Which is a legal role of the PCR?

Which element supports medical necessity?

(1 of 3)A 9-month-old presents with respiratory distress. The infant has low tone and limited interactivity with their surroundings. History reveals cold-like symptoms for several days with a runny nose, loss of appetite, persistent cough w/ mucous, and mild fever. RR is rapid, the upper airway is patent. VS: P 80; RR 60 and shallow; SpO2 88%; EtCO2 48, wheezing, retractions, prolonged expiration w/ air trapping, and increasing exhaustion. Which of these is most concerning that requires urgent action? Select 2 options

(4 of 5)    En RouteParamedics staffing an ALS ambulance are dispatched at 0840 to a nursing home for an elderly patient who is experiencing trouble breathing and a persistent cough. ETA is 5 minutes. An ALS FD engine is dispatched with the ambulance. Skies are clear and road traffic is minimal. Temperature is 70 F (21 C). Nearest hospital is 6 minutes by ground.    SceneAn awake and alert elderly adult is found exhausted, sitting up and using accessory muscles to breathe, using 1-2 word responses.The pt. states that they woke with respiratory distress and deny chest pain. Exam findings: productive cough of pink foamy sputum; no JVD or peripheral edema; bilateral wheezes in the posterior bases, and an S3 heart sound is clearly heard. See image for VS. The 12 L ECG shows an old infarct with no acute ischemic change; skin is pale and moist. PMH: MI 1 year ago, hyperlipidemia, HTN. Meds: Simvastatin, metoprolol, adult aspirin. NKDA. Nursing home staff confirms meds given at 0700. Picture1.png Which of these are most pertinent to the treatment plan? Select 2 options

Choose the correct hypothesis for each clinical presentation below:

An ABG is obtained for a patient. Which of these findings most likely suggests respiratory failure?

Which of the following are risk factors that predispose individuals to cholecystitis?Select 3 options

(2 of 2)Paramedics are dispatched to a private residence for a 7-year-old female experiencing sudden-onset severe vertigo, with nausea and vomiting. The patient’s mother meets EMS at the door and reports that her child began complaining that “the room is spinning” approximately 2 hours ago while resting and watching TV, with no preceding activity or trauma.The patient is found seated upright on the couch, holding her head and appearing distressed. She states, “Everything is spinning. I feel like I’m going to throw up again.” The mother reports the patient has vomited twice and has had difficulty maintaining balance when attempting to stand.The mother adds that over the past 2–3 weeks, the patient has had mild, intermittent headaches, occasionally worse in the morning, and has seemed “a little more tired than usual.” She also reports a recent mild upper respiratory illness over the past few days, including nasal congestion and rhinorrhea.There is no history of recent falls, head trauma, or injury, and no witnessed episodes of unresponsiveness, staring spells, or abnormal movements.No significant past medical history.Assessment findings:• Mental status: conscious, alert, and oriented to person, place, and time (GCS 15)• Persistent vertigo worsened with head movement• Unsteady gait noted when attempting to stand (requires assistance)• Respirations: 18/min, non-labored• Pulse: 110 bpm, regular and strong; capillary refill

(3 of 5)En RouteEMS is dispatched to a high-priority motor vehicle collision at a street intersection. A sedan has been T-boned by a pickup truck, and the sedan is badly deformed. Patient A (the driver of the sedan) is entrapped in the driver side seat with multiple severe injuries. Patient B (the driver of the truck) is not injured and refusing assessment. The intersection is slightly backed up with the road partially blocked. Fire Department is en route for extrication. Police are at the scene for traffic control. Time of Day: 2:45 PM, a clear and sunny afternoon with temperatures around 75°F (24°C).SceneEMS finds the patient conscious, anxious and distressed. The patient is c/o pain in the LUQ that radiates to the left shoulder; nausea. Pt states that he “feels so cold.” Breath sounds are present and clear bilaterally. There is a contusion over the left lateral chest, the abdomen is rigid with left upper quadrant (LUQ) guarding and bowel sounds are diminished. All extremities move in response to command. VS: BP 92/78, P 112, R 24, SpO2 93%; skin is cool, pale, and moist. Pupils are bilaterally dilated, equal and reactive to light. What organ is likely to have been damaged/ruptured?

(1 of 2) An adult patient presents with chest pain for the past 2 hours. The pain rates a 10/10, described as crushing and radiates to the jaw and arm. Vitals: BP 102/78; P 75, R 20. Pt. has no known medical history, drugs or allergies.  12 lead ECG is pictured here:  Picture5.png Which of these is present?