A 77-year-old man with end-stage COPD and renal failure is found unresponsive by his daughter. Your assessment reveals that the patient is apneic and pulseless. The daughter presents you with an out-of-hospital DNR order; however, the document expired 3 months ago. You should:
A) begin CPR only and contact medical control for further guidance.
B) realize that the patient cannot be resuscitated and notify the coroner.
C) begin full resuscitative efforts because the DNR order is no longer valid.
D) confirm that the order has expired before initiating any patient treatment.
Answer: A) begin CPR only and contact medical control for further guidance.
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Which of the following best describes the paramedic's professional obligation?
A) Acceptance and adherence to a code of professional ethics and etiquette B) Placing the system's well-being above that of the patient C) Absolute adherence to medical protocols D) Following long-standing traditions in practice
Which of the following clinical symptoms correlates with a severe form of hemophilia A or B?
a. Bleeding at circumcision with a factor level of 1-5 U/dL b. Excessive bleeding after surgery or trauma with a factor level of 6-30 U/dL c. Frequent spontaneous hemarthroses d. Infrequent spontaneous joint and tissue bleeds