You receive a call for a 4-year-old female with severe dehydration. When you assess her, you note that she is semiconscious, has a weak and rapid carotid pulse, and rapid respirations with reduced tidal volume. The MOST appropriate treatment for this child includes:
A. 100% oxygen via nonrebreathing mask and a 20 mL/kg bolus of normal saline.
B. assisted ventilation, insertion of an IO catheter, and a 500 mL fluid bolus.
C. blow-by oxygen with a facemask and rapid transport with IV therapy en route.
D. assisted ventilation and rapid transport with IV therapy en route to the hospital.
Answer: D. assisted ventilation and rapid transport with IV therapy en route to the hospital.
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Your patient is a 23-year-old female who is 6 hours postpartum after a traumatic delivery resulting in a massive blood transfusion. She is to be transferred from a community hospital to a specialty hospital for further care. She is unconscious and intubated, with a number of intravenous lines. Your physical examination reveals a purpuric rash over the chest and abdomen and mottling of the fingers and toes and all of the venous access sites are oozing blood. In addition, auscultation of the lung fields reveals rales to the dependent regions. HR = 112, BP = 82/60, RR = 12 via ventilator. Which of the following best describes the patient's condition and treatment needs, in addition to continued ventilation and fluid administration?
A) DIC; type O negative blood B) Idiopathic hemophilia; corticosteriods C) DIC; fresh frozen plasma and platelet administration D) Idiopathic hemophilia; factor VIIa administration
When assessing a patient's pulse, you note that it is irregular. To get an accurate heart rate, the AEMT should:
A) feel the carotid pulse for 30 seconds and multiply by 2. B) count the number of beats that occur in one minute. C) listen to the pulse with a stethoscope. D) double the number of beats obtained in 30 seconds.
Which procedure does NOT use an add-on code for anesthesia?
A) debridement B) digital block C) burn excision D) cesarean delivery
Ambulatory care refers to which kind of care?
A. home health B. outpatient C. skilled nursing D. inpatient