A 45-year-old male is found unresponsive with snoring respirations. His skin is pale, cool, and clammy. What is the immediate priority for this patient?
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Question · Easy
30, 2, Can Do
Short
A 60-year-old male collapses. ECG shows pulseless ventricular tachycardia. After initiating chest compressions, what is the next critical step in the ACLS algorithm?
Question · Medium
Out-of-hospital care and ambulance response system that a paramedic works within as one part.
Fundamentals
Guess the Term
A patient sustained a severe laceration to the femoral artery and is bleeding profusely. They are pale, tachycardic, and hypotensive. What is the most appropriate initial intervention to manage this hemorrhagic shock?
Read the clue and guess the term in 6 tries.
Game
A 5-year-old child presents with severe respiratory distress, audible wheezing, and is unable to speak more than a few words. The child has a history of asthma. What is the most appropriate initial management for this pediatric patient?
Handheld device used to give positive-pressure breaths to a patient who is not breathing adequately.
Ventilation
During a mass casualty incident, a 30-year-old male victim is found conscious, profusely bleeding from a leg amputation, with a respiratory rate of 28 breaths/min and a radial pulse absent. According to START triage, what is his triage category?
Question · Hard
100 metronomes and 1 rescuer
A 70-year-old patient presents with acute onset shortness of breath, cyanosis, and an SpO2 of 85% on room air. There are no signs of airway obstruction. What is the most appropriate oxygen delivery device for this patient?
Machine that blows air through a mask at one steady level to keep breathing passages open during sleep.
A 55-year-old male complains of crushing chest pain radiating to his left arm. A 12-lead ECG reveals ST-segment elevation of 3 mm in leads V2, V3, and V4. What is the most likely diagnosis?
Swap tiles to line up three of the same term.
Term Match
Which of the following scenarios would MOST strongly indicate the need for full spinal motion restriction (SMR) in a trauma patient?
Method that assigns injured patients older than 8 years to four color-coded categories using walking ability, breathing, perfusion and mental status.
Disaster response
A 28-year-old known diabetic presents with altered mental status, Kussmaul respirations, fruity breath odor, and severe dehydration. Her blood glucose is 650 mg/dL. What is the most appropriate initial prehospital management?
Upon arrival at the scene of a motor vehicle collision, paramedics observe a damaged vehicle and an unresponsive patient. Before approaching the vehicle, what is the most important initial consideration?
Three-part assessment that rates eye opening, speech and movement responses to defined stimuli.
Prehospital care
A paramedic has successfully intubated a patient. Which of the following capnography waveforms indicates proper endotracheal tube (ETT) placement and adequate ventilation?
Flip two cards at a time to find matching terms.
Term Pairs
A 72-year-old male presents with sudden onset left-sided weakness, facial droop, and slurred speech. His symptoms began 30 minutes ago. What is the most important prehospital action for this patient?
Drug given within three hours of a major injury to reduce the chance of dying from bleeding.
An adult patient has full thickness burns covering their entire left arm, the front of their trunk, and the anterior aspect of their left leg. Using the Rule of Nines, what percentage of their total body surface area (TBSA) is burned?
A 28-year-old pregnant patient (36 weeks gestation) is experiencing a seizure. Her blood pressure is 180/110 mmHg, and she has significant edema. What is the most appropriate prehospital management for this patient?
Umbrella term for damage within the skull caused by an outside force, such as a forceful bump, blow or jolt to the head or body.
A conscious and oriented 40-year-old male with a minor wrist injury refuses transport to the hospital, despite paramedic recommendations. What is the most appropriate action for the paramedics?
Find five hidden terms in a grid of letters.
Term Search
Which of the following describes the most effective technique for performing bag-valve-mask (BVM) ventilation on an adult patient?
Emergency technique of chest compressions and rescue breaths that keeps blood and oxygen moving after the heart stops.
Arrest response
A 50-year-old male presents with severe bradycardia (heart rate 30 bpm), hypotension (BP 80/40 mmHg), and altered mental status. What is the most appropriate initial intervention according to ACLS guidelines?
A trauma patient involved in a high-speed motor vehicle collision presents with severe respiratory distress, absent breath sounds on the left, tracheal deviation to the right, and jugular venous distention. What is the most appropriate immediate intervention?
Portable device that can shock the heart back into a normal rhythm through pads on the chest.
A 25-year-old male is found unresponsive, has pinpoint pupils, and a respiratory rate of 4 breaths/min. Empty fentanyl patches are found nearby. What is the most appropriate initial treatment?
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When providing a patient handoff report to hospital staff, what is the most effective communication mnemonic that ensures all critical information is conveyed concisely?
Event after cardiac arrest marked by breathing, coughing, patient movement or a palpable pulse.
A conscious adult is choking severely, unable to speak or cough, and is turning cyanotic. What is the most appropriate initial intervention?
A 68-year-old patient presents with shortness of breath, bilateral crackles, jugular venous distention, and cool, pale skin. Their blood pressure is 80/50 mmHg, heart rate 110 bpm. What type of shock is most likely occurring?
Injuries to the skin or other tissue caused by heat, electricity, chemicals, friction or radiation.
Environmental hazards
A 35-year-old male sustains a severe head injury after falling from a height. He is conscious but confused. Which of the following is a late sign of increasing intracranial pressure (ICP)?
A 10-month-old infant experiences a sudden generalized seizure lasting 2 minutes, followed by a brief period of drowsiness. The infant's temperature is 39.5°C (103.1°F). What is the most appropriate initial prehospital management for this infant?
Quick test on a newborn at 1 and 5 minutes that rates breathing, heart rate, muscle tone, reflexes and skin color.
Newborn care
Why is accurate and complete prehospital documentation critical for patient care and legal protection?
An adult patient is exhibiting signs of moderate respiratory distress with an SpO2 of 92% on room air. They are alert and able to maintain their own airway. Which oxygen delivery method is generally most appropriate as an initial intervention?
Placenta ___ that grows low in the womb and covers all or part of the cervix.
Obstetric bleeding
A 40-year-old male is in cardiac arrest. After 2 minutes of chest compressions, the rhythm check shows asystole. What is the next immediate intervention according to ACLS protocols?
A 30-year-old construction worker has sustained a deep penetrating injury to the right chest wall from a metal rod. He is conscious but in severe respiratory distress, with sucking sounds from the wound. What is the most appropriate initial management?
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