EMT Scene

A 70 year old man presents with a severe nosebleed. His medical history includes COPD, depression, and a hemorrhagic stroke 3 years ago. His BP is 190/110 mm HG, his pulse is 100 beats/ min, and his respirations are 24 breaths/min. His medications include albuterol, sertraline (zoloft) and multivitamins.Which of the following is most likely causing his nosebleed today

High blood pressure

while providing CPAP to a patient in severe respiratory distress, you note that his heart rate has increased by 20 beats/min. He is conscious, but is no longer following verbal commands you should :

Remove the CPAP device and ventilate him with a bag- valve mask

A 6 year old male presents with acute respiratory distress. His mother states that she saw him put a small toy into his mouth shortly before the episode began. The child is conscious, obviously frightened, and is coughing forcefully. you should :

Encourage him to cough, give oxygen as tolerated, and transport

A 51 year old female presents with a sudden onset of difficulty breathing. She is conscious and alert and able to speak in complete sentences. Her respirations are 22 breaths/min regular. you should

administer oxygen via a nonrebreathing mask

A 33 year old woman who is 36 weeks pregnant is experiencing vaginal bleeding, during rnsport, you note that she suddenly becomes diaphoretic, tachycardic, and hypotensive. you should:

place her in a left lateral recumbent position

You are transporting a 33 yeard old male who was involved in a major motor vehicle crash. You have addressed all immediate and potentially life threating conditionds and have stabilized his condition with the appropriate treatment. With an estimated time of arrival at the hospital of 20 minutes, you should

reassess his condition in 5 minutes

You are dispatched to a local nursery for a 39 year old female who is sick. when you arrive, you find the patient lying on the floor. She is semiconscious, has copious amounts of saliva coming from her mouth, and is incontinent of urine. you quickly feel her pulse and note that is very slow. Immediate management for this patient should include

thoroughly suctioning her oropharynx

You have just delivered a baby boy. His body is pink, but his hands and feet are blue. his heart rate is approximately 110 beats/min and his respirations are rapid and irregular. He has a weak cry when stimulated and resists attempts to straighten his legs his Apgar score is

8

Emt are dispatched for fall. The patient, a 16 year old female with down syndrome is experiencing difficulty walking and says that her fingers "feel like needles" The EMT should suspect

A cervical spine injury

A 70 year old man complains of a sudden onset of difficulty breathing. He has dried blood on his lips and very anxious. His left leg is red, swollen, and painful. The EMT should

Administer high-flow oxygen

A 23 year old male experienced severe head trauma after his motorcycle collided with an oncoming truck . He is unconscious has rapid and shallow breathing, and has copious bloody secretions in his mouth. How should you manage his airway

Alternate 15 seconds of oral suctioning of oarl suctioning with 2 minutes of assisted ventilations.

A 17 year old male was shot in the right anterior chest during an altercation. As your partner is applying oxygen, you perform a rapid assessment and find an open chest wound with small amount of blood bubbling from it. you should:

Apply an occlusive dressing to the wound and continue your assessment .

you are treating a 45 year old woman who has stun by a horrnet and has a rash. She tells you that she is allergic to hornets and has her own epinephrine auto injector. She also tells you that she takes medication for hypertension. her breath sounds do not reveal any wheezing, her brething is unlabored, and her blood pressure is 154/94mm hg. what should you do if you are not able make contact with medical control

Begin transport to the hospital and closely monitor her condition en route

You are at the scene of multiple-casualty incident when your partner slips and falls, injuring his leg. He is alret and responds appropriately to your questions. His respirations are 20 breath/min and his radial pulses are strong. what triage category should you assign your partner?

