Your patient is a 16-year-old male who attempted suicide. He is unconscious and apneic, lying supine on a garage floor. The family states that they found the patient unconscious in the front seat of a car that was running in an enclosed garage. HR = 70, BP = 100/60, RR = 0. In addition to an IV of normal saline, which of the following is the most appropriate action?
A) Intubate, remove the patient from the garage, and transport to a hospital with a hyperbaric chamber.
B) Remove the patient from the garage, initiate BVM ventilations with 100 percent oxygen, intubate, and transport to a hospital with a hyperbaric chamber.
C) Remove the patient from the garage, initiate BVM ventilations with 100 percent oxygen, intubate, and transport to the nearest facility.
D) Remove the patient from the garage, intubate, and transport to the nearest hospital.
B
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a. Indemnity b. CMS c. Medicaid d. Health insurance
The respiratory therapist is called to the bedside of a patient mechanically ventilated in the VC-CMV mode because the low pressure, low exhaled tidal volume, and low exhaled minute volume alarms all have activated
Which of the following could be the cause of this situation? a. Patient biting the endotracheal tube b. Rupture of the endotracheal tube cuff c. Slipping of the endotracheal tube into the right mainstem d. Plugging of the airways by airway secre-tions and mucus