The therapist is performing expired air resuscitation. During the procedure, she is concerned about the Vt she is delivering to the patient. What does the therapist need to do to in this situation?
A. Connect a respirometer to a resuscitation mask and periodically measure the patient's expired volume.
B. Connect a respirometer to a manual resuscitator and periodically measure the patient's expired volume.
C. Intermittently, collect the patient's expirate and run it through a respirometer.
D. Observe the rise of the patient's chest wall while air is deposited into the patient's lungs.
ANS: D
A. Incorrect response: See explanation D.
B. Incorrect response: See explanation D.
C. Incorrect response: See explanation D.
D. Correct response: During expired air resuscitation (mouth-to-mouth, mouth-to-mask, or mouth-to-nose), measuring the delivered Vt is impractical. The general guideline is to continue inspiration until a rise of the patient's chest wall can be visualized.
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If a Level I trauma center is 30 miles away, and a Level II trauma center is 10 miles away, it would be MOST appropriate to transport a patient with a severe traumatic brain injury:
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