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?

You are called to treat a 6-month-old patient who was found unresponsive in his crib, and your assessment reveals an unresponsive patient with a brachial pulse of 64. Which of the following interventions is most important?

You are treating a 64-year-old female patient who has broken her right ankle. The patient has a history of COPD and is on supplemental oxygen at 2 lpm via nasal cannula. The patient’s vitals are: pulse 90, respirations 20, blood pressure 150/90, skin is pink, warm and dry, and pulse oximetry at 94. Which of the following should you choose for oxygen administration?

You are transporting a 6-year-old male patient who weighs 24 kg and is only responsive to deep painful stimuli. You suspect he has an upper respiratory infection and is breathing at 30 times per minute, heart rate of 140, and blood pressure of 90/50. You have the patient on a non-rebreather mask at 12-15 lpm. Over the last 2 minutes, the heart rate and blood pressure have to dropped significantly while respirations have increased to 36. Which of the following should you perform?

You are called to assess a very tall, 24-year-old male with a diagnosed history of Marfan’s Syndrome who is complaining of severe chest pain. Lung sounds are equal and his 12-lead is normal. He rates the pain as a 10 and indicates it is a tearing sensation located immediately between his shoulder blades. You suspect the patient has a dissecting aortic aneurysm. Which of the following medications would be the most appropriate to treat this patient?

An ALS ambulance responds emergency mode to an apartment building where a 25-year-old male has ingested some type of chemical from the kitchen. The patient is confused and nauseated. After assuring the airway is self-maintained, what information will be most valuable for the paramedics to collect?

You are dispatched to a 12-year-old male currently experiencing a seizure. Which of the following is your first priority?

You are treating a 14-year-old patient who has been impaled through the cheek with a stick while riding an ATV (All Terrain Vehicle). The patient has bleeding in the mouth from the impaled object, blood and secretions are easily managed with suction. The patient has neck pain. Proper treatment for the impaled object in the cheek would be:

Your transporting a 70-year-old male in cardiogenic shock. He remains hypotensive after 3 boluses of normal saline. Medical control has ordered you to administer dopamine at 5 mcg/kg/min and titriate to systolic blood pressure of 110.  Mr. Lincoln weighs about 165 pounds. Your service carries premixed dopamine of 400mg in a bag of 250 ml. Utilizing microdrip tubing, at what drip rate (drops per minute) will you administer the medication?

You are called to a single motor vehicle accident. Witnesses tell you that the vehicle was going about 45 mph when it struck a tree head-on. The windshield has a broken area right in front of the driver’s seat. Which of the following injuries would you most likely suspect to see with this patient?