You are transporting a 19-year-old male with a gunshot wound to the chest. On scene, you covered the wound with an appropriate dressing. Now, as you reassess the patient, you note that the patient is tachypneic and complains of increased difficulty breathing. Breath sounds on the side of the injury are diminished. Your immediate action would be to:
A) Tape the dressing on the fourth side
B) Lift the dressing from the wound briefly during exhalation
C) Provide positive pressure ventilation with high-concentration oxygen
D) Cover the wound with another dressing
B) Lift the dressing from the wound briefly during exhalation
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The substance that is secreted from the pancreatic islets by alpha cells and that increases blood glucose level is:
a. insulin. c. prolactin. b. glucagon. d. luteinizing hormone.
What is the most likely reason that the red blood cell (RBC) count remains elevated in a newborn for the first 2 weeks of life?
a. A relative loss of plasma occurs during the birth process. b. A significantly longer RBC life span increases the number of red cells in circulation. c. Partial anoxia exists in utero, and erythropoietin increases. d. The switch from fetal to adult hemoglobin causes number of red cells to increase.
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 prescribed nitroglycerin. She is conscious and alert with adequate breathing. Her blood pressure is 94/64 mm Hg and her heart rate is 120 beats/min. Treatment for this patient includes:
A. nitroglycerin for her chest pain. B. ventilations with a bag-mask device. C. oxygen at 4 L/min via nasal cannula. D. placing her in an upright position.
Your scene size-up begins:
A. by preparing for a specific situation based on the dispatch information. B. as soon as you arrive at the scene, but prior to exiting the ambulance. C. after receiving additional information from other units at the scene. D. as you are donning your PPE and approaching the patient or patients.