You have arrived on the scene of a paramedic who was shot as she approached a residence on a call. The scene has since been secured. Your patient is a 38-year-old woman with one gunshot wound to the left side of the chest at the fifth intercostal space in the midaxillary line. She is pale, cool, and awake but agitated. She is diaphoretic and complaining of pain in her left side and difficulty
breathing. The patient's EMT partner has applied oxygen by nonrebreathing mask and placed an occlusive dressing over the entry wound before your arrival. As you continue your assessment, the patient's level of consciousness decreases. She responds to verbal stimuli. Her airway is clear, her respiratory rate is 38 per minute and shallow, her neck veins are flat, and her breath sounds are absent on the left side. The patient lacks a radial pulse, and the abdomen is non-guarded and non-tender. Which of the following should you do first?
A) Start a large-bore IV of isotonic crystalloid solution.
B) Do a rapid trauma assessment.
C) Assist ventilations with a bag-valve-mask device.
D) Do an immediate needle chest decompression.
C
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Drug samples should be organized by class and new samples should be added to the front of the cabinet.
Answer the following statement true (T) or false (F)
When you need to get a time-sensitive project done, sometimes it is necessary to:
a. skip lunches. b. ask the receptionist to hold your calls or have the calls go to voice mail that explains when you can get back to callers. c. ask for a raise. d. create a stress barrier.
The nature of an injury and its threat to life by body system is shown by the:
In children, what is usually the cause of cardiac arrest?
A) Trauma B) Seizures C) Congenital heart disease D) Respiratory failure