Immediate

A 6 month old male presents with 2 days of vomiting and diarrhea. He is conscious, but his level of activity is decreased. The infants mother tells you that he has not had a soiled diaper in over 12 hours. the infants herat rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. you should suspect

Moderate dehydration

After administering 0.3 mg of epinephrine via auto-injector to a 22 year old female with an allergic reaction, you note improvement in her breathing and resolution of her hives. However, she is still anxious and tachycardic. you should:

Monitor her closely but recall that anxiety and tachycardia are side effects of epinephirne

A 77 year old woman slipped and fell on a throw rug and landed on her left hip. She denies striking her head or losing consciousness. Assessment of her left leg reveals that it is shortened and externally rotated. distal pulses, sensory, and motor functions are intact. you should

Place her onto a coop stretcher, pad around her left hip with pillows, and secure her to the scoop with straps

A 45 year old female was the unrestrained passanger of a small car that rear ended another vehicle at a moderate rate of speed. She is conscious and alert, but complains of pain to both or her knees. There is visible damage to the dashboard on the passenger's side of the vehicle. In addition to fractures or dislocations of the knees, you should be most suspicious for

Posterior hip dislocation

You are assessing a conscious 55-year old female with a sudden change in behavior which of the following clinical fndings would be most suggestive of dysfunction of this patients central nervous system

Rapid eye movement

A utility worker was trimming branches and was electrocuted when he accidentally cut a high power line. he fell approximately 20 feet and is lying unresponsive on the ground the power line is lying across his chest

Rapidly assess the patient after ensuring that the power line is not live

A 69-year old female was involved in a motor vehicle crash. She is semiconscious with a blood pressure 80/50 mm hg and a heart rate of 74 beat/min is that weak her daughter, who was uninjured in the crash, tels you that her mother has a history of hypertension and takes beta-blockers. considering the fact that this patient is probably in shock, what is the most likely explanation for the absence of tachycardia

The effects of her antihypertensive medication

A 37 year old male was pinned between a flatbed truck and a loading dock. on exam, you find bruising to the chest, distended neck viens, bilaterally diminished breath sounds, and bilateral scleral hemorrhaging. you should:

aggressivley manage his airway

A 60 year old femle presents with a tearing inher lower back. Her skin is sweaty and she is tachycardic. THe EMtT should suspect

aortic aneurysm

A 62 year old man with a history of congestive heart failure with severe respiratory distresss and with oxygen saturation of 82. When you auscultate his lungs, you hear widespread rales He is conscious and alert, is able to follow simple commands, and can only speak in two-to three word sentences at a time . You should commands, and can only speak in two-to three-word sentences at a time

apply CPAP device, monitor his blood pressue, and observe him for signs of improvement or deterioration

A 66 year old male presents with bizarre behavior. His daughter states that he did not seem to recognize her and was very rude to her. The patient is conscious, and hs a patent airway and adequate breathing. You should

ask the daughter how her father normally behaves

A 37 year old male is found unresponsive in his car. His airway is patent and his respirtions are rapid and labored. As you and your partner are assessing and treating the patient, a police officer hands you a medication named Alupent, which he found in the backseat of the patient car. This medication suggests that the patient has a history of

asthma

You respond to a college campus for a young male who is acting strangely. After law enforcement as secured the scene, you enter the patient's dorm and find him sitting on the edge of the bed; he apperas agitated. As you approach him, you note that he has dried blood around both nostrils. He breathing adequately, his pluse is rapid and irregular, and his blood pressure is 200/110 mm hg. treatment for this patient includes

attempting to calm him and giving him oxygen if tolerated

A 38 year old was electrocuted while attempting to wire a house. your assessment reveals that he is unresponsive, pulseless, and apneic. A cowoker has shut off the power to the house. you should

begin CPR and apply the AED

You and your EMT partner are the first to arrive at the scene of an unresponsive 70- year old man. your assessmens reveals that he is apneic and pulseless. A paramedic unit is en route to the scene and will arrive in approximately 5 minutes. You should

begin CPR, apply the AED, and deliver shock if it is indicated

A 56 year old mle is found semiconscious by his wife. Your assesment revels that his respirations are rapid and shallow, his pulse is rapid and irregular, and his blood pressure is low. The patient's wife states that he complained of left ar pain and nausea the day before, but not allow her to call 911. the most likely cause of this

cardiogenic hypoperfusion

A 39 year old female experienced a severe closed head injury . She is unresponsive with her eyes slighty open; her pupils are bilaterally dilated and slow to react. In addition to managing problems with airway, breathing, and circulation. you should

