You have been called for a 77-year-old male with chest pain. On scene the patient denies ever having chest pain and requests to sign a refusal. Before having the refusal signed, the EMT must consider that many geriatric patients may deny symptoms because of:
A) fear of losing independence and dignity.
B) apprehension about having to take medications.
C) confusion chest pain often creates in geriatric patients.
D) acute onset of dementia and other neurological diseases.
A
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You are called to a seizure patient. Witnesses say the man was clutching his head, collapsed to the floor, and immediately began to have a convulsion. He has no medic alert tags and no one nearby knows the man. He seems very healthy and there is no evidence of drug use; the 28-year-old man responds only to painful stimuli by moaning. Your examination reveals the following: no obvious injuries; eyes deviated to the left; BP 184/94; P-64; skin warm, dry; ventilations-24 breaths/min; lung sounds clear and equal. Which of the following diagnoses has the most supporting evidence?
A. Seizure and now in a postictal state B. Seizure caused by alcohol withdrawal C. Seizure caused by CVA D. Seizure caused by drug overdose
List, in order, the five steps in the problem-solving process