Patients with arterial gas embolism or decompression sickness should be transported by ground to a facility that:
a. has advanced respiratory specialists.
b. has a hyperbaric chamber.
c. is nearest to the scene.
d. is a trauma center with a rehabilitation wing.
Answer: b
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Which of the following laboratory values is most consistent with a diagnosis of fluid depletion (dehydration)?
A. increased hematocrit B. decreased BUN C. decreased serum osmolality D. decreased urine specific gravity
You are called to a seizure patient. Witnesses say the man was clutching his head, collapsed to the floor, and immediately began to have a convulsion. He has no medic alert tags and no one nearby knows the man. He seems very healthy and there is no evidence of drug use; the 28-year-old man responds only to painful stimuli by moaning. Your examination reveals the following: no obvious injuries; eyes deviated to the left; BP 184/94; P-64; skin warm, dry; ventilations-24 breaths/min; lung sounds clear and equal. Which of the following diagnoses has the most supporting evidence?
A. Seizure and now in a postictal state B. Seizure caused by alcohol withdrawal C. Seizure caused by CVA D. Seizure caused by drug overdose