A 4-year-old female is having great difficulty breathing. She is responsive to verbal stimuli and has an open airway. Her respiratory rate is 40 breaths per minute, and she has an SpO2 reading of 88% while receiving high-concentration oxygen through a pediatric nonrebreather mask. Her pulse is rapid, and her skin cool to the touch. As a knowledgeable EMT, you would recognize what condition?

A patient with a neuromuscular disease has been assessed by the therapist, and the information obtained is listed below: • ? Inability to speak in full sentences • ? Orthopnea • ? FVC 8 ml/kg • ? MIP – 18 cm H2O • ? Paradoxical inward motion of diaphragm during inspiration Based on these findings, what should the therapist recommend at this time for this patient?

A. Continue monitoring this patient. B. Recommend the bronchial hygiene protocol. C. Propose the implementation of the O2 therapy protocol. D. Suggest intubation and mechanical ventilation.

The MCP is responsible to keep a log of ______________ claims

a. approved b. denied c. authorized d. unauthorized