National Registry Emergency Medical Technician: NREMT

You are treating a 24-year-old female with a gunshot wound to the right side of the back. No exit wound is visible. She is awake but confused. Her skin is pale and diaphoretic with cyanosis noted to the oral mucosa. Breath sounds are clear and equal bilaterally. Jugular vein distention is present. Blood pressure is 90/78 mmHg, heart rate is 124 beats per minute, and respiratory rate is 28 per minute and labored. Sinus tachycardia is seen on the cardiac monitor. Which of the following treatment regimens would be the most appropriate for this patient?

A. High flow oxygen, spinal precautions, occlusive dressing over entrance wound, rapid transport.

B. High flow oxygen by nonrebreather, spinal precautions, allow patient to remain in a position of comfort.

C. High flow oxygen by nonrebreather, cover entrance wound with an occlusive dressing.

D. High flow oxygen, pleural decompression to right side of chest, rapid transport.

Your patient is a known diabetic who takes up to four insulin injections a day. Today he is found unresponsive, diaphoretic, tachycardic and breathing 18 times a minute. What is likely the patients chief complain?

A. Hypoglycemia

B. Hyperglycemia

C. CVA D. Hypertensive crisis

A 65-year-old male with terminal brain cancer calls 911 for shortness of breath. The patient has a Do Not Resuscitate order. What should you do for this patient?

A. Discuss the situation with the family and try to persuade them not to have the patient transported.

B. Administer oxygen and transport the patient to the most appropriate emergency room.

C. Contact medical direction about administering oxygen and not transporting the patient.

D. Contact the patient's oncologist for directions on the patient's care.