Based on the patient’s presentation, select whether each symptom is more consistent with excited delirium or an acute manic episode. Scenario:Dispatch reports a 48-year-old male with altered mental status. His wife states he is paranoid, agitated, and “acting crazy”. He has a known history of bipolar disorder. Police are on scene. On assessment, the patient is tachycardic, diaphoretic, paranoid, and disoriented with pressured speech. He has not eaten or slept in two days and is pacing. Vitals show a heart rate of 120(irregular), BP 160/90 mmHg, RR 24. Skin is hot and sweaty, pupils are dilated. 

The cause of a sudden unexplained infant death syndrome (SUIDS) may include any of the following except: 

Based on the patient’s presentation, select whether each symptom is more consistent with acute myocardial infarction (AMI) or unstable angina.  Scenario:A 58-year-old male presents with sudden chest pain and shortness of breath. He has a history of hypertension and high cholesterol. He appears pale and anxious, with a rapid, irregular heart rate and low blood pressure. Crackles are heard in both lungs. 

You are assessing an unresponsive 58-year-old male who has only a few shallow gasps per minute. Aside from quickly checking his pulse, your treatment of this patient should involve: 

Determine if the pulse and blood pressure combinations in the following readings indicate shock (compensated or decompensated) or adequate perfusion.

Based on the patient’s presentation, select whether each symptom is more consistent with pulmonary embolism (PE) or anaphylaxis. Scenario: A 54-year-old female presents with sudden shortness of breath. She is upright, grasping for air, and unable to speak in full sentences. Her respiratory rate is 34, and she has audible wheezing. She appears pale, diaphoretic, and her SpO2 on room air is 85%. Lung sounds reveal diffuse wheezing. Her heart rate is 126 bpm and regular, and her bP is 148/90 mmHg. There are no signs of trauma or chest pain.

For each of the following findings, determine whether it is an upper airway sound or a lower airway sound. 

A construction worker has a thin piece of rebar impaled in his abdomen. He is conscious, alert, and complaining of right lower quadrant abdominal pain. A 10-inch piece of rounded metal is protruding from his abdomen. Which of the following should be initiated before moving the patient?

A 28-year-old patient is unresponsive. They were found in a driveway in a suburban neighborhood. A person walking a dog found the patient and called EMS. Vital signs are P 96, BP 118/64, SpO2 95%, with cool, moist skin. 

You are assessing a 59-year-old patient who has a serious cardiac condition, and you notice that he has no palpable pulse or blood pressure despite being conscious and alert. What device does he likely have?