EN ROUTEIt is 11:15am and you are staffing a 2-paramedic transporting ambulance. Your unit is dispatched to a residence for a 12-year-old female with a history of asthma for shortness of breath. It is a clear spring day, and the temperature is 86F (30C). The response time is about 10 minutes. There is a community hospital about 5 minutes away, and a level 2 trauma center with most capabilities about 15 minutes away. Dispatch notes state the patient’s symptoms started about 20 minutes prior to calling 9-1-1.

A patient presents with sharp chest pain radiating to the left shoulder. The initial ECG is below. The paramedic should suspect:

A newborn has central cyanosis, pulse is 70, there is a weak and irregular cry, and the infant has minimal movement and facial grimace when stimulated. What would be the APGAR for this infant?

Law enforcement insists they approach the patient and force him to go to the hospital. How should the crew handle this situation?

A patient is anxious and restless after being struck in the chest with a baseball bat. The patient is dyspneic, has diminished heart sounds, and is becoming disoriented. There is no improvement with oxygen administration. Management includes:

What is the best reasoning for the crackles on auscultation?

Which of the following medications are commonly given to a patient experiencing a severe asthma exacerbation in the prehospital setting?  Uncommon (Choose 4) Common (Choose 3)

A patient presents with sharp chest pain radiating to the left shoulder. The initial ECG is below. The paramedic should suspect:

A patient has a prescription for albuterol. Identify the mechanism of action and indication for this drug. Mechanism of action (Choose 1) Indication (Choose 1)

Which of the following medications are commonly given to a patient experiencing a severe asthma exacerbation in the prehospital setting?  Uncommon (Choose 4) Common (Choose 3)