You are assessing an 84 year old man. Upon auscultation of the lungs you discover crackles or rale sounds. He is complaining of chest pain and congestion. These signs and symptoms can indicate? - ANS -Left ventricular failure You have just arrived at the scene to find a 27-year-old female complaining of anxiety and breathing difficulties. Which of the following questions would be most appropriate to ask first? - ANS -What is your name? You arrive on scene with your partner Emilio to find a woman who is having problems breathing. She is speaking in 1 or 2 word bursts and is on oxygen at 3 liters per minute. There is an ashtray next to her bed loaded with cigarette butts. She says her care taker called the ambulance and she does not want you there. She says she will allow you to take her vitals but then you have to leave. Her BP is 100/60 her pulse is 48 and her respirations are 18. She says she is 89 years old and has a pacemaker and is on high blood pressure medication. "I just want to be old, please leave", she says. What should you do? - ANS -Respect her wishes and leave, asking her to please call if she needs medical attention The patient is a 6 year old girl whose mother says has been sick for a few days and then started having breathing problems this morning. Upon assessment, you notice the child is flaring her nostrils and has a hoarse voice when talking. What is she most likely suffering from and what should you do? - ANS -She could have epiglottitis and needs to be transported with high flow O2 on an NRB Signs and symptoms of Cushing's phenomenon include all of the following - ANS - hypertension, bradycardia, irregular respirations, central neurogenic hyperventilation, and Biot respirations Your patient is a 41 year old female who was found lying prone in the kitchen. She does not appear to be conscious and there is a pool of saliva next to her head. You and your partner log roll her into a supine position while maintaining c-spine stabilization. Just as you get the woman rolled over her husband tells you that she has a previous history of heart attacks. What would be the most appropriate course of action to take next? - ANS -Do a jaw thrust to open her airway Dispatch has called you to the scene of a U.S. mail truck that slid out of control on a dirt road and rolled over. Bystanders reported the truck has caught on fire and the driver is outside the truck trying to gather the dumped mail. As you arrive on scene the fire department is just getting the fire out and the driver of the truck is standing back watching the smoldering mess. You should: - ANS -Do a standing backboard technique on the driver Rapid breathing is first seen in what stage of shock? - ANS -Compensated A man has both legs burned on the front and back, along with the fronts of both arms. Approximately what percentage of his body was burned? - ANS -45?ch leg: 18% front of each arm: 4.5% Which space in the body will you find the pancreas? - ANS -Retroperitoneal space, which resides posterior to the peritoneal space and contains the kidneys as well as vessels 73 year old female was in her backyard gardening when she collapsed to the ground. Her husband told 911 that "she is breathing very fast and will not talk to me." You arrive to find the woman lying on her side in the grass. She is breathing at 7 breaths per minute and her pulse is irregular and very thready. Her lungs also present with crackles upon auscultation As you are taking a blood pressure (88/66) the husband tells you that the woman has been having jaw pain and some weakness for approximately 3 days. What is the most likely cause of this woman's condition and how would you treat her? - ANS -Cardiogenic shock, Assist ventilations, and transport You arrive on scene with your partner Levi to transport a patient that has been throwing up blood that looked like coffee grounds. This sign would lead you to believe that this patient has? - ANS -GI bleed A motor vehicle accident has occurred right in front of your ambulance and requires the patients to be extricated. Your first choice of location to accomplish the rapid extrication should be the? - ANS -Always check all of the doors before cutting through the car with the Jaws of Life. One will often be able to extricate the patient through a door that can be opened. Which of the following would be a sign that CPR may not be necessary? - ANS -Stiff neck and jaw (sign of rigor mortis) NIMS is best explained as: - ANS -A template system for providing consistent, effective processes in preparing for, responding to, and recovering from an incident You and your partner Pepe arrive on scene to find a man in his early twenties with a large gash on his forearm that is spurting blood. You immediately apply pressure with your gloved hand as Pepe hands you a trauma dressing. The patient is pale with a weak rapid pulse and respirations of 30 breaths per minute. As you are finishing your initial assessment and bandaging the wound the PT tells you to "get away" from him. Your best course of action would be to do what? - ANS -Explain to the patient that you are almost finished bandaging his wound and you will leave him alone then What should be done to a French tip catheter after suctioning a patient's airway? - ANS -Flush with sterile water in preparation for additional suctioning Your patient is a 14 year old girl who is complaining of vaginal pain after falling onto the center post of her bike. She is alone and very scared. She has called the accident in on her cell phone and stated that she is bleeding very badly and feeling