On scene at a college football game, a wide receiver is unresponsive after colliding with another player and forcefully taking a helmet to the chest. The athletic trainer reports that the patient is pulselesss and apneic. Given the mechanism of injury and patient's presentation, which instruction would be appropriate?
A) "Let's apply the AED and follow all prompts."
B) "Before we do anything, we need to immobilize him."
C) "Use the AED but no CPR so we do not worsen the potential chest injury."
D) "Someone start positive pressure ventilation while I check for a blood pressure."
A
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A 49-year-old man was fishing in a stream of cold water when he became submerged after getting tangled in some hidden roots. The patient was pulled from the stream by friends after approximately 5 minutes of submersion. Your assessment reveals that he is responsive to painful stimuli and breathing 5 times per minute. His pulse is weak and rapid. Which set of instructions would be appropriate to relay to the team of rescuers?
A) "Do not wipe the water off him. It will keep his body cool and protect vital organs like his brain and heart." B) "Do not apply the AED if he goes into cardiac arrest. The water was very cold and the AED is contraindicated in hypothermia." C) "I need someone to perform abdominal thrusts to see if he took water into his stomach." D) "Let's move him into the warm ambulance as quickly as possible, and then cut off his clothes and cover him."