The initial attempt to cardiovert a 30-kg child suffering from SVT is unsuccessful. How many joules should be used to repeat the synchronized cardioversion?

A middle-aged female with a history of hypertension and high cholesterol complains of chest discomfort. She asks you to take her to the hospital where her personal physician practices, which is 15 miles away. Her blood pressure is 130/70 mm Hg, pulse is 84 beats/min and regular, and respirations are 18 breaths/min and unlabored. Which of the following actions is clearly NOT appropriate for this patient?

A) Giving oxygen via nasal cannula B) Taking her to her choice hospital C) Contacting her physician via phone D) Allowing her to walk to the ambulance

On apparatus with air brakes, NFPA requires the air pressure to build to a sufficient level to allow vehicle operations within ___ seconds of starting.

A. 10 B. 20 C. 40 D. 60