When evaluating the patient with suspected toxic exposure, the paramedic should consider:

a. Contacting the EMS director for advice regarding potential antidotes
b. Establish contact with a regional poison center early for advice
c. Administer the "coma cocktail" to cover the potential of another cause of overdose
d. If unsure, wait to administer any antidote until arrival at the medical facility that the patient desires


b
Rationale: a. The EMS director is not the best source for information. Possibly consider contacting the EMS Medical Director, but that may not always be feasible.
b. Correct.
c. The "coma cocktail" is no longer recommended.
d. Waiting to treat a patient may be detrimental; also, the patient should be transported to a facility capable of handling their problem which sometimes may not be the patient's choice.

Health Professions

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