You are treating a 68-year-old female at a nursing home, who is suffering from the consequences of left-sided heart failure. She has chest pain, dyspnea, and pulmonary edema. Nursing staff reports the patient has a current DNR order and has the document on site. The patient’s mental status and vital signs are worsening and it will be several minutes before the formal DNR is at the bedside. You contact online medical control for orders. What type of orders would the physician most likely give you?

You are asked to speak to a class of 16-year-old students at a high school to discuss the value of EMS. Which of the following subjects would make the greatest impact for the community?

Your agency is first to arrive on scene of a two-motor vehicle collision and finds a delivery vehicle leaking an unknown fluid from the package compartment. How can the paramedic best stabilize this scene to avoid further injuries?

You are transporting a stable 32-year-old female with abdominal pain. Your partner advises you that all other county EMS units are being dispatched to a mass casualty incident involving a plane crash. Your current nonemergency ETA is 8 minutes to the ER. The most appropriate response to this information would be as follows:

You are called to the home of a 62-year-old female with a history of diabetes who is complaining of generalized weakness and has the ECG shown below. She indicates that she has no history of heart disorders and last week her physician said her 12-lead was normal. She checked her blood sugar 3 hours ago and reports it to be normal. Which of the following assessments would be most beneficial for identifying how to proceed with this patient?

Immediately following the delivery of a newborn, you have finished suctioning, drying, and wrapping him in a heated blanket. The baby’s APGAR score is considered low at the 30-second mark following delivery. He is breathing at 8 times per minute and shallow. What should you do next?

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 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 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?

What is the correct dose for Zemuron?