You have arrived on the scene of a large structure fire. Emergency Medical Responders (EMRs) are by the side of a patient who is responsive to verbal stimuli and has significant burns to his body. They report that the patient fell down a flight of stairs while trying to escape and was trapped for several minutes. Their assessment findings include partial- and full-thickness burns to his right arm, right leg, and right side of the face. The EMRs also report that the patient's unburned skin is cool, clammy, and pale, with a delayed capillary refill. His pulse is 144 beats/min, respirations are 22 breaths/min, and blood pressure is 88/50 mmHg. Which instructions would be most appropriate?
A) "The patient is in burn shock; let's cool him by pouring cold water on him now and during transport."
B) "After reassessing the ABCs, let's do a secondary assessment and look for signs of injuries that are causing shock."
C) "The patient is in burn shock; let's soak a sterile burn sheet in water and wrap it around him."
D) "Before cooling the patient with water, let's figure out the percentage of his body that is burned, along with the type of burn."
B) "After reassessing the ABCs, let's do a secondary assessment and look for signs of injuries that are causing shock."
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SCENARIOUse this scenario to answer the following question(s).You are caring for a 6-year-old female whom the family says has been very sick since last night. She had a high fever, but they thought it was just the flu. Today the child became worse and complained of her neck hurting and being stiff. The child is now unresponsive and is not breathing. You have been ventilating her with a bag-valve device attached to oxygen until ALS arrives and takes over care and transports.You recognize that this call has the potential to cause you stress. Signs of stress include all of the following EXCEPT:
A. indecisiveness. B. headaches. C. bargaining. D. nausea.
Which of the following is a common hazard associated with the inner circle of a typical auto extrication?
A) Carbon monoxide poisoning B) Flying glass and metal fragments C) Penetrating injury from extrication tools D) Both A and C
Which was created by the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) to identify and recover improper Medicare payments paid to health care providers under fee-for-service Medicare plans?
a. government health care program b. medical audit program c. quality assurance program d. recovery audit contractor program
The fragments of megakaryocytes found the bone marrow that make up the smallest of all the cellular blood components are:
A. thrombocytes. B. lymphocytes. C. monocytes. D. erythrocytes.