/40. What type of shock is this patient experiancing?

You are called to a baseball field to assess a 36-year-old f…

You are called to a baseball field to assess a 36-year-old female whose foot was caught in a hole causing her to fall while she was running to catch a fly ball. She complains of pain in her right lower leg and indicates that she immediately felt pain and heard a crack when she fell. Which of the following assessment signs is the most critical to note?