You arrive to find a 46-year-old male who is complaining of shortness of breath. Vital signs are as follows: P 122, R 28 and shallow, B/P 174/88. Skin is diaphoretic and flushed (red). The patient admits to a history of asthma, but it is difficult for him to speak. After assuring the patient is in a comfortable position, what is the correct oxygen delivery technique for this scenario?

You have been called to the scene of a house fire where a 27-year-old male was removed unresponsive, breathing is very stridorous and he has black soot around his nose and mouth, edema is noted in the back of the patient’s oropharynx, and lung sounds are diminished in all fields. Which of the following should you perform to treat this patient?

A sled of mass m is coasting on the icy surface of a frozen river.  While it is passing under a bridge, a package of equal mass m  is dropped straight down and lands on the sled (without causing any damage).  The sled plus the added load then continue along the original line of motion.  How does the kinetic energy of the (sled + load) compare with the original kinetic energy of the sled?

What would be the correct dose of Etomidate to administer for RSI induction with a 150 lb patient?

You have responded to a 26-year-old female who is 8 months pregnant and was involved in a minor vehicle accident. Her only complaint is neck pain and a twisted ankle. Her vital signs are heart rate 100, respirations 26, blood pressure of 110/60 and her capillary refill is at 4 seconds. You have immobilized the patient on a long board and splinted the ankle. During transport she becomes confused, her respirations and pulse increase and her blood pressure decreases. Which of the following should you do next?

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 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?

What would be the correct dose of Etomidate to administer for RSI induction with a 150 lb patient?

After treating a patient in ventricular fibrillation with epinephrine, amiodarone and defibrillation, he regains a pulse. He was intubated, has spontaneous respirations of 6, and shows the rhythm displayed below; however, he remains unresponsive. Which of the following should you do next?

You are transporting a 55-year-old male with severe upper abdominal pain. He describes the pain as a tearing sensation and looks very anxious. The patient’s vitals are radial pulse of 88, respirations 18, and blood pressure 108/70. The patient has a history of diabetes, high blood pressure, and chronic constipation. Which IV administration description would you recommend for this patient?