You are on the scene of a single-vehicle rollover collision in which the two teenage occupants were ejected. Both patients are conscious but seriously injured. Yours is the only transporting vehicle on the scene and you are the only paramedic, but there are two volunteer EMTs and two first responders on the scene. Helicopter transport is not available. There is a small community hospital 23 miles
away but a larger level II regional trauma center 40 miles away. The closest BLS transporting unit is 18 miles away. Which of the following is the best transport decision?
A) Transport both patients in one unit to the community hospital.
B) Transport the first patient to the community hospital while one EMT and one first responder remain with the patient, then immediately return to the scene for the second patient.
C) Transport both patients in one unit to the regional trauma center.
D) Transport the first patient to the community hospital while one EMT and one first responder wait on the scene for the BLS transport unit.
C
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You have applied a pressure dressing to the calf of a woman who suffered a deep laceration from a piece of broken glass. Which of the following actions should you take next?
a. Apply a splint. b. Obtain a follow-up blood pressure reading. c. Apply a tourniquet above the laceration. d. Check CMS in the patient's foot.
Which of the following statements best completes the statement, "The shaded border indicates that …"
A. … those specific elements identified by a bullet have no bearing on the single organ system being examined B. … those specific elements identified by a bullet reveal very important clinical evidence about the single organ system being examined C. … those specific elements identified by a bullet are the only elements that should be examined regardless of the nature of the presenting problem D. … any positive findings for any of those specific elements identified by a bullet should warrant immediate medical attention