close her eyes and cover them with a moist dressing

When assesing a 78 year old female who complains of shortness of breath, the EMT should

determine the position in which the patient normally sleeps

A 39 year old male sustained a large laceration to his leg during an accident with a chainsaw and is experiencing signs and symptoms of shock. you should first:

follow appropriate standard precautions

You are dispatched to an apartment complex where a 21 year old female has apparently overdosed on several narcotic medications. She is semiconscious and has slow, shallow respiration's

insert a nasopharyngeal airway and begin assisted ventilation

you arrive the residence of a 33 year old woman who is experiencing a generalized (tonic-Clonic) seizure. She has small amount of vomitus draining from the side of her mouth. After protecting her from further injury, you should

maintain her airway with manual head positiong, suction her airway to remove the vomitus, insert a nasopharyngeal airway, and administer high flow oxygen

you are dispatched to a residence for a 40 year old female who fainted. Upon your arrival, the patient is conscious and alert, and states that she is fine. Her husband tells you that she fainted after receiving news that her sister was killed in a car crash. you offer oxygen to the patient, but she refuses to accept it. At this point, your primary

obtain baseline vital signs and a medical history

A 22- year old male with a history of clinical depression called 911 and stated that he has attempted to kill himself your unit and law enforcement officers arrive at the scene simultaneously. you find the patient lying supine on the living room floor. He is unresponsive and cyanotic. An empty bottle of hydromorphone (dilaudid) is found on an adjacent . You should:

open the patient's airway and assess his respiration

Shortly after assisting a 65 year old female with her prescribed nitroglycerin, she begins complaining of dizziness and experiences a dro of 30mm Hg in her systolic blood pressure. The patient remains conscious and her breathing is adequate. You should:

place her in a supine position

A 67 year old female presents with difficulty breathing and chest discomfort that awakened her from her sleep. She states that she has congestive heart failure, has had two previous heart attacks , and has been prescribed nitroglycerin. She is conscious and 120 beats/min. Treatmen for this patient includes

placing her in an upright position

A 74 year old woman complains of heaviness in her chest, nausea, and sweating that suddenly began about an hour ago. She is conscious and alert, but anxious. Her blood prescribed nitroglycerin (0.4-mg tablets) before your arrival but still feels heaviness in her chest.

recall that geriatric patients often have slower absorption and elimination times, which may necessitate modification of the dosing of certain drugs .

you are assessing the arm drift componet of the cincinnati prehospital stroke scale on a 60-year-old woman. When she holds both of her arms out in front of her and closes her eyes, both of her arms immediately fall to her side. You should:

repeat the arm dirft test, but move the patients arms into position yourself

A 19 year old male was stung multiple times by fire ants. He is experiencing obvious signs and symptoms of anaphylactic shock. You administer high flow oxygen and give him epiephrine via intramuscular injection . Upon reassessment, you determine that his condition has improved you should

repeat the epinephrine injection after consulting with medical control

You have administered one dose to a 40 year old female to tret an allergic reaction that she developed after being stung by a scorpion. Your reassessment reveals that she is still having difficulty breathing, has a decreasing mental status, and has blood pressure of 80/50 mm Hg. you should

request permission from medical control to give another dose of epinephrine

you a respond to a residence for a patient who is "not acting right". also screaming and has bat. You should:

retret at once and call law enforcement

A 20 year old male collided with another player during a hockey game and complains of severe pain to the left shoulder. Assessment reveals that the clavice is bulging anteriorly at the shoulder. The EMT should suspect

separation of the acromioclavicylar joint

you are dispatched to a local elementary school for an injured child. As you approach the child, you note that he is lying at the base of the monkey bars. He is unresponsive and there are no signs of breathing. you should :

stabilize his head and check for pulse

you are caring for a 70 year old female with signs and symptoms of an acute stroke. She is conscious, has secretion in her mouth, is breathing at normal rate with adequate depth, and has an oxygen saturation of 96 percent . You should

suction her oropharynx and transport immediately