You have been called to a local day care for a sick child. On scene, panicked day care workers inform you that the 4-year-old child was lethargic all morning and wanted to sleep. After resting for several minutes, she began to "shake all over." This lasted for approximately 30 seconds. Your assessment reveals her to be responsive to painful stimuli and breathing adequately. Her airway is open and
her radial pulse is strong and bounding. Her skin is hot and moist to the touch with no signs of cyanosis. You are told that she has no medical history. En route to the hospital, the patient's mental status improves. Based on this presentation and information, you assume that the seizure occurred secondary to:
A) hypoxia.
B) fever.
C) hypoglycemia.
D) altered mental status.
B
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On arrival at a vehicle collision, you observe a small fire in the engine compartment. A bystander is attempting to smother the fire with a jacket as you approach with an A-B-C extinguisher from your ambulance. Which of the following is the BEST method of extinguishing the fire?
A) Close the hood to contain the fire within the engine compartment. B) Aim at the base of the fire and use short bursts until the fire is out. C) Aim the nozzle to the side of the fire and, with a sweeping motion, push the fire at its base. D) Sweep the nozzle of the extinguisher left and right using short bursts until you are out of extinguishing agent.
Which of the following parameters would be LEAST reliable when assessing the perfusion status of a 2-year old child with possible shock?
A. Distal capillary refill B. Systolic blood pressure C. Skin color and temperature D. Presence of peripheral pulses