You are assessing a patient with a fracture involving the maxilla, nasal bones and crossing the orbital rim who was initially rendered unconscious, regained consciousness, and is now unconscious again.  Which of the following is MOST likely occurring?

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).Why is transport to a psychiatric-capable facility appropriate even if the patient calms down en route?

A patient complaining of chest pain is also having difficulty breathing.  The patient states that he ate 3 hours ago, he takes aspirin and coumadin on a daily basis, and his pain started 20 minutes before 911 was called. Which of the assessment findings from the above scenario best illustrates the utilization of the OPQRST mnemonic?

During the first minutes of pediatric resuscitation, there should be no debating which treatment standard below?

You are called to treat a patient with a history of hypothyroidism who has overdosed on her prescribed thyroid medication.  Which of the following assessment findings would you expect to observe?

The MOST effective way to reduce the likelihood of an omission during documentation of a complicated call will be to:

You are treating a patient whom bystanders indicate was struck in the head by a flower pot that fell off of a ledge.  The patient was unconscious but is now conscious and confused with equal and reactive pupils.  She is disoriented and suffering from retrograde and anterograde amnesia.  She is also complaining of a headache and light sensitivity.  Which of the following is the patient MOST likely suffering from?

Your adult male patient is presenting with respiratory depression and appears sedated; you suspect he has overdosed on his prescription of diazepam. Which medication would be most appropriate to administer?

A 33-year-old male patient experienced a sudden onset of severe sharp chest pain. You find the patient to have severe shortness of breath with absent breath sounds on the right, paleness, diaphoresis, and an altered mental status.  He has no peripheral pulses and has marked jugular venous distention.  He has no medical history and takes no medications.  Your first impression of this patient is:

During a radio report, an EMS provider may properly describe a burn by which of the following descriptions?