A 28-year-old male is admitted to the burn unit 2 hours after receiving second- and third-degree burns over 50% of his body surface in an industrial explosion
Abnormal vital signs include low blood pressure and tachycardia. Lab results show a high hema-tocrit due to:
a. sickle cell syndrome.
b. fluid movement out of the vascular space.
c. renal failure.
d. increased vascular protein secondary to increased metabolism.
ANS: B
Fluid and protein movement out of the vascular compartment results in an elevated hematocrit. Sickle cell syndrome does not result in increased hematocrit. Renal failure can occur, but this does not result in an increase in the hematocrit. Protein loss leads to decreased protein, not in-creased.
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The first rule of EMS in hazmat situations is: DO NOT _____ _____ _____ !
Fill in the blank(s) with correct word
You arrive at the scene shortly after a 55-year-old man collapsed. Two bystanders are performing CPR. The man's wife states that he had cardiac by-pass surgery approximately 6 months earlier. There are no signs of trauma. Your first action in the management of this patient should be to
A. attach an AED and analyze the cardiac rhythm. B. check the effectiveness of the CPR in progress. C. insert an oropharyngeal airway and continue CPR D. stop CPR so you can assess pulse and breathing