You are dispatched to a restaurant for a woman sitting on the floor in labor.  Delivery seems imminent and you prepare to assist her.  While setting up your equipment, a manager asks if you can move the patient to the bathroom away from other customers. With this information, rescuers should:

Enroute phaseScenario: The paramedic unit is dispatched to a group home for a 26-year-old male who is reportedly experiencing a psychiatric crisis. The call was received at 1012. The estimated response time is 6 minutes. The paramedic is partnered with an EMT, and a BLS fire engine crew is also responding. It is overcast and 54°F (12°C) with light traffic. According to dispatch, the patient is locked in his room, yelling that people are trying to hurt him. Staff report he has a history of schizophrenia and is off his medications.OnScene phaseScenario: The patient (approx. 70 kilograms) is pacing rapidly in a small, cluttered bedroom. He is shouting that “they’re watching through the walls” and refuses to sit or allow physical contact. He appears disheveled, sweaty, and paranoid. Staff report he has not taken his prescribed medications for three days. No weapons are visible, and the patient has not made threats of violence. He is not responding to attempts at de-escalation and continues to shout and mumble incoherently.Vital signs: BP 138/88, HR 116, RR 20, SpO₂ 98% RA, Temp 99.2°F (37.3°C). No signs of trauma are present. Postscene phaseScenario:With law enforcement assistance, the patient is safely escorted to the stretcher and secured with soft restraints. He continues to speak incoherently but does not resist transport. An IV is established for access, and cardiac monitoring is applied. The patient is drowsy during transport but occasionally becomes agitated and pulls at the restraints. He does not acknowledge EMS crew or answer questions. Vitals are stable: BP 130/84, HR 102, RR 18, SpO₂ 99% on room air, Temp 98.9°F (37.2°C).What is the most important patient safety concern during transport?

Enroute phaseScenario:The paramedic crew is dispatched to a public library for a 34-year-old male who is reported to be unconscious in the restroom. The call was received at 1217. The response time is estimated at 6 minutes. The paramedic is partnered with an EMT, and a BLS fire engine crew is also en route. The temperature is 66°F (19°C), with clear skies and light pedestrian traffic. The caller, a library staff member, reports the patient was found slumped on the floor and is “barely breathing.” No known medications or allergies have been reported. What equipment should be prioritized for this call based on the suspected overdose?

You are on scene with a 72-year-old female with a chief complaint of nausea and generalized weakness.  The patient’s history is significant for cardiac disease and kidney stones.  The patient currently takes Flolan by continuous infusion for a diagnosis of primary pulmonary hypertension.  Current assessment findings reveal 3+ pitting edema in the lower extremities, jugular venous distention, and clear lung sounds.  The 12-lead EKG shows P-wave enlargement in Leads II, III, and AVF.  Based upon assessment findings and history, your initial field impression of this patient should be:

You have a 26-year-old arrest patient who has an advanced airway in place. Compressions are being performed.  According to the 2015 AHA Guidelines, what is the preferred ventilatory rate?

Rescuers are on the scene of a snowmobile driver with an amputated right leg just below the knee after a collision with a concrete bridge abutment.  Which description should the providers give to medical direction over the radio?

You have a conscious female patient who has been sexually assaulted.  Which of the following is MOST correct regarding the assessment and management of this patient?

Which of the following is used for the treatment of hemorrhagic shock and is also compatible with the administration of blood?

Which of the following respiratory patterns would you expect to see in a patient with increased intracranial pressure?

You are attempting to ventilate a potential near-drowning/submersion incident patient who was just removed from the river.  You observe lung compliance is poor; however, lung sounds are clear.  Which of the following is MOST likely the cause of the poor compliance?