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You are dispatched to a private residence where the patient is
unresponsive, not breathing, and has a weak pulse. You secure her
airway with an oral airway and ventilate her with a BVM at a rate of
one breath every 5 seconds. An ALS transport ambulance arrives. The
paramedic and her AEMT partner enter the house and approach you
and the patient. Now that the ambulance has arrived, who will be the
team leader?
- The AEMT, because the paramedic will be too busy intubating the
patient
,- The hospital physician, because he provides medical control
- The paramedic, because she is the highest-level provider on the scene
- You, because you were the first provider on the scene -
{✔✔ANSWER✔✔}-The paramedic, because she is the highest-
level provider on the scene
You are assisting with an endotracheal intubation. After the tube is
placed, you notice increased resistance as you ventilate with a BVM.
What does this indicate?
- Vascular collapse
- Esophageal intubation
- The ET tube is not secured at the proper depth marking.
- Apneic oxygenation - {✔✔ANSWER✔✔}-Esophageal intubation
Hyperventilation during the preoxygenation phase of endotracheal
intubation:
,- is acceptable if done for fewer than 2 minutes.
- can cause gastric distention and hypotension.
- will decrease the likelihood of aspiration.
- provides a better oxygen reserve for the patient. -
{✔✔ANSWER✔✔}-can cause gastric distention and hypotension.
You are attending to a 46-year-old male patient complaining of chest
pain. Shortly after you begin to render care, an ALS unit arrives and the
transfer of care is made. The decision is made to start an intravenous
line and administer medication. You should:
- acknowledge that it is no longer your patient and stand back, allowing
the ALS provider to work.
- move out of the ALS provider's way and clear the scene.
- clear space and, if necessary, explain the procedure to the patient.
, - ensure that enough assessments have been done to justify the
decision. - {✔✔ANSWER✔✔}-clear space and, if necessary,
explain the procedure to the patient.
A team of EMTs is caring for a critically injured patient. The team leader
advises the EMT that transport will not begin until the patient's closed
forearm fracture is splinted. Utilizing the crew resource management
model, the EMT should:
- repeat the request back to the team leader and then splint the
patient's arm.
- advise the team leader that immediate transport is more important
than splinting.
- ensure that the entire team is aware that transport will be delayed for
splinting.
- disregard the team leader's request and contact medical control for
guidance. - {✔✔ANSWER✔✔}-advise the team leader that
immediate transport is more important than splinting.
When the EMT assists a paramedic with an advanced intervention, he
or she should recall that the focus of the intervention is on: