A family has called you after the apnea alarm for their 1-month-old baby sounded. They state that the settings seem too sensitive and the alarm goes off frequently. They would like the EMS squad to readjust the settings, so that this scenario can be avoided in the future. They do not want the patient transported to the hospital and are prepared to sign a refusal-of-care form. Assessment reveals no life threats to the patient’s airway, breathing, or circulation. Given the situation, you would:

You are providing a “stand-by” service at the county fair. At midmorning, a 50-year-old male patient approaches your tent and states that he was bitten in the right shoulder by some sort of insect and has tremendous pain. Assessment reveals his shoulder to have a large-reddened area with a sting mark in the middle. The skin is warm to the touch. Your care of this patient should include:

You have been called to a residence for a 21-year-old female in labor. On arrival, you immediately see that the head of the baby is out of the vagina. While delivering the head, the mother tells you that she is having twins. The EMT should immediately

A 43-year-old male patient has removed a tick from his arm prior to your arrival. He is refusing all care at this time. Which of these statements made by the EMT would be most appropriate?

During transport, a female patient who is restrained begins to cry and states that she is sorry for becoming violent and will not behave in that manner anymore. She requests that the restraints be removed because they are hurting her legs, and she does not wish to be restrained any longer. After ensuring that the restraints are not too tight and not harming the extremities, you would:

You are treating a patient with suspected heat cramps. Your medical director has issued standing orders for such treatment given the high number of heat-related emergencies to which your service routinely responds in the summer months. Regarding these standing orders, which of these instructions would seem most appropriate?

You have been asked by your medical director to put together an emergency kit specifically for patients who have been stung or bitten by small marine life animals. Which of these items should you place in that kit?

A 31-year-old female is in labor. After ensuring her airway, breathing, and circulation, you assess her perineum and observe the umbilical cord protruding from the vagina. However, the baby is not visible. Your next action would be to:

The components of the Apgar scoring system include:

The grandfather of an alert and oriented 2-year-old girl found her on the floor playing with pills from his open bottle of Digoxin (a heart medication that slows the heart rate). He cannot remember how many pills were in the bottle, but he thinks that some are missing and suspects that his granddaughter may have eaten them thinking that they were candy. Assessment reveals the patient’s airway to be open and breathing adequate. Her pulse is appropriate for a child her age and her skin warm and dry. Her grandfather is not sure of how long ago she may have taken the pills. Given the assessment findings, the EMT would assume: