You arrive alone at a scene at which a 16-year-old skier has collided with a tree. He is unresponsive and has blood flowing from his ears and nose. He was not wearing a helmet. Which of the following lists reflects the most appropriate care of this patient?
a. Primary assessment, airway management, immobilization, transport as soon as possible
b. Primary assessment, oxygen administration, rapid transport to the aid room, immobilization in the aid room
c. Immobilization, transfer to a sled, completion of the assessment in the aid room
d. Primary assessment, immobilization, bandaging of the ears to control bleeding, airway management
Answer: a
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Your patient is a 68-year-old male who is conscious but confused and lying on his kitchen floor. The patient offers no complaint other than wishing to be helped up from the floor. The patient can tell you that he "slipped a few days ago" and has been on the floor since. Physical examination reveals dry, cool skin; dry mucous membranes; clear lung sounds bilaterally; and no indications of trauma. HR = 112, BP = 98/70, RR = 14, SaO2 = 96%. Your partner finds an appointment card indicating the patient missed a hemodialysis appointment two days ago. Which of the following is the best course for managing this patient?
A) 1,000 mL fluid bolus B) 250 mL fluid bolus C) IV of NS at a keep-open rate D) Dopamine infusion
As you are assessing an elderly man who is complaining of chest pain, the patient suddenly loses consciousness. Your first step should be to
A. attach the AED B. open the airway C. assess for a pulse D. assess for breathing