1. Carry out an initial assessment looking for any immediate threats to the life
assessment of patient allows you to develop a plan for action for the patient's
management that includes getting an initial impression as you arrive on the
scene and an assessing vital signs for airway breathing and respiration: You
were called to see a 65 year old hypertensive female with squeezing chest pain that
radiates down her left arm to her neck angel she says her heart beat as fast as she
is having difficulty breathing and she has felt weak for the past couple of days which
is the phone is the most appropriate for the 1st step of the patient?
2. Dehydration frequent stooling and vomiting for a week means the patient
has lost a lot of electrolytes he is at risk for hypovelymic shock: Your team gets
called from an elderly female in the summer are 80 three-year-old husband who has
been vomiting in passing frequent loose stools for the past week has passed out
you get there and find the man lying soup pine on the floor with shallow breathing
and respiratory rate a 32 CPM her his lips are dry his skin is cold and his pulses
128 beats per minute weekend thread it's BPS 78 or 50MMHG what is the cause of
presentation?
3. The heart and hypothermia the body draws blood from the pepero circula-
tion and preserves it for the vital organs the most important organ being the
heart: You are carrying out a preliminary assessment on a 27 year old female who
was run over by a drunk driver walked across in the street she was lying supplying
in a pool of blood and a psychologic with agonal breathing and multiple abrasions
lacerations and a crush injury on her left leg her skin is also cold and cleaning
because of shunting of blood to vital organs which organ is the most important?
4. Placing her in a super composition administrating supplement of oxygen
the patient is most likely hypervolemic place in her in a super composition and
commencing oxygen will reduce the burden of her heart pumping oxygenated
blood to her brain the patient should then be transported to the hospital: A 22
year-old pregnant female in the 1st time master starts bleeding profusely from her
vagina after spotting for the past 2 days on arrival at her home she is conscious cold
but weak with a heart rate of 132BPM respiratory rate of 28 CPM and BP of 92 /
60MMHG which of the following actions is most appropriate?
5. Trauma to the cervical spine trauma to the cervical spine can cause wide-
spread vasolidation leading to neurogenic shock.: You are called by the neigh-
bors to attend to a middle aged man who was robbed at home and pushed down a
flight of stairs of bizarre silent you find him lying at the foot of stairs conscious but
complaining of a headache where you just had his skin is warm and his breathing is
labored with a pulse rate of 40 CPM and ABP of the man is no visible injuries
what is the most likely cause of his presentation?
, nremt 2022-2023 part one
6. Apply a tournament hit proximal to the injury and leave the chart in a
tournament kit could be applied proximal to the wound when an object is
impaled in any of the extremities it is best to leave the object in as it may
be acting as a tompanod for damaged blood vessels: Your team is called to the
scene of an accident where a sports car ran into electric pool and high speed the
sole driver of the vehicle has managed to stumble out but has A-sharp glass through
his right arm which is not actively bleeding you determine seeing safety establish
there is one patient and on primary assessment discover that he is conscious but
disoriented with a good pulse respiration and blood pressure which of the following
will the patient most benefit from?
7. Wrapping your bandage distill to the slit your turnip should be applied
proximal to the wound to stop the execution of damage blood vessels.: You
want to apply a tournament kit on a 48 year old male who slid his left wrist in a
suicide attempt which the fallen steps is not a part of the procedure?
8. Place the patient in a comfortable position administer oxygen and transfer
quickly to the hospital am I a cardiac infarction and angina should be managed
similarly because it is difficult to exclusively make a diagnosis of one or the
other in the field: If 51 year old female complaints of burning chest paint ready to
her back palpitations and dizziness she was diagnosed with hypertension 12 years
ago but has been able to take her medications in the last month your BP is 138/100
mmhg Her pulse rate is 30 CPM and she is having difficulty breathing which the
phone actions is most appropriate?
9. Aortic deception stabbing chest pain in an equal pulse is a classic feature
of aortic distinction: You were called to an office complex where a 65 year old
male suddenly felt lightheaded with severe chest pain work which he describes as
stabbing in nature in your preliminary Assessment you discover that the man's blood
pressure It is 89/60 MMg with a weak radio post of 118 BPM and a respiratory rate
of 38 CPM your colleague who is assisting council polls of 96 BPM and the man's
other wrist what is the most likely cause of this presentation?
10. Cardiogenic shock pulmonary animal may occur in patients with cardio-
genic shock who then present with snoring breath sounds and crackles and
discreet saturation in addition to symptoms of cardiogenic shock: our team is
called to attend a University professor who suddenly felt faint during the presentation
her husband tells you she was diagnosed with hypertension 33 years ago but takes
anti-hypertensives only when her blood pressure is elevated the woman complains
of breathlessness and confidence up pinkish sputum on assessment you find that
she has a respiratory rate of 26 CPM and sa02 of 94% with the wheeze and crack
wall but the wheeze and crackles on oscillation her BP is and then G will call
it extremities what is most likely cause of this presentation?
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