Your pt is a 54 y/o m presenting with crackles, hypertension, and reports a feeling of tightness in his chest. He is taking shallow breaths at 19 times a minute. He is alert and oriented and able to maintain his own airway. You should:

You respond to a fire at a rubber factory. Your 41 year old male patient is alert and oriented. He presents with a patent airway, breathing at 18 times a minute. He has adequate chest rise and fall and is satting at 99% on room air. He presents with singed nose hairs. When you inspect his airway it looks bright red. He has first and second degree non circumferential burns to his hands, forearms, and chest. His blood pressure is 138/95, heart rate is 92, glucose is 102. You should:

You respond to a residence where you find a 15 year old female in her bedroom sitting in tripod position. She is speaking in fragmented sentences only getting out 2 or 3 words between breaths. You notice she has her albuterol inhaler in her hand, and an epi pen on her bed. She is breathing 24 times a minute with equal bilateral chest wall rise and fall but her depth is inadequate. Her skin is warm pink and dry. Her blood sugar is 98, she is satting at 94% on room air, her heart rate is 80, and her blood pressure is 110/70. She says she is allergic to bees but hasn't been stung. You should:

You respond to a residence to find a 38 year old male laying supine on the grass outside of a house where he appears to have been using a weed eater. His crew speaks very little english but you can make out that he had a seizure and this has happened before. He is unresponsive. He is breathing at 8 times a minute with sonorous respirations. He is no longer seizing. His vitals are 90% on room air, bgl is 185, pulse is 55, and blood pressure is 80/55. You have already called for ALS backup and they will meet you en route to the hospital. You should:

You and your partner witness a car suddenly veer off the road to avoid hitting a cat while you're on your way back to your station. The car was travelling at 55mph and came to an abrupt stop once it hit a tree. There was a single occupant in the vehicle, who appears to be an approximately 25 year old female. She was restrained and the airbags deployed. She is currently trapped in the vehicle because it is too warped to open the door. The window is broken but she cannot be pulled through it because the steering wheel is trapping her legs. You have notified dispatch and fire, police, and an als unit are en route. You r als unit is approximately 8 minutes out. The vehicle is safe to be approached. You patient is unresponsive. You are able to access her upper body safely. You use a tourniquet to stop birsk arterial bleeding from her left upper arm. She is breathing at 12 times a minute with equal bilateral chest rise and fall and her airway appears clear when you inspect it using a jaw thrust maneuver. Her gag reflex is intact. You should:

You are dispatched to a residence at 3am for a stabbing. On scene you find a ring of tea light candles around a large pentagram and a goat running loose outside. Your 17 year old female patient has a sucking wound to the right chest. She states that the goat bumped her and she accidentally stabbed herself. She is breathing at 16 times per minute. You should:

You arrive on scene to find a pt that was beaten outside of a bar at around midnight. 12a is already on scene. You find a single male patient laying curled up on the ground. You note etoh and fresh bruising all over him with several lacerations that are slowly oozing dark blood. You roll your patient to his back to complete a rapid head to toe assessment. You find him to have equal but sluggish pupils, he is responsive to painful stimuli. He exhibits cheyne-stokes respirations. He is pale cool and diaphoretic. You note 3 ribs in a row on his left side that seem to be broken and he has paradoxical chest movement upon breathing. You should:

You and your partner are called to a full term roadside delivery. This is mom's 3rd baby and the delivery went smoothly, she will be transported in another bls unit. You are transporting her newborn. The baby is breathing 28 times a minute. You have suctioned her airway. The baby can be prompted to cry but stops after about 15 seconds. You should:

You are in the back with your patient while your partner drives you code 3 to greenville memorial. Your patient is in full spinal immobilization after being thrown from his horse onto a metal fence post. You have already inserted a king lt airway, you are baggin him at 16 times per minute, and you managed his sucking chest wound by applying an occlusive dressing and taping it on 3 sides. You are still 25 minutes away from the hospital. You notice that his saturation is dropping, he is becoming harder to bag, and his pulse feels weak and thready. You should:

You arrive on scene at a prison to find a guard in tripod position. He is breathing 36 times per minute and looking around frantically. He has used his inhaler 4 times already. His skin in pale, warm, and diaphoretic. He is eager to move away from where the inmates can see him. His lung sounds are clear. He appears otherwise in good health and denies any preexisting conditions other than asthma and diabetes. You should: