A patient with persistent substernal chest pain radiating to the left arm. Vital signs are BP 90/62, P 110, RR 22, and pulse oximetry 98% on 4 L/min O2 by nasal cannula. The paramedic should next:

En RouteA paramedic is dispatched to a residence for a welfare check on an 85-year-old patient. The time of the call is 0900 on a clear summer morning with a temperature of 84oF (29oC). The region is a medium-sized city with moderate traffic. Response time is approximately 6 minutes. A stand-alone ED is approximately 8 minutes away, a regional trauma center is 25 minutes away, and an ICU-capable medical center is 15 minutes away with normal traffic.The paramedic is partnered with an EMT in a standard-equipped ALS ambulance.The dispatch notes state the family has been unable to contact the patient who lives alone. They are en route and about 20 minutes away. A local fire engine and law enforcement agency is also responding.  On Scene Upon arrival at the scene, law enforcement officers state there was no answer when they knocked on the door, and that they are about to gain access to the residence by force. Once inside, the patient is found lying on his right side on the floor of the living room. The patient has a palpable radial pulse and is breathing 20 times a minute. The patient’s skin is cool and clammy. Rapid exam is pertinent for a small hematoma on his right temple. When the patient is rolled onto their back, the respirations become sonorous. The patient does not respond to verbal or painful stimuli. Vital signs are BP 142/80, P 77, RR 14, SpO2 96%. Lung sounds are clear bilaterally.The patient’s history is unknown but the following medications were found on the counter: Aspirin, Humulin kwikpen, hydrochlorothiazide, Percocet, simvastatin, and metoprolol. Post Scene The paramedic is unable to obtain IV access and opted to administer IM glucagon. The patient was packaged up and transport initiated. Family was notified to meet the patient at the hospital. While en route to the hospital, repeat vital signs are BP 130/78, P 68, RR 10, SpO2 92%. Capillary blood glucose is 40 ten minutes after glucagon administration. Pupils are unchanged and there are no other injuries noted on exam. 

The resistance of a patient’s lung tissue to ventilation is referred to as:

Which of the following trauma situations would best benefit from immediate treatment as soon as it is recognized prior to transport? (Select two correct answers)

An elderly patient was a restrained driver of a vehicle that sustained a lateral impact to the driver’s side door. The patient is unresponsive, trachea is midline, neck veins are flat, and lung sounds are absent on the left side with hypo-resonance noted. There are broken ribs on the left side and the abdomen is flat and non-tender. The paramedic should suspect which injury and what is the best management?  Management (Choose 1) Injury (Choose 1)

Identify the structure labeled “F” IMT 325 Unit 1 Test # 75, 76,77 & 80.png

The medial condyle of the femur is positioned lower than the lateral condyle by how many degrees? 

During intubation, the tip of the curved blade:

Identify the structure labeled 2 Lateral hip.png

In order to isolated the centering point for this projection, a line must be drawn from which structure to which structure? IMT 325 Unit 1 Test # 64 & 65.png