Which statements by the paramedic who brought a patient to the emergency department would indicate correct field treatment of a patient suspected of being in shock? Note: Credit will be given only if all correct choices and no incorrect choices

Question

are selected. Select all that apply. 1. "An endotracheal tube was inserted prior to transport.".
2. "Secondary assessment took place during transport.".
3. "The IV was started while we were at the scene.".
4. "My partner applied direct pressure to the bleeding wound as we moved the patient to the ambulance.".
5. "Blood was drawn for blood cultures before we left the scene.".

Answer 1

1,2,4
Rationale 1: Only critical interventions, such as airway management, should be executed before transport.
Rationale 2: The patient should be transported as soon as possible. Secondary assessment is done en route.
Rationale 3: Intravenous access should be obtained en route to the emergency department.
Rationale 4: Bleeding should be controlled as soon as possible but should not delay transport.
Rationale 5: Drawing blood should not delay transport. If a blood draw is necessary, it should be performed en route.