Ch 27-45

You have arrived at a residence to find a 6-month-old girl in her crib in cardiac arrest. Quick assessment reveals no rigor mortis or lividity. The mother states that she put the baby to bed at 9 p.m. last night and awoke at 3 a.m. to find her in her pres

open the airway and provide 2 ventilations.

You have been called for a 35-year-old female who is experiencing vaginal spotting. The patient states that she has noted the discharge of blood from her vagina and is concerned because she is 36 weeks pregnant. She also states that she noted some abdomin

administer high-flow oxygen and immediately transport.

The EMT shows he understands care of the post-delivery mother when he states:

Allowing the baby to nurse immediately after delivery can help to control uterine bleeding.

While attempting resuscitation on a baby with a probable case of SIDS, which of the following questions would be appropriate for the EMT to ask the mother?

Were there any problems with the pregnancy or his birth?

A 32-year-old female is complaining of the sudden inset of sharp pain to the left side of her abdomen. She denies any medical history and when asked, admits to being sexually active. Her last menstrual period was two months ago. As an EMT, you should imme

ectopic pregnancy

You have been called for an 84-year-old female who fell and hit her head. The patient is confused and has a laceration to her forehead. When getting the history from family members, which statement suggests that the patient is suffering from delirium?

She could not remember her name yesterday.

While assessing a patient on a home mechanical ventilator, the low pressure alarm sounds. Which one of the following should you do first?

Check the connection between the tubing and tracheostomy.

You have been called for a 4-year-old female who is short of breath. Her mother informs you that she has had a fever and runny nose for two days and today began to have difficulty breathing. Furthermore, she is having a difficult time waking her up. Your

insertion of a nasal airway.

Which of the following instructions would you provide to an EMT who is preparing to assess a stable 9-month-old boy who has a rash?

Have the mother hold him as you do the assessment.

You have just arrived by the side of an elderly patient who took excessive amounts of several medications after becoming confused. Which one of the following is the immediate priority in caring for this patient?

Evaluate and support the patient's airway and breathing.

You have been called for a 77-year-old female with altered mental status. On scene you note the patient to be unable to speak and with vomitus in her airway. Her breathing is labored and inadequate, and radial pulse rapid and weak. She is not moving her r

Suction the airway and ensure adequate breathing.

You arrive at the residence of a physician who informs you that his pregnant wife requires immediate transport to the hospital because she is bleeding and has a history of abruptio placenta. As a knowledgeable EMT, you should recognize that the greatest t

hypoxia

It has been 30 minutes and the placenta has yet to deliver. The EMT should:

continue to monitor the patient and baby.

You are working the scene of a collision involving a tractor trailer that is hauling an unknown chemical. After it has been determined that no material has been spilled, the rescue chief asks you to get the truck's shipping papers. Where would these most

Cab of the truck

Which one of the following chemical agents can kill a person most quickly?

Aerosolized agent inhaled into the lungs

Multiple EMS agencies are involved in an incident involving weapons of mass destruction and hundreds of patients. Which one of the following statements about the different protocols and medical directions used by those different agencies would be best?

Most protocols involving on-line medical direction should convert to standing orders.

How can an EMT best protect herself, as well as get the most appropriate resources to the scene of a multiple-casualty incident involving a weapon of mass destruction?

Identification of the specific agent used

Which one of the following statements about biological agents used in terrorist attacks is true?

It may take several days to weeks to determine an attack that involves biological agents.

You are driving an ambulance with antilock brakes. A deer darts out in front of the ambulance. Which one of the following is the most appropriate response?

Apply constant and firm pressure to the brakes.

Which one of the following patient triage tags indicates the lowest priority for care and transport on the scene of a multiple-casualty incident?

Black

A problem with the Simple Triage and Rapid Transport (START) system of triage is it:

is difficult to apply to young children.

A large bus with 52 passengers overturned on a busy highway. On scene 12 people were dead and 23 others were taken to various hospitals, many with life-threatening injuries. As commander of the incident, which one of the following is most be appropriate a

Encourage rescuers to talk amongst themselves about their feelings.

While responding to an MCI drill involving an explosion, you pass a dozen ambulances sitting in a parking lot three blocks away from the incident. You should recognize this area as the:

staging unit

While responding to an emergency call, what should you do if you encounter a school bus unloading students?

Stop and wait for the all children to cross the road safely.

You have been dispatched for a two-year-old female who is not breathing. When responding, you realize that your primary goal is to:

arrive at the scene safely with no mishaps.

You are using the Simple Triage and Rapid Transport (START) system of triage. Which one of the following patients should have a yellow tag applied prior to being moved to the treatment area?

Female with a respiratory rate of 22, palpable radial pulse, and squeezes your fingers when instructed

You are on the scene of a multiple-casualty incident where a church van carrying 15 parishioners has overturned. You and your partner are in charge of the treatment unit and are presented with the following four patients. Who will you treat first?

A confused 69-year-old male with a respiratory rate of 40 and a rapid and weak radial pulse

You have been assigned to the triage unit at a multiple-casualty incident. A patient with a yellow triage tag arrives. Your immediate action should be to:

re-triage the patient.

Why would iodine tablets be a benefit to administer to the general public following a nuclear bomb detonation?

Decreases the risk for thyroid cancer