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?

The identification of this rhythm is:

EMS providers are called to a home for a middle-aged male who has fallen and needs assistance getting up.  During examination, you discover the patient has stomach cancer that is terminal.  Which of the following statements is TRUE regarding his choice to refuse hospice support if he is alert and oriented to time, place, and date?

You are called to the scene of a lethargic 2-year-old female.  Your assessment reveals a blood sugar of 48 mg/dl.  Which of the following would be the MOST appropriate way to manage this patient?